Septostomy: Difference between revisions
From Bay Area Structural Heart Wiki
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*8.5fr. SL1 | *8.5fr. SL1 | ||
*Manifold to measure LA pressure | *Manifold to measure LA pressure | ||
* | *Sheath based on balloon size (See chart) | ||
*Presto indeflator | *Presto indeflator | ||
*0-Prolene | *0-Prolene |
Revision as of 21:56, 30 November 2020
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.
ECHO guided transeptal puncture.
Equipment:
Open
- Amplatz Super Stiff 1cm
- .032 x 260J
- 5fr. MPA2
- 8.5fr. SL1
- Manifold to measure LA pressure
- Sheath based on balloon size (See chart)
- Presto indeflator
- 0-Prolene
Standby
- Amplatz Extra Stiff
Baylis Setup:
Open
- Baylis generator
- Baylis Large curve needle
- Baylis cable
- Grounding Pad
Balloon size determined by MD.
*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
Approved: MD initials MM/YY