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. 2024 Apr 3;3(7):101934. doi: 10.1016/j.jscai.2024.101934

Table 2.

Potential errors during bolus thermodilution measurements.

Type of error Reason Corrective actions
Slow inject Injection too slow with >0.60 s between the start of the decline in temperature and the nadir at the proximal thermistor
  • Use a 3 cc syringe

  • Inject with a rapid and vigorous motion

  • Make certain the injection is even with a distinct end

Timeout Temperature did not return to baseline in time (> 8 s) at the distal thermistor
  • Check that the guide is not too deeply engaged

  • Confirm that there is flow in the artery, if too occlusive stenosis the case may be unsuitable for thermodilution

  • Make sure that baseline temperature is 0

  • Zero temperature and retry injection

Low amp The temperature response did not reach the minimum limit during injection (<–1 °C) at the distal thermistor
  • Verify guide engagement

  • Flush guide with fresh room temperature saline

  • Increase bolus or use slightly chilled saline if needed

  • Make sure wire is not too distal in vessel

  • Zero temperature and repeat injection