View source for Alta Valve

<nowiki>***</nowiki> THIS IS A RESEARCH CASE ; EQUIPMENT WILL NOT SCAN, PLEASE KEEP BARCODES OF ALL NON-SCANNABLE EQUIPMENT FOR ROSALIE WITH A PATIENT LABEL *** 

As of today 1/25/2025 we have done ONE of these procedures ( on 3/29/2024 ). This page is rough draft and will be updated along the way. 

'''Room Set Up ; 2 Manifolds needed for pressure only. No Acist. IV Pole for back table similarly to MitraClip with 1L pressure bag. Will need the MitraClip plate and stool over the patient; distance from zyphoid unknown...Radial prepped for pigtail. Rampart, yes if the deployment angles allow.''' 

=== Supplies ===

* TAVI Pack
* Micropuncture 
* 8Fr Pinnacle
* 2 Perclose 
* Knu-Knit, Dermabond, Lido with EPI 
* 0.035 x 260 J-tip wire 
* 6fr radial sheath (used for the pigtail for pressure monitoring) 
* 6Fr Balloon wedge PA catheter
* VersaCross transeptal system
* Long taper dilators 16fr, 24fr for access site dilation in preparation for Guide introduction 
* 24fr DrySeal 
* 10mm Mustang for septostomy or a 14mm Armada
* (2) 5fr Pigtail catheters or 1 double lumen pigtail catheter (Langston)  
* '''RV Pacing setup''' - There is no wire in the LV that could be used for pacing
* Stand support plate (example: plate used for MitraClip) placed under patient’s legs
* 2 transducer sets (RHC; Ao/LV monitoring) 
*
* '''Implant and Delivery System Preparation -Back table''' 
* (3) Sterile Bowls (1000ml or larger) 
* 4L heparinized saline 
* (4) Luer lock syringes (50ml or larger) 
* (1) Pickup 
* (1) Y-Tuohy Borst Sidearm Connector
* (1) 3-way Stopcock 
* (1) Pressure bag 
* (3) 6ft Sterile Hemostatic lines 
* IV pole on wheels 
* Extra sterile gowns and gloves available for 4C team 

=== Bail Out Equipment List ===
(List provided by Vendor) 

* ECMO
* IABP
* Impella CP 
* Blood transfusion ability 
* Pacemaker interrogator if applicable per patient (for rapid pacing) 
* Peripheral vascular balloons – over the wire, 0.035” wire compatible Septal Closure and PVL Instrument List 
* Septal Closure Devices available – 2 per size: • Gore Cardioform PFO: 20mm, 25mm, 30mm • Abbott Amplatzer Cribaform: 18mm, 25mm, 30mm, 35mm • Corresponding delivery systems to match the above devices 
* PVL plug devices available - (for example: Amplatzer ADO2 in these sizes: 4x6mm, 5x4mm, 5x6mm, 6x4mm, 6x6mm)  Corresponding delivery systems to match the above devices (must be at least 80cm in length) 
* 110cm Cook Ansel or Shuttle in both 4 French and 5 French