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Cool trick to easily direct a catheter into the left pulmonary artery -- learned from @MarcSintek while I was at @WashU_cards @WUSTLmed

#tweetorial #cardiotwitter #CardioMEMS @AbbottNews @abbottvascular @BonSecours
#1 Pull PA catheter back into proximal right pulmonary artery
#2 Take the (stiff) back end of a standard J-wire and wrap it around a pen/syringe a few times
#3 Insert the (stiff) back end of the wire into the PA catheter and advance carefully to within a few centimeters of the end of the catheter (don't exit the catheter!)
#4 Pull the PA catheter and wire as one unit back into the main PA until it is pointing towards the left pulmonary artery. Put the PA catheter balloon up and advance the catheter and wire as one unit into the left pulmonary artery!
Here's what the wire looks like after shaping it
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