Paravalvular leak- Mitral: Difference between revisions

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Various equipment needed is dependent upon size of leak.
{{Warn|This procedures equipment is highly variable, consult with the physician before opening expensive stuff.}}


All shuttle sheaths and plugs are located on the "plug cart" in the sterile core behind lab 1.
==Notes==
*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.
*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 Cables can be daisy-chained!
*90cm Shuttle Sheath is not long enough to put into FlexCath.  Will have to remove flex cath.<br />


===Misc Supplies:===


Total Length of FlexCath: 81cm. 
====Open====


Total Length of Agilis: 71cm
*0-Ethibond
*Micropuncture
*Perclose
*3-port manifold naked (no ACIST) - always open!
*60cc syringe


<nowiki>****</nowiki>If Flexcath is an acceptable option, use it.  Much cheaper than agilis.*****
====Standby====


AVPII cable length: 100cm
*Watchdog
 
*stopcock
 
*Mustang for septostomy
90cm Shuttle Sheath is not long enough to put into FlexCath.  Will have to remove flex cath.
*priority pack
 
*180* torqvue (French size not important here, only using for the cable.)
<br />


===Sheaths:===
===Sheaths:===
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*8F pinnacle
*8F pinnacle
*5F Pinnacle (for shuttle sheath not for access)
*5F Pinnacle (for shuttle sheath not for access)
*20F Dryseal  
*12F Dryseal
*110cm Shuttle sheaths
*110cm Shuttle sheaths (Size depends on occluder)
*Agilis small curve


====Standby====
====Standby====


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


*150J
*260 Standard J
*260J
*Straight Glide 260cm
*Glide Advantage 260cm
*Angled Glide 260cm  
*Amplatz ES 260cm
*Amplatz ES 260cm
*.032 260J
*.032 260J
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====Open====
====Open====


*5F MPA 125cm
*5F MPA 100 cm with a 125cm on standby
*5fr angled pigtail
{{Note|The deployment cable for the ADO can be daisy-chained for more length!}}


====Standby====
====Standby====
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===Transseptal===
===Transseptal===
 
{{Note|Not needed if recent transseptal procedure performed}}
====Open====
====Open====


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*Large curve C1 Baylis needle
*Large curve C1 Baylis needle
*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)
*60cc syringe
====Standby====
*Watchdog
*stopcock
===Device embolization / retrieval:===
===Device embolization / retrieval:===



Latest revision as of 20:22, 9 December 2022

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

Notes

  • 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.
  • 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 Cables can be daisy-chained!
  • 90cm Shuttle Sheath is not long enough to put into FlexCath. Will have to remove flex cath.

Misc Supplies:

Open

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

Standby

  • Watchdog
  • stopcock
  • Mustang for septostomy
  • priority pack
  • 180* torqvue (French size not important here, only using for the cable.)

Sheaths:

Open

  • 8F pinnacle
  • 5F Pinnacle (for shuttle sheath not for access)
  • 12F Dryseal
  • 110cm Shuttle sheaths (Size depends on occluder)
  • Agilis small curve

Standby

  • 4fr x 10cm Pinnacle - (A-line)
  • Cook 30cm

Wires:

Open

  • 260 Standard J
  • Straight Glide 260cm
  • Angled Glide 260cm
  • Amplatz ES 260cm
  • .032 260J

Catheters:

Open

  • 5F MPA 100 cm with a 125cm on standby

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