PDA Closure: Difference between revisions
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PDA | ==Spies/Daniels== | ||
*BIPLANE - Patients arms securely positioned above head , keeping brachial plexus injury in mind. | |||
*Acist setup 100% contrast and naked-manifold for RH pressures | |||
===Sheaths:=== | |||
*Micropuncture | |||
*(2) 6F Pinnacles | |||
*6F 180 deg TorqueView OR 7F 180 deg TorqueView (ASK MD.) ** Last case they needed a 7F 180 but we didn’t have it and they made the 7F 90 work. | |||
===Wires:=== | |||
*.035 x 260 J Wire | |||
*260 angled glide | |||
===Catheters:=== | |||
*6F pigtail | |||
*6F JR4 diagnostic | |||
*6F JR4 guide | |||
*6F MP2 guide | |||
*6F PA catheter | |||
*5F IM diagnostic | |||
===Misc. Supplies:=== | |||
*30mm Snare | |||
*Ultrasound probe cover | |||
*(2) 3-way stop cock | |||
*(2) Co-Pilots | |||
*Acist setup | |||
*Naked manifold | |||
*Perclose | |||
===PLUG Devices: OPEN WHEN MD REQUESTS=== | |||
== '''Procedure Steps''' == | |||
* 6F venous and arterial access on same side. | |||
* PA catheter advanced (If RHC needed performed now) | |||
* Pigtail to LV for EDP and pullback | |||
* Pigtail to arch for DSA 15/30 acist settings. (Change settings from CARD Alte. to DSA body 4, to accomplish bi-place cine) | |||
* Pigtail removed over Glidewire | |||
* 5F IM advanced over glide on arterial side | |||
* PA catheter removed over the 260 J wire | |||
* JR4 Guide catheter advanced over 260 J to the PA | |||
* Snare advanced thru the JR4 Guide and advanced to the PDA | |||
* Glidewire snared and pulled from the AO thru the PDA to the venous side, externalized | |||
* JR4 and snare removed | |||
* 5F IM exchanged for the 6F MP2 Guide | |||
* DSA 10/10 on acist thru the MP | |||
* MP and 6F sheath removed, TorqueView sheath advanced across the PDA to the venous side | |||
* Glidewire removed and plug advanced | |||
* DSA performed to confirm fit and position | |||
* | |||
<BR /> | |||
[[Category:Procedures]] | |||
[[Category:Procedures]] |
Latest revision as of 15:21, 24 January 2023
Spies/Daniels
- BIPLANE - Patients arms securely positioned above head , keeping brachial plexus injury in mind.
- Acist setup 100% contrast and naked-manifold for RH pressures
Sheaths:
- Micropuncture
- (2) 6F Pinnacles
- 6F 180 deg TorqueView OR 7F 180 deg TorqueView (ASK MD.) ** Last case they needed a 7F 180 but we didn’t have it and they made the 7F 90 work.
Wires:
- .035 x 260 J Wire
- 260 angled glide
Catheters:
- 6F pigtail
- 6F JR4 diagnostic
- 6F JR4 guide
- 6F MP2 guide
- 6F PA catheter
- 5F IM diagnostic
Misc. Supplies:
- 30mm Snare
- Ultrasound probe cover
- (2) 3-way stop cock
- (2) Co-Pilots
- Acist setup
- Naked manifold
- Perclose
PLUG Devices: OPEN WHEN MD REQUESTS
Procedure Steps
- 6F venous and arterial access on same side.
- PA catheter advanced (If RHC needed performed now)
- Pigtail to LV for EDP and pullback
- Pigtail to arch for DSA 15/30 acist settings. (Change settings from CARD Alte. to DSA body 4, to accomplish bi-place cine)
- Pigtail removed over Glidewire
- 5F IM advanced over glide on arterial side
- PA catheter removed over the 260 J wire
- JR4 Guide catheter advanced over 260 J to the PA
- Snare advanced thru the JR4 Guide and advanced to the PDA
- Glidewire snared and pulled from the AO thru the PDA to the venous side, externalized
- JR4 and snare removed
- 5F IM exchanged for the 6F MP2 Guide
- DSA 10/10 on acist thru the MP
- MP and 6F sheath removed, TorqueView sheath advanced across the PDA to the venous side
- Glidewire removed and plug advanced
- DSA performed to confirm fit and position