Aortic Valvuloplasty: Difference between revisions
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=== Procedure: === | ===Procedure:=== | ||
* Zoll pads placed | *Zoll pads placed | ||
* Patient prepped and draped with femoral drape | *Patient prepped and draped with femoral drape | ||
* Double manifold setup | *Double manifold setup | ||
** DUAL MANIFOLDS, ACIST only if angio to be performed | **DUAL MANIFOLDS, ACIST only if angio to be performed | ||
* Access with micropuncture and ultrasound | *Access with micropuncture and ultrasound | ||
* 8F dilator to predilate tract | *8F dilator to predilate tract | ||
* Preclose with Perclose | *Preclose with Perclose | ||
* 12F Dryseal sheath inserted | *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, 260J inserted and AL1 removed, Langston inserted and simultaneous pressures measured | ||
* Safari 2 wire inserted and Langston removed | *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. | *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. | *ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY. | ||
* Rapid A Pacing performed as directed by MD. | *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 | *Langston catheter reinserted post intervention and simultaneous pressures obtained | ||
* MD completes first perclose, sheath removed, 2nd perclose inserted. | *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 | ||
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== Hui - Draft == | |||
=== Sheaths: === | |||
==== Open ==== | |||
* 12fr x 30 sheath - Type? | |||
* 6fr x 10cm Pinnacle | |||
* Pacer equipment? | |||
* 5fr angled pig | |||
* 5fr AL1 diagnostic | |||
* 6fr Langston | |||
* Straight stiff Glidewire 150 | |||
* Cordis 150 straight wire | |||
* Cordis 260J | |||
* .032 x 260 wire ? | |||
* Micropuncture | |||
* Probe cover | |||
* (2) 60cc syringe | |||
* Z-Med valvuloplasty balloon - Ask for size | |||
* High pressure stopcock | |||
<br /> | |||
Revision as of 17:39, 16 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
Hui - Draft
Sheaths:
Open
- 12fr x 30 sheath - Type?
- 6fr x 10cm Pinnacle
- Pacer equipment?
- 5fr angled pig
- 5fr AL1 diagnostic
- 6fr Langston
- Straight stiff Glidewire 150
- Cordis 150 straight wire
- Cordis 260J
- .032 x 260 wire ?
- Micropuncture
- Probe cover
- (2) 60cc syringe
- Z-Med valvuloplasty balloon - Ask for size
- High pressure stopcock
