Balloon Catheter Selection and Preparation: The French size of the thrombectomy balloon is chosen based on the largest expected diameter of vessel to be treated. This is often the external iliac artery (average 7-10 mm diameter), and therefore a 5 or 6 French balloon that can accommodate a 0.035” guidewire.
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The central lumen of the catheter is flushed with heparinized saline. The solution to fill the balloon should be saline with enough contrast added to make visualization of balloon inflation easy. This is usually a concentration of 30 – 50% iodinated contrast agent. The inflated balloon should be placed under the fluoroscope to ensure that it can be imaged easily. The balloon is inflated with the contrast solution and deflated to remove as much air from the system as possible. The volume in the syringe is then adjusted to the rated maximum volume of the balloon catheter.
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