Mitraclip PLUG: Difference between revisions

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===Equipment:===
===Equipment:===


* 260cm J Wire
*260cm J Wire
* 20F Dryseal
*20F Dryseal
* Agilis
*Agilis
* 5F 110cm Shuttle Sheath (dependent on plug size)
*5F 110cm Shuttle Sheath (dependent on plug size)
* 5F 10cm Pinnacle Sheath
*5F 10cm Pinnacle Sheath
* Straight glidewire (standard)
*Straight glidewire (standard)
* 180* torqvue (French size not important here, only using for the cable.)<br />
*180* torqvue (French size not important here, only using for the cable.)<br />


=== Procedure for placing a plug between 2 Mitraclip in the same setting: ===
===Procedure for placing a plug between 2 Mitraclip in the same setting:===


* 8F sheath and 260cm J inserted through guide delivery system.
*8F sheath and 260cm J inserted through guide delivery system.
* Guide delivery system removed, 20F dryseal inserted
*Guide delivery system removed, 20F dryseal inserted
* Agilis inserted
*Agilis inserted
* Preload Shuttle sheath with glidewire and advance through agilis
*Preload Shuttle sheath with glidewire and advance through agilis
* Glidewire used to cross between plugs and removed with shuttle dilator.
*Glidewire used to cross between plugs and removed with shuttle dilator.
* 5F sheath inserted into shuttle in lieu of using torqvue delivery sideport  
*5F sheath inserted into shuttle in lieu of using torqvue delivery sideport  
** '''Transition between shuttle and torqvue insertion isn't flush so occluder starts to deploy if sheath not used'''
**'''Transition between shuttle and torqvue insertion isn't flush so occluder starts to deploy if sheath not use'''




== CARDIOFORM ==


=== Equipment: ===
* Angled Glide
* Amplatz ES
* Amplatz SS
* Rosen Wire
* 5F MP
* 7F Shuttle - dilator used inside Cardioform sheath
* Flexcath- ***flexcath $150, Agilis $900***
* 20F Dryseal
* 20mm Snare- snare dilator to angle toward valve


<br />
<br />
==== IF Arterial Access needed for Body Floss ====
* Micropuncture
* 6F Sheath
* Guide
* Watchman
* Stopcock
* JAG wire
* Flexcath used for direction but has to be removed because it's too long for cardioform system

Revision as of 22:32, 30 June 2020

ADOII

Equipment:

  • 260cm J Wire
  • 20F Dryseal
  • Agilis
  • 5F 110cm Shuttle Sheath (dependent on plug size)
  • 5F 10cm Pinnacle Sheath
  • Straight glidewire (standard)
  • 180* torqvue (French size not important here, only using for the cable.)

Procedure for placing a plug between 2 Mitraclip in the same setting:

  • 8F sheath and 260cm J inserted through guide delivery system.
  • Guide delivery system removed, 20F dryseal inserted
  • Agilis inserted
  • Preload Shuttle sheath with glidewire and advance through agilis
  • Glidewire used to cross between plugs and removed with shuttle dilator.
  • 5F sheath inserted into shuttle in lieu of using torqvue delivery sideport
    • Transition between shuttle and torqvue insertion isn't flush so occluder starts to deploy if sheath not use


CARDIOFORM

Equipment:

  • Angled Glide
  • Amplatz ES
  • Amplatz SS
  • Rosen Wire
  • 5F MP
  • 7F Shuttle - dilator used inside Cardioform sheath
  • Flexcath- ***flexcath $150, Agilis $900***
  • 20F Dryseal
  • 20mm Snare- snare dilator to angle toward valve


IF Arterial Access needed for Body Floss

  • Micropuncture
  • 6F Sheath
  • Guide
  • Watchman
  • Stopcock
  • JAG wire
  • Flexcath used for direction but has to be removed because it's too long for cardioform system