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 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. | 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. | ||
ECHO | == 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 == | |||
* Indeflator | |||
* 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 | *Baylis generator | ||
*Grounding Pad | *Grounding Pad | ||
===Balloon size determined by MD.=== | ===Balloon size determined by MD.=== | ||
*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above. | |||
*Have a 22 True balloon on standby for Spies and Daniels | |||
<br /> | <br /> | ||
<hr /> | <hr /> | ||
Approved: MD initials MM/YY | Approved: MD initials MM/YY | ||
[[Category:Procedures]] | [[Category:Procedures]] |
Latest revision as of 19:40, 11 October 2024
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
- Indeflator
- 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 True balloon on standby for Spies and Daniels
Approved: MD initials MM/YY