Septostomy: Difference between revisions

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An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrium pressures are high due to the Ecmo flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.
[[File:Z-Med_Balloon.jpg|thumb|150px|right|Z-Med Inflation Chart|link={{filepath:Z-Med_Balloon.jpg}}]]
[[File:Valvuloplasty_balloon_volumes.jpeg|thumb|150px|right|Other Balloons Inflation Chart|link={{filepath:Valvuloplasty_balloon_volumes.jpeg}}]]
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An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.


===Wires:===
== Equipment: Daniels ==
* Indiflator
* Naked 3 port manifold for LA pressure
* Sheath , one French size larger then minimum balloon size
* Balloon, size determined via ECHO


====Open====
===* NEW - Baylis Transseptal===
* VersaCross system
*Grounding pad
===STANDBY!===
*SL1 TransSeptal sheath
*Large curve Baylis needle
*Baylis cable


*Amplatz Super Stiff 1cm tip
*.032 X 260 “J” wire
*Cordis 260J
*Amplatz SuperStiff 1cm Tip 260cm


====Standby====
*5F MPA2


*0.32 x 260J
== Equipment: Spies ==
*Amplatz Extra Stiff
* Indiflator
 
* Naked 3 port manifold for LA pressure
<br />
===* NEW - Baylis Transseptal===
 
* VersaCross system
===Catheters:===
*Grounding pad
 
===STANDBY!===
====Open====
*SL1 TransSeptal sheath
 
*Large curve Baylis needle
*6fr. MPA2
*Baylis cable
*8.5fr. SL1
 
<br />
 
===Baylis Setup:===
 
====Open====


*.032 X 260 “J” wire
*SuperStiff 1cm Tip 260cm
*5F MPA2
===Procedure requires Baylis===
*Baylis generator
*Baylis generator
*Baylis Large curve needle
*Baylis cable
*Grounding Pad
*Grounding Pad


===Balloon size determined by MD.===
*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
*Have a 22 Tyshak nucleus on standby for Spies and Daniels
<br />
<br />
 
<hr />
===Balloon:===
Approved: MD initials MM/YY
 
[[Category:Procedures]]
====Standby (ask)====
 
* 20mm Tyshak Nucleus
 
*

Revision as of 03:30, 9 March 2024

Z-Med Inflation Chart
Other Balloons Inflation Chart

An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.

Equipment: Daniels

  • Indiflator
  • Naked 3 port manifold for LA pressure
  • Sheath , one French size larger then minimum balloon size
  • Balloon, size determined via ECHO

* NEW - Baylis Transseptal

  • VersaCross system
  • Grounding pad

STANDBY!

  • SL1 TransSeptal sheath
  • Large curve Baylis needle
  • Baylis cable
  • .032 X 260 “J” wire
  • Amplatz SuperStiff 1cm Tip 260cm
  • 5F MPA2

Equipment: Spies

  • Indiflator
  • Naked 3 port manifold for LA pressure

* NEW - Baylis Transseptal

  • VersaCross system
  • Grounding pad

STANDBY!

  • SL1 TransSeptal sheath
  • Large curve Baylis needle
  • Baylis cable
  • .032 X 260 “J” wire
  • SuperStiff 1cm Tip 260cm
  • 5F MPA2

Procedure requires Baylis

  • Baylis generator
  • Grounding Pad

Balloon size determined by MD.

  • Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
  • Have a 22 Tyshak nucleus on standby for Spies and Daniels


Approved: MD initials MM/YY

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