PFO: Difference between revisions

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=Walsh=
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RN MODERATE SEDATON & ICE CATHETER IMAGING
==Spies - PFO==
8F AccuNav when using ICE


*No need for manifold set up with Spies unless he wants to measure for pulmonary hypertension
*If no anesthesia than no art line needed
*Echo tech to run ICE


Sheaths:
===Sheaths:===


* 1    5Fr Micropunture  Kit  
*Micropuncture
* 1    9Fr x 10 Pinnacle sheath for RFV access
*8F Pinnacle
*9F 25cm Pinnacle ( When using ICE )


Vascular Closure Device
===Wires:===


* 1    6Fr Perclose RFV
*Standard J (used to cross)
*Rosen (on standby)
*Amplatz Extra Stiff (used to deploy)


Wires:
===Catheters:===


* Cordis “J” 0.035 x 260 cm
*5F MP1


Standby Items:
===Misc. Supplies:===


* Amplatz Straight Tip Super Stiff 0.035 x 260 cm
*Ultrasound probe cover
* Amplatzer Guide 0.035 x 260 cm
*(2) Perclose
*50 cc syringe for sizing balloon
*3-way stop cock for bubble study
*Sizing balloon of MD choice
*TorqView or Trevisio delivery
*lido with epi and glue at end of case


Catheters:
===ICE:===


* 5Fr MPA 100 cm diagnostic
*8Fr AccuNav Catheter (PFO cart)
*Swift link cover
*AccuNav Intracardiac Imaging machine
*Echo tech


EP Catheter
===Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS===


* 8Fr AccuNav Catheter (grey box)
*TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
* AccuNav Intracardiac Imaging machine
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm) ; Cardioforms
*Sizing balloon (18, 24)


Medications:
== Agrawal ==


* Pre-Op Antibiotics : Ancef IV
=== Sheaths : ===
* Antiplatelet : Aspirin & Plavix


1 Maniford Set Up: NO ACIST
* Micropuncture
* 8F Pinnacle


* 1    3 - port manifold
=== Wires: ===
* 1    200 ml Visipaque Contrast
* 1    25g  1 ½ “ Daniels Femoral Needle
* 1    Probe Cover
* 1    Swift Link (AccuNav) Probe Cover
* 1    3 – way stopcock for intravenous bubble study performed by MD


Device Table
* Standard J Wire
* Amplatz Super Stiff 1cm Tip


* 1    Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
=== Catheters: ===
* 2    packs of sterile towels
* 2    60 ml syringe
* 2    20 ml syringe


Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
* 6F MPB2 100cm Diagnostic catheter


* TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
=== Other Supplies: ===
* Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
* Perclose (Second perclose when using ICE)
* 2 port manifold for LA pressure


Emergency Supplies
=== ICE Supplies: ===


Pericardial Effusion
* 6F Pinnacle to dilate
* 9F 23 cm Pinnacle for ICE (Structural cart)
* Swift Link cover (Structural cart or EP)
* Echo Tech


* Pericardiocentesis Supplies:
=== Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS ===
** 5Fr VS Micropuncture
*TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
** Dilators
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
** 0.035 J Wire 150 cm
*Sizing balloon (18, 24)
** 60 ml syringe
==Hui - Draft==
** Pericardiocentesis drainage bag
** Bard Pigtail drainage catheter size per MD request


Device Thrombosis/Retrieval Supplies
===Sheaths: Open===


* 16 or 18 Fr Dry Seal Sheath
*9F 23cm Pinnacle for ICE
* 6 or 7 Fr Ensnare Kit or Gooseneck Snare
*Micropuncture
*11F Pinnacle
===Wires: Open===
 
*Cope
*Amplatz extra stiff 260J
*Cordis straight 150
*Standard J Wire
===Catheters: Open===
 
*6Fr MPB2 100 cm diagnostic
 
===Misc. Supplies: Open===
 
*Probe cover
*2 - port manifold with stopcock and 20cc syringe
*Swift Link (AccuNav) Probe Cover
*20 ml syringe
 
====Standby====
 
*Perclose
 
===ICE===
 
*8Fr AccuNav Catheter (PFO cart)
*AccuNav Intracardiac Imaging machine
 
===Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS===
 
*TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
*Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
*Sizing balloon (18, 24)
===Pericardiocentesis (Standby)===
 
*Pericardiocentesis tray
 
===Device Thrombosis/Retrieval Supplies===
 
*16 or 18 Fr Dry Seal Sheath
*6 or 7 Fr Ensnare Kit or Gooseneck Snare
 
 
 
 
==PERICARDIOCENTESIS==
 
{{Pericardiocentesis}}
 
===Device Thrombosis/Retrieval Supplies===
 
*16 or 18 Fr Dry Seal Sheath
*6 or 7 Fr Ensnare Kit or Gooseneck Snare
 
<BR />
<hr />
Approved: MM/YY
 
[[Category:Procedures]]

Latest revision as of 19:41, 2 October 2024


Spies - PFO

8F AccuNav when using ICE

  • No need for manifold set up with Spies unless he wants to measure for pulmonary hypertension
  • If no anesthesia than no art line needed
  • Echo tech to run ICE

Sheaths:

  • Micropuncture
  • 8F Pinnacle
  • 9F 25cm Pinnacle ( When using ICE )

Wires:

  • Standard J (used to cross)
  • Rosen (on standby)
  • Amplatz Extra Stiff (used to deploy)

Catheters:

  • 5F MP1

Misc. Supplies:

  • Ultrasound probe cover
  • (2) Perclose
  • 50 cc syringe for sizing balloon
  • 3-way stop cock for bubble study
  • Sizing balloon of MD choice
  • TorqView or Trevisio delivery
  • lido with epi and glue at end of case

ICE:

  • 8Fr AccuNav Catheter (PFO cart)
  • Swift link cover
  • AccuNav Intracardiac Imaging machine
  • Echo tech

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
  • Device = PFO OCCLUDERS (Range : 18, 25, 35 mm) ; Cardioforms
  • Sizing balloon (18, 24)

Agrawal

Sheaths :

  • Micropuncture
  • 8F Pinnacle

Wires:

  • Standard J Wire
  • Amplatz Super Stiff 1cm Tip

Catheters:

  • 6F MPB2 100cm Diagnostic catheter

Other Supplies:

  • Perclose (Second perclose when using ICE)
  • 2 port manifold for LA pressure

ICE Supplies:

  • 6F Pinnacle to dilate
  • 9F 23 cm Pinnacle for ICE (Structural cart)
  • Swift Link cover (Structural cart or EP)
  • Echo Tech

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
  • Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
  • Sizing balloon (18, 24)

Hui - Draft

Sheaths: Open

  • 9F 23cm Pinnacle for ICE
  • Micropuncture
  • 11F Pinnacle

Wires: Open

  • Cope
  • Amplatz extra stiff 260J
  • Cordis straight 150
  • Standard J Wire

Catheters: Open

  • 6Fr MPB2 100 cm diagnostic

Misc. Supplies: Open

  • Probe cover
  • 2 - port manifold with stopcock and 20cc syringe
  • Swift Link (AccuNav) Probe Cover
  • 20 ml syringe

Standby

  • Perclose

ICE

  • 8Fr AccuNav Catheter (PFO cart)
  • AccuNav Intracardiac Imaging machine

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • TorqVue Delivery Sheath (Range : 7, 8, 9, 10, 12Fr)
  • Device = PFO OCCLUDERS (Range : 18, 25, 35 mm)
  • Sizing balloon (18, 24)

Pericardiocentesis (Standby)

  • Pericardiocentesis tray

Device Thrombosis/Retrieval Supplies

  • 16 or 18 Fr Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare



PERICARDIOCENTESIS

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

Device Thrombosis/Retrieval Supplies

  • 16 or 18 Fr Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare


Approved: MM/YY

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