ASD Closure: Difference between revisions

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*60 ml syringe
*60 ml syringe


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


===Devices on standby:===
===Devices on standby:===

Revision as of 16:23, 9 March 2022

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

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
  • 0-Prolene for woggle or tie at end

Standby

  • 8F TorqVue
  • 24 Sizing balloon
  • 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

APPROVED: MD initials MM/YY

Dr.Groves


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)

Device Thrombosis/Retrieval Supplies

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



Approved: MM/YY


APPROVED: MD initials MM/YY