Advanced Online Test PulseCath iVAC 2L

17. When preparing the iVAC 2L system, what key aspects should we pay attention to? *

Flush ALL the lines with heparinized saline and make sure the stopcocks are in the OPEN position.
De-air the membrane pump by filling it completely with heparinized Saline and observe that the flexible membrane moves completely to the opposite side of the membrane pump.
The iVAC 2L doesn't require any preparation as it comes packed for ready to use.
When replacing the inner tube with the PTFE catheter inner tube, make sure the bi-directional valve is closed and is being protected when the tube is inserted.

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18. Which of the following pressure wave forms would you expect to see when the IABP diver is functioning correctly? *

Item 1
Item 2

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19. After positioning the iVAC 2L tip in LV and the inner stylet is removed the catheter tip might be dislocated into a supraaortic position. Is it safe to push the catheter back in the LV immediately we notice? *

Yes it is safe. The catheter can be pushed in the LV any time of the procedure.
No, it is permitted to push the catheter in without being on the superstif guidewire placed in the LV. There is a high risk of damaging the aortic valve.

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20. When the iVAC 2L catheter is placed in the LV and the PTFE catheter inner tube is removed, is it safe to reintroduce the inner stylet if needed? *

Yes it is 100% safe.
No, the inner tube or the guidewire should not be inserted again while the catheter is still in the patient. There is the risk of damaging the bidirectional valve. Remove the catheter, flush the catheter and lines with heparinized saline, reintroduce the PTFE inner tube while protecting the closed valve and reinsert over the superstiff guidewire.

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21. What do you do when the catheter tip migrate out of the ventricle after insertion? *

Advise the doctor that the based on our experience the catheter can be effectively used in the supra aortic position loosing only up to 15-20% of unloading capacity..
Advise the doctor that he can choose to remove the catheter, flush it with heparinized saline and reintroduce with the help of the PTFE innertube and super stiff guidewire into the correct position.

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22. When weaning the patient off the device, what are important steps to follow? *

When weaning the patient of the device, setup the IABP frequency to 1:2 and observe the patients haemodynamics.
Disinfect and clean the device afterwards for reuse making use of alcohol containing fluids.
When the patient is hemodynamically stable and no longer requires support, STOP the pump and remove the catheter.
Pull the catheter out to the sheath, under fluoroscopy guidance without any force.

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23. Before removing the iVAC 2L catheter, teflon stylet and guide wire should be inserted. *

True
False

Indicate True or False

24. What does sharp peaks indicate on the balloon pressure waveform?

What does sharp peaks indicate on the balloon pressure waveform? *

Inflow obstruction, and incorrect position or bad timing.
The bi-directional valve was damaged and the bloodflow is multidirectional
It is fine, the IABP is pumping blood, not helium and it will give a sharp peak waveform

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Advanced Online Test PulseCath iVAC 2L

Case-in-a-box congress - video 7

Case-in-a-box congress - video 6

Case-in-a-box congress - video 5

Case-in-a-box congress - video 4

Case-in-a-box congress - video 3

Case-in-a-box congress - video 2

Case-in-a-box congress - video 1

Case-in-a-box number 2: Al Qassimi Hospital February 2023

Case-in-a-box number 1: Al Qassimi Hospital February 2023

iVAC 2L Procedure Steps

iVAC 2L Setup

iVAC 2L Trouble Shooting

iVAC 2L Clinical Effect

Advanced Online Test PulseCath iVAC 2L