Paravalvular leak- Mitral: Difference between revisions

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90cm Shuttle Sheath is not long enough to put into FlexCath.  Will have to remove flex cath.<br />
90cm Shuttle Sheath is not long enough to put into FlexCath.  Will have to remove flex cath.<br />
===Misc Supplies:===
====Open====
*0-Ethibond
*Micropuncture
*Perclose x 2
*3-port manifold naked (no ACIST) - always open!
*60cc syringe
====Standby====
*Watchdog
*stopcock


===Sheaths:===
===Sheaths:===
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*8.5fr SL1 transseptal sheath
*8.5fr SL1 transseptal sheath


===Misc Supplies:===
====Open====
*0-Ethibond
*Micropuncture
*Perclose x 2
*3-port manifold naked (no ACIST) - always open!
*60cc syringe
====Standby====
*Watchdog
*stopcock


===Device embolization / retrieval:===
===Device embolization / retrieval:===

Revision as of 19:26, 22 April 2021

Various equipment needed is dependent upon size of leak.

All shuttle sheaths and plugs are located on the "plug cart" in the sterile core behind lab 1.

Note Warning: This procedures equipment is highly variable, consult with the physician before opening expensive stuff.

Total Length of FlexCath: 81cm.

Total Length of Agilis: 71cm

****If Flexcath is an acceptable option, use it. Much cheaper than agilis.*****

AVPII cable length: 100cm


90cm Shuttle Sheath is not long enough to put into FlexCath. Will have to remove flex cath.

Misc Supplies:

Open

  • 0-Ethibond
  • Micropuncture
  • Perclose x 2
  • 3-port manifold naked (no ACIST) - always open!
  • 60cc syringe

Standby

  • Watchdog
  • stopcock

Sheaths:

Open

  • 8F pinnacle
  • 5F Pinnacle (for shuttle sheath not for access)
  • 20F Dryseal
  • 110cm Shuttle sheaths

Standby

  • FlexCath
  • Agilis- small curve
  • 4fr x 10cm Pinnacle - (A-line)
  • Cook 30cm

Wires:

Open

  • 150J
  • 260J
  • Glide Advantage 260cm
  • Amplatz ES 260cm
  • .032 260J

Catheters:

Open

  • 5F MPA 100 cm with a 125cm on standby
  • 5fr angled pigtail
  • 180* torqvue (French size not important here, only using for the cable.)

Note Note: The deployment cable for the ADO can be daisy-chained for more length!

Standby

  • 5fr IM diagnostic
  • 5fr JR4 diagnostic
  • Berenstein 125cm (Spies)

Transseptal

Note Note: Not needed if recent transseptal procedure performed

Open

  • Baylis machine
  • Baylis cable
  • Grounding pad
  • Large curve C1 Baylis needle
  • 8.5fr SL1 transseptal sheath


Device embolization / retrieval:

Standby

  • EnSnare or Gooseneck
  • 16 or 18fr x 33cm Dryseal
  • JR4 Guide