AO/LV Gradient with Pressure Wire: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
No edit summary |
||
| (6 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
Procedure for measuring the Aortic valve gradient through a single arterial access using the Abbott Pressure wire. | Procedure for measuring the Aortic valve gradient through a single arterial access using the Abbott Pressure wire. | ||
---- | ---- | ||
{{Warn|DO NOT have FFR unit turned on or it will confuse the wire transmitter!!!!!}} | |||
==Equipment== | ==Equipment== | ||
| Line 9: | Line 11: | ||
*Catheter (MD choice) | *Catheter (MD choice) | ||
*Intervention kit (You need, at minimum, a co-pilot and introducer needle) | *Intervention kit (You need, at minimum, a co-pilot and introducer needle) | ||
*Second transducer (ACIST | *Second transducer (ACIST or manifold) | ||
==Procedure== | ==Procedure== | ||
#St. Jude box should be plugged into P2 or P3 | |||
#Cross aortic valve | #Cross aortic valve | ||
#Prep pressure wire so it is flushed and flat on the table | #Prep pressure wire so it is flushed and flat on the table | ||
#Press middle button on St. Jude receiver | #Press middle button on St. Jude receiver box | ||
#Turn on wire transmitter | #Turn on wire transmitter | ||
#*Both lights should turn solid green | |||
#Introduce wire into LV | #Introduce wire into LV | ||
#Use plus and minus arrows on receiver box to adjust wire pressure reading to match catheter. | |||
#*Note that waveforms will not match, but numbers should. | |||
#*Snap a gradient while both wire and catheter are in LV to confirm calibration if desired. | |||
#Pull catheter back across aortic valve | |||
#Snap gradient | |||
[[Category:Setups]] | |||
Latest revision as of 21:30, 3 March 2021
Procedure for measuring the Aortic valve gradient through a single arterial access using the Abbott Pressure wire.
Warning: DO NOT have FFR unit turned on or it will confuse the wire transmitter!!!!!
Equipment
- St. Jude pressure receiver
Open
- Abbott pressure wire
- Catheter (MD choice)
- Intervention kit (You need, at minimum, a co-pilot and introducer needle)
- Second transducer (ACIST or manifold)
Procedure
- St. Jude box should be plugged into P2 or P3
- Cross aortic valve
- Prep pressure wire so it is flushed and flat on the table
- Press middle button on St. Jude receiver box
- Turn on wire transmitter
- Both lights should turn solid green
- Introduce wire into LV
- Use plus and minus arrows on receiver box to adjust wire pressure reading to match catheter.
- Note that waveforms will not match, but numbers should.
- Snap a gradient while both wire and catheter are in LV to confirm calibration if desired.
- Pull catheter back across aortic valve
- Snap gradient
