Aortic Valvuloplasty: Difference between revisions
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*6fr Langston | *6fr Langston | ||
=== Misc Supplies: === | ===Misc Supplies:=== | ||
==== Open ==== | ====Open==== | ||
* (2) 3-port manifolds | *(2) 3-port manifolds | ||
* 25g lido needle (Daniels) | *25g lido needle (Daniels) | ||
* 60cc syringe | *Alligator clip pacing cable | ||
* High pressure stopcock | *Orange pacing suture | ||
* Atrion indeflator | *60cc syringe | ||
* (2) Perclose | *High pressure stopcock | ||
* Epi in red syringe | *Atrion indeflator | ||
*(2) Perclose | |||
*Epi in red syringe | |||
==== Standby ==== | ====Standby==== | ||
* 5fr JSN quad catheter (TAVR pacing catheter) | *5fr JSN quad catheter (TAVR pacing catheter) | ||
* Remington pacing cable (Tavr) | *Remington pacing cable (Tavr) | ||
* EP quad cable | *EP quad cable | ||
<br /> | <br /> | ||
=== Pericardiocentesis (Standby): === | ===Pericardiocentesis (Standby):=== | ||
{{Pericardiocentesis}}<br /> | {{Pericardiocentesis}}<br /> | ||
=== Emergency Standby: === | ===Emergency Standby:=== | ||
====ECMO / ECMO cart==== | |||
<br /> | |||
=== Procedure: === | |||
* Zoll pads placed | |||
* Patient prepped and draped with femoral drape | |||
* Double manifold setup | |||
** DUAL MANIFOLDS, ACIST only if angio to be performed | |||
* Access with micropuncture and ultrasound | |||
* 8F dilator to predilate tract | |||
* Preclose with Perclose | |||
* 12F Dryseal sheath inserted | |||
* 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 | |||
* Safari 2 wire inserted and Langston 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. | |||
* ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY. | |||
* Rapid A Pacing performed as directed by MD. | |||
* Balloon inflated, image stored. | |||
* Langston catheter reinserted post intervention and simultaneous pressures obtained | |||
* MD completes first perclose, sheath removed, 2nd perclose inserted. | |||
[[Category:Procedures]] | [[Category:Procedures]] | ||
<HR /> | <HR /> | ||
APPROVED: MD initials MM/YY | APPROVED: MD initials MM/YY | ||
Revision as of 18:11, 14 October 2019
Daniels - (Draft)
Sheaths:
Open
- 12fr x 33 DrySeal
- 8fr x 10 Pinnacle
Standby
- 8fr x 35 BriteTip (Pacing)
Wires:
Open
- Cordis 150J
- Cordis 260J
- Straight stiff 150 Glidewire
- Safari 2 wire
Standby
- Angled Glidewire
- Amplatz super stiff 260 with 1cm tip
- Cordis 150 straight
Catheters:
Open
- 5fr AL1
- 6fr Langston
Misc Supplies:
Open
- (2) 3-port manifolds
- 25g lido needle (Daniels)
- Alligator clip pacing cable
- Orange pacing suture
- 60cc syringe
- High pressure stopcock
- Atrion indeflator
- (2) Perclose
- Epi in red syringe
Standby
- 5fr JSN quad catheter (TAVR pacing catheter)
- Remington pacing cable (Tavr)
- EP quad cable
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:
- Zoll pads placed
- Patient prepped and draped with femoral drape
- Double manifold setup
- DUAL MANIFOLDS, ACIST only if angio to be performed
- Access with micropuncture and ultrasound
- 8F dilator to predilate tract
- Preclose with Perclose
- 12F Dryseal sheath inserted
- 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
- Safari 2 wire inserted and Langston 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.
- ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY.
- Rapid A Pacing performed as directed by MD.
- Balloon inflated, image stored.
- Langston catheter reinserted post intervention and simultaneous pressures obtained
- MD completes first perclose, sheath removed, 2nd perclose inserted.
APPROVED: MD initials MM/YY
