| initial wire |
Bentson |
stiff angled Glide |
Bentson |
TBA |
| 2nd 035 wire (for up-n-over) |
floppy angled Glide |
stiff angled Glide |
floppy angled Glide |
stiff angled Glide |
| Heparin after initial access? |
Yes – 3,000 units |
No |
No |
No |
| Power injector? |
Yes |
No |
No |
No |
| Two views of the foot? |
Yes, for everyone with foot wound |
Yes, magnified |
Yes |
Yes |
| Preferred arteriotomy management |
manual pressure x20 minutes, bedrest x6 hours |
Mynx |
Mynx or Proglide unless diseased femoral, then manual pressure |
Proglide or Mynx unless diseased femoral, then manual pressure |
| Check for therapeutic ACT if intervention is done? |
Yes, goal >215 seconds |
No |
Yes |
Yes, goal > 250 |
| Other preferences |
none |
Save fluoro image of needle access, centered over femoral head |
DSA of access site |
1cc DSA of access through microsheath; Prep ipsi foot unless otherwise specified; pannus control, if necessary |