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Title

Coronary Catheters: Getting Bent into Shape (1 credit hours)

Abstract

This module is presented in a format combining audio with lesson text appearing in a slide show. Flash Player is required to play the file, and can be downloaded by clicking here.

An overview of coronary catheters is presented to include historical perspectives, catheter structure, materials, sizes, shapes and appropriateness of use related to anatomical considerations. Advantages and pitfalls of various catheters are also discussed.

Course Approval Expiration/End Date: June 1, 2010 Category A Credit

This activity may be available in multiple formats or from different sponsors. The ARRT does not allow CE activities such as internet courses, home study programs or directed readings to be repeated for CE credit in the same or any subsequent biennium.

Author

Healthworks is a private healthcare professional practice organization offering a variety of cardiovascular and imaging solutions, including clinical education, expert staffing and consulting services in the areas of invasive and non-invasive cardiology, electrophysiology and specialty nursing. Founded in 1997, the company is headquartered in Douglassville, PA.

Dan Kehoe, RCIS

Dan Kehoe is a clinical specialist with more than 6 years of experience in the cardiac cath lab. Prior to his experience in the cardiac cath lab, he served as the Lead Open Heart Technologist at Brandywine Hospital in Brandywine, PA. His roles at Healthworks include serving as a national lecturer for the Education Division, and working as a Clinical Specialist in the Invasive Cardiovascular Division. Dan is credentialed as a Surgical Technologist, as well as a Registered Cardiovascular Invasive Specialist (RCIS) and has 20+ years of combined cardiac and surgical experience.

Objectives

After completing the lessons, the learner should be able to:

List three purposes of using a coronary catheter.
Describe catheter characteristics including structure, materials, shapes and sizes.
Recognize pioneers and their roles in advancing vascular imaging.
Describe considerations associated with vascular tortuosity and catheter use.
Recognize common anatomical variations associated with coronary arteries.
Differentiate techniques associated with cannulation of right and left coronary arteries.
List types of bypass grafts differentiating free and pedicalized grafts.
Describe catheter choice considerations related to cardiac and coronary anatomy, types of bypass grafts, peripheral vascular disease, renal status, and lesion abnormailties.
Describe coaxiality in its relationship to coronary angiography.

Resources

Bibliography
Kern MJ. The Cardiac Catheterization Handbook. 4th ed. Mosby, 2003.

Mullins CE. Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult. Wiley-Blackwell; 2005.

Pepine CJ, Hill JA, Lambert CR, eds. Diagnostic and Therapeutic Cardiac Catheterization. 3rd ed. Lippincott Williams & Wilkins; 1998.

Von Lundinghausen M. The Clinical Anatomy of the Coronary Arteries. Springer, 2003. Baim DS, ed. Grossman's Cardiac Catheterization, Angiography, and Intervention. 7th ed. Lippincott Williams & Wilkins, 2005.

Webliography
American Heart Association. Coronary Catheterization. 2008. Available at: http://www.americanheart.org/presenter.jhtml?identifier=4491. Accessed Feb 15, 2008.

WebMD. Cardiac catheterization. Oct 6, 2005. Available at: http://www.webmd.com/heart-disease/cardiac-catheterization. Accessed Feb 15, 2008.

Wikipedia. Coronary Catheterization. Available at: http://en.wikipedia.org/wiki/Coronary_catheterization. Accessed Feb 15, 2008.

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