Septostomy
From Bay Area Structural Heart Wiki
An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.
Equipment: Daniels
- Indiflator
- Naked 3 port manifold for LA pressure
- Sheath , one French size larger then minimum balloon size
- Balloon, size determined via ECHO
* NEW - Baylis Transseptal
- VersaCross system
- Grounding pad
STANDBY!
- SL1 TransSeptal sheath
- Large curve Baylis needle
- Baylis cable
- .032 X 260 “J” wire
- Amplatz SuperStiff 1cm Tip 260cm
- 5F MPA2
Equipment: Spies
- Indiflator
- Naked 3 port manifold for LA pressure
* NEW - Baylis Transseptal
- VersaCross system
- Grounding pad
STANDBY!
- SL1 TransSeptal sheath
- Large curve Baylis needle
- Baylis cable
- .032 X 260 “J” wire
- SuperStiff 1cm Tip 260cm
- 5F MPA2
Procedure requires Baylis
- Baylis generator
- Grounding Pad
Balloon size determined by MD.
- Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
- Have a 22 Tyshak nucleus on standby for Spies and Daniels
Approved: MD initials MM/YY
