Aortic Valvuloplasty: Difference between revisions
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{{Note| [[Valvuloplasty Balloon Chart]]}} | |||
== | ==Daniels/Spies - (Draft)== | ||
===Echo available for TTE=== | |||
=== | ===Sheaths:=== | ||
* 8fr x 35 BriteTip (Pacing) | ====Open==== | ||
*Micropuncture kit | |||
*8fr x 10 Pinnacle | |||
*Fast Cath sheath (one French size larger then balloon) | |||
*Amplatz super stiff 7cm x 75 or 150 for sheath advancement | |||
*Cordis 150J | |||
*Straight stiff 150 Glidewire | |||
*Safari 2 wire | |||
*5fr AL1 | |||
*5F Pigtail | |||
*(2) 3-port manifolds | |||
*Alligator clip pacing cable | |||
*60cc syringe | |||
*High pressure stopcock | |||
*Atrion indeflator (found in TAVI closet) | |||
*(2) Perclose | |||
*Suture for sheath | |||
*Epi in red syringe | |||
*Aligator pacing cable | |||
*Booker pacing pad | |||
*Nu-knit and glue | |||
====Standby==== | |||
*8fr x 35 BriteTip (Pacing) | |||
*Angled Glidewire | |||
*Amplatz super stiff 260 with 1cm tip | |||
*Cordis 150 straight | |||
*5fr JSN quad catheter (TAVR pacing catheter) | |||
*Remington pacing cable (Tavr) | |||
*EP quad cable | |||
===Balloon : === | |||
===* New DD preference - True Balloon* === | |||
===Pericardiocentesis (Standby):=== | |||
{{Pericardiocentesis}}<br /> | |||
===Emergency Standby:=== | |||
====ECMO / ECMO cart==== | |||
===Procedure:=== | |||
*Patient prepped and draped with femoral drape | |||
*Def pad placed as grounding pad on Apex for uni-polar pacing. | |||
*Double manifold setup | |||
**DUAL MANIFOLDS. One with contrast if coronaries to be performed. | |||
*Access with micro puncture and ultrasound | |||
*8F dilator and pre-close | |||
*12F Sheath inserted over SS wire | |||
*AL1 catheter inserted OTW and wire exchanged for straight stiff glide | |||
*After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal) | |||
*Safari 2 wire inserted and catheter removed. | |||
*Balloon inserted. | |||
*Pacing capture tested. | |||
*Balloon inflated, image stored. | |||
*Pigtail advanced for gradient measurement. | |||
*MD completes first perclose, sheath removed, 2nd perclose inserted. | |||
[[Category:Procedures]] | |||
<HR /> | |||
APPROVED: MD initials MM/YY | |||
<br /> | <br /> | ||
=== | ==Hui / Milechman - (Draft)== | ||
===Sheaths:=== | |||
==== Open ==== | ====Open==== | ||
* | *12fr x 30 sheath - Type? | ||
* | *6fr x 10cm Pinnacle | ||
==== | ===Catheters:=== | ||
====Open==== | |||
* | *5fr angled pig | ||
* | *5fr AL1 diagnostic Hui | ||
* | *6fr RCB (Milechman) | ||
*6fr Langston | |||
===Wires=== | |||
====Open==== | |||
*Straight stiff Glidewire 150 | |||
*Cordis 150 straight wire | |||
*Cordis 260J | |||
*.032 x 260 wire ? | |||
===Misc. Supplies=== | |||
====Open==== | |||
*Micropuncture | |||
*Probe cover | |||
*(2) 60cc syringe | |||
*[[Z-med Balloon|Z-Med valvuloplasty balloon]] - Ask for size | |||
*High pressure stopcock | |||
*2 manifolds | |||
==== | ====Standby==== | ||
* | *Pacer equipment? | ||
<br /> | <br /> | ||
<HR /> | <HR /> | ||
APPROVED: MD initials MM/YY | APPROVED: MD initials MM/YY | ||
Latest revision as of 13:34, 22 June 2024
Note: Valvuloplasty Balloon Chart
Daniels/Spies - (Draft)
Echo available for TTE
Sheaths:
Open
- Micropuncture kit
- 8fr x 10 Pinnacle
- Fast Cath sheath (one French size larger then balloon)
- Amplatz super stiff 7cm x 75 or 150 for sheath advancement
- Cordis 150J
- Straight stiff 150 Glidewire
- Safari 2 wire
- 5fr AL1
- 5F Pigtail
- (2) 3-port manifolds
- Alligator clip pacing cable
- 60cc syringe
- High pressure stopcock
- Atrion indeflator (found in TAVI closet)
- (2) Perclose
- Suture for sheath
- Epi in red syringe
- Aligator pacing cable
- Booker pacing pad
- Nu-knit and glue
Standby
- 8fr x 35 BriteTip (Pacing)
- Angled Glidewire
- Amplatz super stiff 260 with 1cm tip
- Cordis 150 straight
- 5fr JSN quad catheter (TAVR pacing catheter)
- Remington pacing cable (Tavr)
- EP quad cable
Balloon :
* New DD preference - True Balloon*
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:
- Patient prepped and draped with femoral drape
- Def pad placed as grounding pad on Apex for uni-polar pacing.
- Double manifold setup
- DUAL MANIFOLDS. One with contrast if coronaries to be performed.
- Access with micro puncture and ultrasound
- 8F dilator and pre-close
- 12F Sheath inserted over SS wire
- AL1 catheter inserted OTW and wire exchanged for straight stiff glide
- After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal)
- Safari 2 wire inserted and catheter removed.
- Balloon inserted.
- Pacing capture tested.
- Balloon inflated, image stored.
- Pigtail advanced for gradient measurement.
- MD completes first perclose, sheath removed, 2nd perclose inserted.
APPROVED: MD initials MM/YY
Hui / Milechman - (Draft)
Sheaths:
Open
- 12fr x 30 sheath - Type?
- 6fr x 10cm Pinnacle
Catheters:
Open
- 5fr angled pig
- 5fr AL1 diagnostic Hui
- 6fr RCB (Milechman)
- 6fr Langston
Wires
Open
- Straight stiff Glidewire 150
- Cordis 150 straight wire
- Cordis 260J
- .032 x 260 wire ?
Misc. Supplies
Open
- Micropuncture
- Probe cover
- (2) 60cc syringe
- Z-Med valvuloplasty balloon - Ask for size
- High pressure stopcock
- 2 manifolds
Standby
- Pacer equipment?
APPROVED: MD initials MM/YY
