Mitraclip PLUG: Difference between revisions
From Bay Area Structural Heart Wiki
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===Equipment:=== | ===Equipment:=== | ||
* 260cm J Wire | *260cm J Wire | ||
* 20F Dryseal | *Amplatz ES 260 | ||
* Agilis | *20F Dryseal | ||
* 5F 110cm Shuttle Sheath (dependent on plug size) | *Agilis | ||
* 5F 10cm Pinnacle Sheath | *5F 110cm Shuttle Sheath (dependent on plug size) | ||
* Straight glidewire (standard) | *5F 10cm Pinnacle Sheath (for shuttle sheath not access) | ||
* 180* torqvue (French size not important here, only using for the cable.)<br /> | *Straight glidewire (standard) | ||
*.032 x 260 J | |||
*MPA 125cm | |||
*180* torqvue (French size not important here, only using for the cable.) | |||
{{Note|The deployment cable for the torqvue can be daisy-chained for more length!}} | |||
*0-Ethibond | |||
*Naked 3-Port manifold for pressures only <br /> | |||
=== Procedure for placing a plug between 2 | ===Procedure for placing a plug between 2 Mitraclips 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 used''' | ||
==CARDIOFORM== | |||
===Equipment:=== | |||
'''14fr. MTS = Mullins''' | |||
*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 | |||
*Watchdog | |||
*Stopcock | |||
*JAG wire | |||
*Flexcath used for direction but has to be removed because it's too long for cardioform. | |||
[[Category:Procedures]] | |||
Latest revision as of 20:26, 21 April 2021
ADOII
Equipment:
- 260cm J Wire
- Amplatz ES 260
- 20F Dryseal
- Agilis
- 5F 110cm Shuttle Sheath (dependent on plug size)
- 5F 10cm Pinnacle Sheath (for shuttle sheath not access)
- Straight glidewire (standard)
- .032 x 260 J
- MPA 125cm
- 180* torqvue (French size not important here, only using for the cable.)
Note: The deployment cable for the torqvue can be daisy-chained for more length!
- 0-Ethibond
- Naked 3-Port manifold for pressures only
Procedure for placing a plug between 2 Mitraclips 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 used
CARDIOFORM
Equipment:
14fr. MTS = Mullins
- 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
- Watchdog
- Stopcock
- JAG wire
- Flexcath used for direction but has to be removed because it's too long for cardioform.
