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 Atrium 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 guided transeptal puncture.  
ECHO guided transeptal puncture.  
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*Cordis 260J
*Cordis 260J


*5fr. MPA2  
*5fr. MPA2
*8.5fr. SL1
*8.5fr. SL1
*Manifold to measure LA pressure
*Manifold to measure LA pressure

Revision as of 18:34, 25 February 2020

Z-Med Inflation Chart
Other Balloons Inflation Chart

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 guided transeptal puncture.


Equipment:

Open

  • Amplatz Super Stiff 1cm
  • Cordis 260J
  • 5fr. MPA2
  • 8.5fr. SL1
  • Manifold to measure LA pressure
  • SHEATH*


Standby

  • 0.32 x 260J
  • Amplatz Extra Stiff


Baylis Setup:

Open

  • Baylis generator
  • Baylis Large curve needle
  • Baylis cable
  • Grounding Pad


Balloon size determined by MD.

*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.



Approved: MD initials MM/YY