Aortic Valvuloplasty: Difference between revisions

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[[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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__TOC__


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


==Daniels/Spies - (Draft)==
==Daniels/Spies - (Draft)==
===Echo available for TTE===


===Sheaths:===
===Sheaths:===
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====Open====
====Open====


*12fr x 33 DrySeal
*Micropuncture kit
*8fr x 10 Pinnacle
*8fr x 10 Pinnacle
 
*Fast Cath sheath (one French size larger then balloon)
====Standby====
*Amplatz super stiff 7cm x 75 or 150 for sheath advancement
 
*8fr x 35 BriteTip (Pacing)
 
===Device:===
 
====Standby====
[[Z-med Balloon|Z-Med Balloon]] (Ask for sizing)
 
===Wires:===
 
====Open====
 
*Cordis 150J
*Cordis 150J
*Cordis 260J
*Straight stiff 150 Glidewire
*Straight stiff 150 Glidewire
*Safari 2 wire
*Safari 2 wire
====Standby====
*Angled Glidewire
*Amplatz super stiff 260 with 1cm tip
*Cordis 150 straight
<br />
===Catheters:===
====Open====
*5fr AL1
*5fr AL1
*6fr Langston
*5F Pigtail
 
<br />
===Misc Supplies:===
 
====Open====
 
*(2) 3-port manifolds
*(2) 3-port manifolds
*25g lido needle (Daniels)
*Alligator clip pacing cable
*Alligator clip pacing cable
*Orange pacing suture
*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)
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*EP quad cable
*EP quad cable


<br />
===Balloon : ===
===* New DD preference - True Balloon* ===


===Pericardiocentesis (Standby):===
===Pericardiocentesis (Standby):===
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====ECMO / ECMO cart====
====ECMO / ECMO cart====
<br />
===Procedure:===
===Procedure:===


*Zoll pads placed
*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, ACIST only if angio to be performed
**DUAL MANIFOLDS. One with contrast if coronaries to be performed.
*Access with micropuncture and ultrasound
*Access with micro puncture and ultrasound
*8F dilator to predilate tract
*8F dilator and pre-close
*Preclose with Perclose
*12F Sheath inserted over SS wire
*12F Dryseal 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, 260J inserted and AL1 removed, Langston inserted and simultaneous pressures measured
*After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal)
*Safari 2 wire inserted and Langston removed
*Safari 2 wire inserted and catheter removed.
*Pacing suture placed under the skin and distal end of Safari 2 wire shaved off with a scalpel.  Alligator pacing cable connected to wire and suture.  Thresholds tested.
*Balloon inserted.  
*ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY.
*Pacing capture tested.  
*Rapid A Pacing performed as directed by MD.  
*Balloon inflated, image stored.  
*Balloon inflated, image stored.  
*Langston catheter reinserted post intervention and simultaneous pressures obtained
*Pigtail advanced for gradient measurement.
*MD completes first perclose, sheath removed, 2nd perclose inserted.
*MD completes first perclose, sheath removed, 2nd perclose inserted.


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*[[Z-med Balloon|Z-Med valvuloplasty balloon]] - Ask for size
*[[Z-med Balloon|Z-Med valvuloplasty balloon]] - Ask for size
*High pressure stopcock
*High pressure stopcock
*Acist and manifold
*2 manifolds


====Standby====
====Standby====

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

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