PDA Closure: Difference between revisions

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PDA Closure
==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
 
*
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[[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