Septostomy: Difference between revisions
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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. | 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. | ||
===Equipment:=== | ===Equipment:=== | ||
====Open==== | ====Open==== | ||
*Amplatz Super Stiff 1cm | *Amplatz Super Stiff 1cm | ||
*.032 x 260J | *.032 x 260J | ||
| Line 22: | Line 16: | ||
*0-Prolene | *0-Prolene | ||
====Standby==== | ====Standby==== | ||
*Amplatz Extra Stiff | *Amplatz Extra Stiff | ||
===Baylis Setup:=== | ===Baylis Setup:=== | ||
====Open:==== | |||
====Open==== | |||
*Baylis generator | *Baylis generator | ||
*Baylis Large curve needle | *Baylis Large curve needle | ||
*Baylis cable | *Baylis cable | ||
*Grounding Pad | *Grounding Pad | ||
===Balloon size determined by MD.=== | ===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 | |||
<br /> | <br /> | ||
<hr /> | <hr /> | ||
Approved: MD initials MM/YY | Approved: MD initials MM/YY | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 21:29, 6 December 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.
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
