PFO: Difference between revisions

From Bay Area Structural Heart Wiki
No edit summary
 
(12 intermediate revisions by 3 users not shown)
Line 5: Line 5:


*No need for manifold set up with Spies unless he wants to measure for pulmonary hypertension
*No need for manifold set up with Spies unless he wants to measure for pulmonary hypertension
*High likelihood of using a Cardioform instead of an occlude with CS
*If no anesthesia than no art line needed
*If no anesthesia than no art line needed
*Echo tech to run ICE
*Echo tech to run ICE
Line 12: Line 11:


*Micropuncture
*Micropuncture
 
*8F Pinnacle
*11F 10cm Sheath
*9F 25cm Pinnacle ( When using ICE )
*9F 25cm Pinnacle ( When using ICE )


===Wires:===
===Wires:===


*Standard J
*Standard J (used to cross)
*Amplatz Extra Stiff
*Rosen (on standby)
*Amplatz Extra Stiff (used to deploy)


===Catheters:===
===Catheters:===
Line 28: Line 27:


*Ultrasound probe cover
*Ultrasound probe cover
*50 cc syringe
*50 cc syringe for sizing balloon
*3-way stop cock for bubble study
*3-way stop cock for bubble study
*0-Prolene for figure 8 stitch at end of case
*Sizing balloon of MD choice
*Sizing balloon of MD choice
*lido with epi and glue at end of case


===ICE:===
===ICE:===
Line 46: Line 45:
*Sizing balloon (18, 24)
*Sizing balloon (18, 24)


<br />
== Agrawal ==
 
=== Sheaths : ===
 
* Micropuncture
* 8F Pinnacle
 
=== Wires: ===
 
* Standard J Wire
* Amplatz Super Stiff 1cm Tip
 
=== Catheters: ===
 
* 6F MPB2 100cm Diagnostic catheter


==Hui - Draft==
=== Other Supplies: ===
* Perclose (Second perclose when using ICE)
* 2 port manifold for LA pressure


===Sheaths:===
=== ICE Supplies: ===


====Open====
* 6F Pinnacle to dilate
* 9F 23 cm Pinnacle for ICE (Structural cart)
* Swift Link cover (Structural cart or EP)
* Echo Tech


*6fr x 10 Pinnacle
=== Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS ===
*(2) 8fr x 10 Pinnacle
*TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
*Sizing balloon (18, 24)
==Hui - Draft==


<br />
===Sheaths: Open===
===Wires:===


====Open====
*9F 23cm Pinnacle for ICE
*Micropuncture
*11F Pinnacle
===Wires: Open===


*Cope
*Amplatz extra stiff 260J
*Amplatz extra stiff 260J
*Cordis straight 150
*Cordis straight 150
 
*Standard J Wire
<br />
===Catheters: Open===
===Catheters:===
 
====Open====


*6Fr MPB2 100 cm diagnostic
*6Fr MPB2 100 cm diagnostic


<br />
===Misc. Supplies: Open===
===Misc. Supplies:===
 
====Open====


*Probe cover
*Probe cover
*Micropuncture
*2 - port manifold with stopcock and 20cc syringe
*2 - port manifold with stopcock and 20cc syringe
*Swift Link (AccuNav) Probe Cover
*Swift Link (AccuNav) Probe Cover
*60 ml syringe
*20 ml syringe
*20 ml syringe


Line 90: Line 104:
*Perclose
*Perclose


<br />
===ICE===
===ICE===


Line 96: Line 109:
*AccuNav Intracardiac Imaging machine
*AccuNav Intracardiac Imaging machine


<br />
===Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS===
===Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS===


Line 102: Line 114:
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
*Sizing balloon (18, 24)
*Sizing balloon (18, 24)
<br />
===Pericardiocentesis (Standby)===
===Pericardiocentesis (Standby)===


*Pericardiocentesis tray
*Pericardiocentesis tray
<br />


===Device Thrombosis/Retrieval Supplies===
===Device Thrombosis/Retrieval Supplies===
Line 115: Line 123:
*6 or 7 Fr Ensnare Kit or Gooseneck Snare
*6 or 7 Fr Ensnare Kit or Gooseneck Snare


<BR />
<hr />
Approved: MM/YY
==Walsh - Draft==
===Sheaths:===
====Open====


*9fr x 10 Pinnacle
*8fr x 10 Pinnacle


<br />


===Wires:===
==PERICARDIOCENTESIS==
 
====Open====
 
*Cordis 260J
 
====Standby====
 
*Amplatz Super Stiff 0.035 x 260 cm
*Amplatzer Guide 0.035 x 260 cm ???
*
 
<br />
===Catheters:===
 
====Open====
 
*5Fr MPA 100 cm diagnostic<br />
 
===Misc. Supplies:===
 
====Open====
 
*Probe cover
*Micropuncture
*Perclose
 
*3 - port manifold
*25g  1 ½ “ Daniels Femoral Needle
*Swift Link (AccuNav) Probe Cover
*3 – way stopcock for intravenous bubble study performed by MD
 
*60 ml syringe
*20 ml syringe
 
<br />
===ICE===
 
*8Fr AccuNav Catheter (PFO cart)
*AccuNav Intracardiac Imaging machine
*SwiftLink cover
*9frx23cm Pinnacle (Spies only)
 
<br />
===Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS===
 
*TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
 
<br />
===Pericardiocentesis (Standby)===


{{Pericardiocentesis}}
{{Pericardiocentesis}}


<br />
===Device Thrombosis/Retrieval Supplies===
===Device Thrombosis/Retrieval Supplies===



Latest revision as of 15:42, 9 September 2024


Spies - PFO

8F AccuNav when using ICE

  • No need for manifold set up with Spies unless he wants to measure for pulmonary hypertension
  • If no anesthesia than no art line needed
  • Echo tech to run ICE

Sheaths:

  • Micropuncture
  • 8F Pinnacle
  • 9F 25cm Pinnacle ( When using ICE )

Wires:

  • Standard J (used to cross)
  • Rosen (on standby)
  • Amplatz Extra Stiff (used to deploy)

Catheters:

  • 5F MP1

Misc. Supplies:

  • Ultrasound probe cover
  • 50 cc syringe for sizing balloon
  • 3-way stop cock for bubble study
  • Sizing balloon of MD choice
  • lido with epi and glue at end of case

ICE:

  • 8Fr AccuNav Catheter (PFO cart)
  • Swift link cover
  • AccuNav Intracardiac Imaging machine
  • Echo tech

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
  • Device = PFO OCCLUDERS (Range : 18, 25, 35 mm) ; Cardioforms
  • Sizing balloon (18, 24)

Agrawal

Sheaths :

  • Micropuncture
  • 8F Pinnacle

Wires:

  • Standard J Wire
  • Amplatz Super Stiff 1cm Tip

Catheters:

  • 6F MPB2 100cm Diagnostic catheter

Other Supplies:

  • Perclose (Second perclose when using ICE)
  • 2 port manifold for LA pressure

ICE Supplies:

  • 6F Pinnacle to dilate
  • 9F 23 cm Pinnacle for ICE (Structural cart)
  • Swift Link cover (Structural cart or EP)
  • Echo Tech

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
  • Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
  • Sizing balloon (18, 24)

Hui - Draft

Sheaths: Open

  • 9F 23cm Pinnacle for ICE
  • Micropuncture
  • 11F Pinnacle

Wires: Open

  • Cope
  • Amplatz extra stiff 260J
  • Cordis straight 150
  • Standard J Wire

Catheters: Open

  • 6Fr MPB2 100 cm diagnostic

Misc. Supplies: Open

  • Probe cover
  • 2 - port manifold with stopcock and 20cc syringe
  • Swift Link (AccuNav) Probe Cover
  • 20 ml syringe

Standby

  • Perclose

ICE

  • 8Fr AccuNav Catheter (PFO cart)
  • AccuNav Intracardiac Imaging machine

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
  • Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
  • Sizing balloon (18, 24)

Pericardiocentesis (Standby)

  • Pericardiocentesis tray

Device Thrombosis/Retrieval Supplies

  • 16 or 18 Fr Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare



PERICARDIOCENTESIS

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

Device Thrombosis/Retrieval Supplies

  • 16 or 18 Fr Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare



Approved: MM/YY