Cardiovascular system, Interventional vascular, Vascular, Catheter arteriography, Fluoroscopy, Experimental, Arterial access, Experimental investigations, Education, Education and training, Quality assurance, Economics
M. Salsano1, H. M. McLeod2, S. Matthew2, G. Houston2; 1Birmingham/UK, 2Dundee/UK
Methods and materials
Proof of concept was demonstrated using Thiel-embalmed human cadaver with extracorporeal arterial flow.
The Thiel cadaver was placed supine. The extracorporeal circuit was prepared by inserting ports (12 – 14 Fr sheath,
Check-Flo Cook Medical,
Ireland) into the left axillary and femoral arteries (depending upon the caliber of the vessel); the ports were then connected to a heart–lung bypass machine (HL-30 Maquet,
Germany). Extracorporeal continuous retrograde flow of up to 1 L per minute was delivered to the arterial tree depending upon the flow rate required. Patency and flow with-in the arterial circuit was demonstrated by Digital subtraction angiography.
The right radial artery was identified and punctured under US guidance and a 5F sheath inserted.
The model was then tested by an interventional radiologist under fluoroscopic guidance,
using a C-arm (OEC 9900 GE,
A series of different guidewires and catheters were used for a diagnostic angiogram of the thoracic and abdominal aorta.