ASD Closure

DR. Daniels - DRAFT

RFV access, GENERAL ANESTHESIA with TEE

Medications:

• Pre-Op Antibiotics : Ancef IV
• Antiplatelet : Aspirin & Plavix

Sheaths:

Open

• 5Fr Micropuncture Kit
• 8fr Pinnacle

Standby

• 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia

Wires:

Open

• 0.035 x 260 Rosen
• J Wire 0.035 x 260

Standby

• 0.035 x 250 Amplatz Super Stiff 1cm tip
• BMW 190cm
• Wholey 145cm
• Cordis “J” 0.032 x 260 cm

Catheters:

Open

• 5Fr MPA 100 cm diagnostic

Misc. Supplies:

• 3-port manifold
• Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
• 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
• 60 ml syringe
• 20 ml syringe

Devices on standby:

• Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
• Perclose
• Sizing Balloon (Range: 18, 24, 34mm)
• TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
• Device = SEPTAL OCCLUDERS (All available sizes)
• Cardioform devices - If needing to deliver cardioform sheath, use a 7F shuttle sheath dilator.

Procedure

1. Access with micropuncture and ultrasound
2. 8fr sheath (might pre-close)
3. MP with Rosen to cross ASD
4. Exchange Rosen for 260J to LUPV
5. Possible sizing balloon used here
6. Prep and deliver device

Not DD or CS

Call Echo

• Micropuncture
• 75 Amplatz SS
• Pericardiocentesis tray
• Accordion drain bag

Spies

Call Echo

Supplies:

• Micro puncture
• 150cm J wire
• 4/5fr slender sheath
• 5fr straight pigtail diagnostic
• gravity drainage bag
• brown reservoir lab canister
• Two 50 or 60ml syringes

Daniels

Call Echo

Supplies

Open

Emergency Kit located in each lab containing the following items:

• Eye drape
• Skater introducer set
• Bard locking pigtail (6f or 8f)
• (3) 60ml luer lock syringe
• Amplatz super stiff .035 180cm wire
• Probe cover
• Stopcock
• Accordion drainage bag

Standby

• Chiba biopsy needle 10cm 18g
• Standard .035 150cm j wire

Emergency Device embolization/retrieval Supplies:

• 16 or 18 Fr x 33 cm Dry Seal Sheath
• 6 or 7 Fr Ensnare Kit or Gooseneck Snare

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DR. Spies - DRAFT

RFV access. (x2 if using ICE)

Medications:

• Pre-Op Antibiotics : Ancef IV
• Antiplatelet : Aspirin & Plavix

Open

• 5Fr Micropuncture  Kit  
• 8fr Pinnacle (for preclose dilation)
• .035 Amplatz Extra Stiff
• .035 Exchange J
• 5Fr MPA 100 cm diagnostic

Standby

• Perclose vs 0-Prolene vs woggle for closure (ask MD)
• 6F Balloon Wedge
• Stopcock
• 3-port manifold

Misc

• Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
• 10% Contrast mix for sizing balloon
• 60 ml syringe

• • • • 9F 25cm Brite Tip if using ICE
      • SwiftLink (ICE)
      • 8F Accunav (ICE)

Devices on standby:

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

• Sizing Balloon (Range: 18, 24, 34mm)
• TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
• Device = SEPTAL OCCLUDERS (All available sizes)

Procedure:

• Access with US and Micropuncture
• 8F Sheath inserted possible RHC performed with 6F Balloon Wedge
• (If Using) ICE catheter inserted, bubble study performed
• MPA and J wire advanced across septum
• J wire exchanged for Amplatz ES
• Sizing balloon inserted
• Measurements taken on x-ray image
• ASD closed
• Insertion sites closed

Not DD or CS

Call Echo

• Micropuncture
• 75 Amplatz SS
• Pericardiocentesis tray
• Accordion drain bag

Spies

Call Echo

Supplies:

• Micro puncture
• 150cm J wire
• 4/5fr slender sheath
• 5fr straight pigtail diagnostic
• gravity drainage bag
• brown reservoir lab canister
• Two 50 or 60ml syringes

Daniels

Call Echo

Supplies

Open

Emergency Kit located in each lab containing the following items:

• Eye drape
• Skater introducer set
• Bard locking pigtail (6f or 8f)
• (3) 60ml luer lock syringe
• Amplatz super stiff .035 180cm wire
• Probe cover
• Stopcock
• Accordion drainage bag

Standby

• Chiba biopsy needle 10cm 18g
• Standard .035 150cm j wire
  

Emergency Device embolization/retrieval Supplies:

• 16 or 18 Fr x 33 cm Dry Seal Sheath
• 6 or 7 Fr Ensnare Kit or Gooseneck Snare

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APPROVED: MD initials MM/YY

DR. Hui - DRAFT

RFV access, GENERAL ANESTHESIA with TEE

Medications:

• Pre-Op Antibiotics : Ancef IV
• Antiplatelet : Aspirin & Plavix

Sheaths:

Open

• 5Fr Micropuncture  Kit  
• 6fr pinnacle for RFV access

Standby

• 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia

Wires:

Open

• 0.035 x 250 Amplatz Straight Tip Super Stiff
• Cordis “J” Wire 0.035 x 150cm

Standby

• BMW 190cm
• Versacore 145cm
• Cordis “J” 0.035 x 260 cm
• Amplatzer Guide 0.035 x 260 cm

Catheters:

Open

• 6Fr MPA 100 cm diagnostic

Misc. Supplies:

• 3-port manifold with a stopcock on the front

• Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
• (3)packs of sterile towels
• 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
• 60 ml syringe
• (2) 20 ml syringe

Devices on standby:

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

• Sizing Balloon (Range: 18, 24, 34mm)
• TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
• Device = SEPTAL OCCLUDERS (All available sizes)

Emergency Supplies:

• Pericardiocentesis Tray
• Pericardiocentesis Supplies:
  • 5Fr VS Micropuncture
  • Dilators
  • 0.035 J Wire 150 cm
  • 60 ml syringe
  • Pericardiocentesis drainage bag

Emergency Device embolization/retrieval Supplies:

• 16 or 18 Fr x 33 cm Dry Seal Sheath
• 6 or 7 Fr Ensnare Kit or Gooseneck Snare

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APPROVED: MD initials MM/YY