Paravalvular leak- Mitral

Warning: This procedures equipment is highly variable, consult with the physician before opening expensive stuff.

Notes

• Various equipment needed is dependent upon size of leak.
• All shuttle sheaths and plugs are located on the "plug cart" in the sterile core behind lab 1.
• Total Length of FlexCath: 81cm.
• Total Length of Agilis: 71cm
• If Flexcath is an acceptable option, use it. Much cheaper than agilis.
• AVPII cable length: 100cm Cables can be daisy-chained!
• 90cm Shuttle Sheath is not long enough to put into FlexCath. Will have to remove flex cath.
  

Misc Supplies:

Open

• 0-Ethibond
• Micropuncture
• Perclose
• 3-port manifold naked (no ACIST) - always open!
• 60cc syringe

Standby

• Watchdog
• stopcock
• Mustang for septostomy
• priority pack
• 180* torqvue (French size not important here, only using for the cable.)

Sheaths:

Open

• 8F pinnacle
• 5F Pinnacle (for shuttle sheath not for access)
• 12F Dryseal
• 110cm Shuttle sheaths (Size depends on occluder)
• Agilis small curve

Standby

• 4fr x 10cm Pinnacle - (A-line)
• Cook 30cm

Wires:

Open

• 260 Standard J
• Straight Glide 260cm
• Angled Glide 260cm
• Amplatz ES 260cm
• .032 260J

Catheters:

Open

• 5F MPA 100 cm with a 125cm on standby

Note: The deployment cable for the ADO can be daisy-chained for more length!

Standby

• 5fr IM diagnostic
• 5fr JR4 diagnostic
• Berenstein 125cm (Spies)

Transseptal

Note: Not needed if recent transseptal procedure performed

Open

• Baylis machine
• Baylis cable
• Grounding pad
• Large curve C1 Baylis needle
• 8.5fr SL1 transseptal sheath

Device embolization / retrieval:

Standby

• EnSnare or Gooseneck
• 16 or 18fr x 33cm Dryseal
• JR4 Guide