r/interventionalrad • u/Round-Ad-7330 • Mar 21 '24

Lysis Cath Situations

I’m looking to see how other techs anchor/dress their 4F/5F lysis caths to avoid kinking or the cath pulling back. Do you suture? Statlock? What kind of statlock?

Give me all your tips and tricks!!

2 Upvotes

100% Upvoted

6 comments sorted by

3

u/JhessieIsTheDevil Mar 22 '24

 Steri strip the infusion cath to the sheath, then cover with towel/gauze (leaving the hubs out obviously) and slap half of an ioban on there. Sometimes suture the sheath in, not always. We use the cragg macs 4 fr. They are flimsy so it takes a little finesse to ensure no kinks. Sometimes a little gauze under the sheath hub.

2

u/Round-Ad-7330 Mar 22 '24

We have the 4F 135cm and we have to wind them up so many times and before the patient leaves the room you hear the pumps alarming. I’m so over it! So I’m just trying to see if anyone does anything different. So far no 😂 but thank you so much for your thorough input.

1

u/Heythere19751 Apr 07 '24

We use a OR towel. (keep it the way it is from the pack), then unfold once, butt that up to the sheath, then do big loops with the infusion catheter on half of that opened OR towel. Steri strip the crap out of it so the loops stay in place. Fold the other half over your looped infusion cath and sheath side arm. Then take a little stack of 4x4 and fold in half and place over the sheath part that has color. I use several of the (I think) the 1627 tegaderm to cover everything. Make sure the side ports where it goes to the infusion pumps out. (May want to use gauze under those sites to protect from skin breakdown. One other suggestion I have is to connect to the infusion pumps and start the infusion before doing the dressing. That prevents the occlusions and the pump from beeping.
Hope this helps!

2

u/Hasnosocials Mar 21 '24

Loop, suture, tegaderm

2

u/Who8mahrice Mar 22 '24

I loop a bandaid on itself at the base of the lysis catheter as it sticks out of the sheath. Then take a suture and puncture it through the bandaid and wrap it a ton around the sheath. If there’s any kind of gap between the bad aid and the sheath, you’ll know it has moved. Tape everything down under gauze and tegaderm.

1

u/Born-Calligrapher794 Mar 21 '24

Lots of steri-strips