Registered Cardiovascular Invasive Specialist (RCIS) Practice Test

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Prepare for the Registered Cardiovascular Invasive Specialist (RCIS) Exam. Utilize flashcards and multiple-choice questions with detailed explanations. Ace your exam with confidence!

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Which catheter should be used to cannulate an LAD with a high take off?

  1. Judkins

  2. Amplatz

  3. Bernstein

  4. Sheath

The correct answer is: Amplatz

The Amplatz catheter is the preferred choice for cannulating the left anterior descending (LAD) artery with a high take-off. This design allows for excellent maneuverability and enhanced support, which is vital when navigating the anatomical variations that may be encountered in patients with a high take-off of the LAD. The Amplatz catheter has a more angled tip compared to other catheters, making it easier to engage the ostium of the LAD in such scenarios. In contrast, the Judkins catheter is more suitable for standard coronary angiography due to its shape but may lack the necessary support and accessibility needed for a high take-off. The Bernstein catheter is specifically designed for selective catheterization of the coronary arteries but may not be as effective as the Amplatz in this particular situation. A sheath, while a critical tool in vascular access, does not aid in the selective catheterization of the coronary arteries. Therefore, the Amplatz catheter is best suited for addressing the challenges associated with cannulating a high take-off LAD.