Mitraclip PLUG

ADOII

Equipment:

• 260cm J Wire
• Amplatz ES 260
• 20F Dryseal
• Agilis
• 5F 110cm Shuttle Sheath (dependent on plug size)
• 5F 10cm Pinnacle Sheath (for shuttle sheath not access)
• Straight glidewire (standard)
• .032 x 260 J
• MPA 125cm
• 180* torqvue (French size not important here, only using for the cable.)

Note: The deployment cable for the torqvue can be daisy-chained for more length!

• 0-Ethibond
• Naked 3-Port manifold for pressures only
  

Procedure for placing a plug between 2 Mitraclips in the same setting:

• 8F sheath and 260cm J inserted through guide delivery system.
• Guide delivery system removed, 20F dryseal inserted
• Agilis inserted
• Preload Shuttle sheath with glidewire and advance through agilis
• Glidewire used to cross between plugs and removed with shuttle dilator.
• 5F sheath inserted into shuttle in lieu of using torqvue delivery sideport
  • Transition between shuttle and torqvue insertion isn't flush so occluder starts to deploy if sheath not used

CARDIOFORM

Equipment:

14fr. MTS = Mullins

• Angled Glide
• Amplatz ES
• Amplatz SS
• Rosen Wire
• 5F MP
• 7F Shuttle - dilator used inside Cardioform sheath
• Flexcath- ***flexcath $150, Agilis $900***
• 20F Dryseal
• 20mm Snare- snare dilator to angle toward valve

IF Arterial Access needed for Body Floss

• Micropuncture
• 6F Sheath
• Guide
• Watchdog
• Stopcock
• JAG wire
• Flexcath used for direction but has to be removed because it's too long for cardioform.