Septostomy: Difference between revisions
From Bay Area Structural Heart Wiki
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'''<nowiki>*</nowiki>Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above. ''' | '''<nowiki>*</nowiki>Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above. ''' | ||
==== *Have a 22 Tyshak nucleus on standby for Spies and Daniels ==== | |||
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Approved: MD initials MM/YY | Approved: MD initials MM/YY | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 19:38, 27 August 2021
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.
*Have a 22 Tyshak nucleus on standby for Spies and Daniels
Approved: MD initials MM/YY
