Aortic Valvuloplasty: Difference between revisions
From Bay Area Structural Heart Wiki
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{{Note| [[Valvuloplasty Balloon Chart]]}} | |||
==Daniels/Spies - (Draft)== | ==Daniels/Spies - (Draft)== | ||
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====Open==== | ====Open==== | ||
* | *Micropuncture kit | ||
*8fr x 10 Pinnacle | *8fr x 10 Pinnacle | ||
*Fast Cath sheath (one French size larger then balloon) | |||
*Amplatz super stiff 7cm x 75 or 150 for sheath advancement | |||
* | *Cordis 150J | ||
*Cordis | |||
*Straight stiff 150 Glidewire | *Straight stiff 150 Glidewire | ||
*Safari 2 wire | *Safari 2 wire | ||
*5fr AL1 | *5fr AL1 | ||
* | *5F Pigtail | ||
*(2) 3-port manifolds | *(2) 3-port manifolds | ||
*Alligator clip pacing cable | *Alligator clip pacing cable | ||
*60cc syringe | *60cc syringe | ||
*High pressure stopcock | *High pressure stopcock | ||
*Atrion indeflator | *Atrion indeflator (found in TAVI closet) | ||
*(2) Perclose | *(2) Perclose | ||
*Suture for sheath | |||
*Epi in red syringe | *Epi in red syringe | ||
*Aligator pacing cable | |||
*Booker pacing pad | |||
*Nu-knit and glue | |||
====Standby==== | ====Standby==== | ||
*8fr x 35 BriteTip (Pacing) | |||
*Angled Glidewire | |||
*Amplatz super stiff 260 with 1cm tip | |||
*Cordis 150 straight | |||
*5fr JSN quad catheter (TAVR pacing catheter) | *5fr JSN quad catheter (TAVR pacing catheter) | ||
| Line 60: | Line 42: | ||
*EP quad cable | *EP quad cable | ||
===Balloon : === | |||
===* New DD preference - True Balloon* === | |||
===Pericardiocentesis (Standby):=== | ===Pericardiocentesis (Standby):=== | ||
| Line 68: | Line 51: | ||
====ECMO / ECMO cart==== | ====ECMO / ECMO cart==== | ||
===Procedure:=== | ===Procedure:=== | ||
*Patient prepped and draped with femoral drape | *Patient prepped and draped with femoral drape | ||
*Def pad placed as grounding pad on Apex for uni-polar pacing. | |||
*Double manifold setup | *Double manifold setup | ||
**DUAL MANIFOLDS. One with contrast if coronaries to be performed. | **DUAL MANIFOLDS. One with contrast if coronaries to be performed. | ||
*Access with | *Access with micro puncture and ultrasound | ||
*8F dilator | *8F dilator and pre-close | ||
*12F Sheath inserted over SS wire | |||
*Sheath inserted | |||
*AL1 catheter inserted OTW and wire exchanged for straight stiff glide | *AL1 catheter inserted OTW and wire exchanged for straight stiff glide | ||
*After crossing the valve, | *After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal) | ||
*Safari 2 wire inserted and | *Safari 2 wire inserted and catheter removed. | ||
*Balloon inserted. | |||
* | *Pacing capture tested. | ||
* | |||
*Balloon inflated, image stored. | *Balloon inflated, image stored. | ||
* | *Pigtail advanced for gradient measurement. | ||
*MD completes first perclose, sheath removed, 2nd perclose inserted. | *MD completes first perclose, sheath removed, 2nd perclose inserted. | ||
Latest revision as of 13:34, 22 June 2024
Note: Valvuloplasty Balloon Chart
Daniels/Spies - (Draft)
Echo available for TTE
Sheaths:
Open
- Micropuncture kit
- 8fr x 10 Pinnacle
- Fast Cath sheath (one French size larger then balloon)
- Amplatz super stiff 7cm x 75 or 150 for sheath advancement
- Cordis 150J
- Straight stiff 150 Glidewire
- Safari 2 wire
- 5fr AL1
- 5F Pigtail
- (2) 3-port manifolds
- Alligator clip pacing cable
- 60cc syringe
- High pressure stopcock
- Atrion indeflator (found in TAVI closet)
- (2) Perclose
- Suture for sheath
- Epi in red syringe
- Aligator pacing cable
- Booker pacing pad
- Nu-knit and glue
Standby
- 8fr x 35 BriteTip (Pacing)
- Angled Glidewire
- Amplatz super stiff 260 with 1cm tip
- Cordis 150 straight
- 5fr JSN quad catheter (TAVR pacing catheter)
- Remington pacing cable (Tavr)
- EP quad cable
Balloon :
* New DD preference - True Balloon*
Pericardiocentesis (Standby):
Not DD or CS
Call Echo
- Micropuncture
- 75 Amplatz SS
- Pericardiocentesis tray
- Accordion drain bag
Spies
Call Echo
Supplies:
- Micro puncture
- 150cm J wire
- 4/5fr slender sheath
- 5fr straight pigtail diagnostic
- gravity drainage bag
- brown reservoir lab canister
- Two 50 or 60ml syringes
Daniels
Call Echo
Supplies
Open
Emergency Kit located in each lab containing the following items:
- Eye drape
- Skater introducer set
- Bard locking pigtail (6f or 8f)
- (3) 60ml luer lock syringe
- Amplatz super stiff .035 180cm wire
- Probe cover
- Stopcock
- Accordion drainage bag
Standby
- Chiba biopsy needle 10cm 18g
- Standard .035 150cm j wire
Emergency Standby:
ECMO / ECMO cart
Procedure:
- Patient prepped and draped with femoral drape
- Def pad placed as grounding pad on Apex for uni-polar pacing.
- Double manifold setup
- DUAL MANIFOLDS. One with contrast if coronaries to be performed.
- Access with micro puncture and ultrasound
- 8F dilator and pre-close
- 12F Sheath inserted over SS wire
- AL1 catheter inserted OTW and wire exchanged for straight stiff glide
- After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal)
- Safari 2 wire inserted and catheter removed.
- Balloon inserted.
- Pacing capture tested.
- Balloon inflated, image stored.
- Pigtail advanced for gradient measurement.
- MD completes first perclose, sheath removed, 2nd perclose inserted.
APPROVED: MD initials MM/YY
Hui / Milechman - (Draft)
Sheaths:
Open
- 12fr x 30 sheath - Type?
- 6fr x 10cm Pinnacle
Catheters:
Open
- 5fr angled pig
- 5fr AL1 diagnostic Hui
- 6fr RCB (Milechman)
- 6fr Langston
Wires
Open
- Straight stiff Glidewire 150
- Cordis 150 straight wire
- Cordis 260J
- .032 x 260 wire ?
Misc. Supplies
Open
- Micropuncture
- Probe cover
- (2) 60cc syringe
- Z-Med valvuloplasty balloon - Ask for size
- High pressure stopcock
- 2 manifolds
Standby
- Pacer equipment?
APPROVED: MD initials MM/YY
