Paravalvular leak- Mitral: Difference between revisions

From Bay Area Structural Heart Wiki
No edit summary
No edit summary
 
(13 intermediate revisions by 3 users not shown)
Line 1: Line 1:
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 />


=== Sheaths: ===
===Misc Supplies:===


==== Open ====
====Open====


* 8F pinnacle
*0-Ethibond
* 12F dilator
*Micropuncture
* FlexCath- structural cart.
*Perclose
*3-port manifold naked (no ACIST) - always open!
*60cc syringe


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


* 4fr x 10cm Pinnacle - (A-line)
*Watchdog
* Dryseal
*stopcock
* 90cm Shuttle sheaths
*Mustang for septostomy
*priority pack
*180* torqvue (French size not important here, only using for the cable.)


=== Wires: ===
===Sheaths:===


==== Open ====
====Open====


* 150J
*8F pinnacle
* 260J
*5F Pinnacle (for shuttle sheath not for access)
* Glide Advantage
*12F Dryseal
* Amplatz ES
*110cm Shuttle sheaths (Size depends on occluder)
* Amplatz SS 260cm
*Agilis small curve
* .032 260cm J


=== Catheters: ===
====Standby====


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


* 5F MPA 100cm
===Wires:===
* 5fr angled pigtail


==== Standby ====
====Open====


* Agilis
*260 Standard J
* 5fr IM diagnostic
*Straight Glide 260cm
* 5fr JR4 diagnostic
*Angled Glide 260cm
* Berenstein 125cm (Spies)
*Amplatz ES 260cm
*.032 260J


=== Transseptal ===
===Catheters:===


==== Open ====
====Open====


* Baylis machine
*5F MPA 100 cm with a 125cm on standby
* Baylis cable
{{Note|The deployment cable for the ADO can be daisy-chained for more length!}}
* Grounding pad
* Large curve C1 Baylis needle
* 8.5fr SL1 transseptal sheath


=== Misc Supplies: ===
====Standby====


==== Open ====
*5fr IM diagnostic
*5fr JR4 diagnostic
*Berenstein 125cm (Spies)


* Probe cover
===Transseptal===
* Micropuncture
{{Note|Not needed if recent transseptal procedure performed}}
* Perclose
====Open====
* 3-port manifold (no ACIST)
* 60cc syringe


==== Standby ====
*Baylis machine
*Baylis cable
*Grounding pad
*Large curve C1 Baylis needle
*8.5fr SL1 transseptal sheath
===Device embolization / retrieval:===


* Watchdog
====Standby====


=== Device embolization / retrieval: ===
*EnSnare or Gooseneck
*16 or 18fr x 33cm Dryseal
*JR4 Guide


==== Standby ====
[[Category:Procedures]]
 
* EnSnare or Gooseneck
* 16 or 18fr x 33cm Dryseal

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
Retrieved from "https://wiki.bayareastructuralheart.com/index.php?title=Paravalvular_leak-_Mitral&oldid=2026"