Aortic Valvuloplasty: Difference between revisions

From Bay Area Structural Heart Wiki
No edit summary
 
(39 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__TOC__


Mitral Valvuloplasty  
{{Note| [[Valvuloplasty Balloon Chart]]}}


(Toray INOUE - Balloon)
==Daniels/Spies - (Draft)==


1 RFV Access. X2
===Echo available for TTE===


Conscious sedation by RN
===Sheaths:===


TTE and ICE guidance (need sonographer)
====Open====


Prerequisite: TEE done in Echo lab morning of to exclude LAA thrombus
*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


Sheaths:
====Standby====
•1    Probe Cover
*8fr x 35 BriteTip (Pacing)
•1    5Fr VS Micropuncture Kit
*Angled Glidewire
•1    9 Fr x >20 cm sheath RFV access
*Amplatz super stiff 260 with 1cm tip
•1    8 Fr Short sheath
*Cordis 150 straight
•1    8.5 Fr SL 1 transseptal sheath


*5fr JSN quad catheter (TAVR pacing catheter)
*Remington pacing cable (Tavr)
*EP quad cable


Closure:
===Balloon : ===
•1    6Fr Perclose
===* New DD preference - True Balloon* ===
•1    Extra sterile mosquitos for Perclose       


===Pericardiocentesis (Standby):===
{{Pericardiocentesis}}<br />


2 Manifold Set Up: No ACIST
===Emergency Standby:===
•2    3-port manifold
 
 
 
 
Wires:
•1 cm Straight Tip Amplatz Super Stiff 260 cm
 
 
•Cordis “J” Wire 0.035 x 150 cm
 
 
 
 
Standby Items:
•
 
 
 
Catheters:
•1    5Fr. Multipurpose catheter
 
 
•1    5 Fr Arrow Swan
 
 
 
Standby Items:
•
 
•
 
 
Transeptal Access Supplies
•Large Curve C1 71cm Baylis Trans-septal Needle
 
 
•Baylis Cable
 
 
•Baylis Machine
 
 
•Orange Grounding Pad


====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.


[[Category:Procedures]]
<HR />
APPROVED: MD initials MM/YY


Device Table
<br />
•1    Toray INOUE-Balloon Kit (usually 28 mm, but need 26 and 30 mm available)   


==Hui / Milechman - (Draft)==


•2    1L  bag Heparinized Saline (Both on pressured bag hanging on IV pole)
===Sheaths:===


====Open====


•1    Large Sterile Bowl filled with 1L Heparinized Saline for device use only
*12fr x 30 sheath - Type?
*6fr x 10cm Pinnacle


===Catheters:===
====Open====


•2    60 ml luer-lock syringe
*5fr angled pig
*5fr AL1 diagnostic Hui
*6fr RCB (Milechman)
*6fr Langston


===Wires===
====Open====


•5    High-Pressure stopcock
*Straight stiff Glidewire 150
*Cordis 150 straight wire
*Cordis 260J
*.032 x 260 wire ?


===Misc. Supplies===
====Open====


•50 ml Visipaque contrast for balloon prep. RATIO 1:5
*Micropuncture
*Probe cover
*(2) 60cc syringe
*[[Z-med Balloon|Z-Med valvuloplasty balloon]] - Ask for size
*High pressure stopcock
*2 manifolds


====Standby====


*Pacer equipment?


 
<br />
Emergency Pericardiocentesis Supplies
<HR />
•Pericardiocentesis Tray
 
 
•Pericardiocentesis Supplies:
 
 
•5Fr VS Micropuncture
 
 
•Dilators
 
 
•0.035 J Wire 150 cm
 
 
•60 ml syringe
 
 
•Pericardiocenteis drainage bag
 
 
•Bard Pigtail drainage catheter size per MD request
 
 
 
Emergency Plug Dislodgement/Retrieval Supplies
•NA
 
 
•IABP is device of choice for complication of severe mitral regurgitation
 
</br>
[[Category:Procedures]]
<HR>
APPROVED: MD initials MM/YY
APPROVED: MD initials MM/YY

Latest revision as of 13:34, 22 June 2024

Note 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

Standby

  • Pacer equipment?


APPROVED: MD initials MM/YY

Retrieved from "https://wiki.bayareastructuralheart.com/index.php?title=Aortic_Valvuloplasty&oldid=2281"