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.
[[File:Z-Med_Balloon.jpg|thumb|150px|right|Z-Med Inflation Chart|link={{filepath:Z-Med_Balloon.jpg}}]]
[[File:Valvuloplasty_balloon_volumes.jpeg|thumb|150px|right|Other Balloons Inflation Chart|link={{filepath:Valvuloplasty_balloon_volumes.jpeg}}]]
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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: Daniels ==
* Indiflator
* Naked 3 port manifold for LA pressure
* Sheath , one French size larger then minimum balloon size
* Balloon, size determined via ECHO


<br />
===* NEW - Baylis Transseptal===
* VersaCross system
*Grounding pad
===STANDBY!===
*SL1 TransSeptal sheath
*Large curve Baylis needle
*Baylis cable


===Equipment:===
*.032 X 260 “J” wire
*Amplatz SuperStiff 1cm Tip 260cm


====Open====
*5F MPA2


*Amplatz Super Stiff 1cm
== Equipment: Spies ==
*Cordis 260J
* Indeflator
 
* Naked 3 port manifold for LA pressure
*5fr. MPA2
===* NEW - Baylis Transseptal===
*8.5fr. SL1
* VersaCross system
*Manifold to measure LA pressure
*Grounding pad
*SHEATH*
===STANDBY!===
 
*SL1 TransSeptal sheath
<br />
*Large curve Baylis needle
 
*Baylis cable
====Standby====
 
*0.32 x 260J
*Amplatz Extra Stiff
 
 
'''Baylis Setup:'''
 
====Open====


*.032 X 260 “J” wire
*SuperStiff 1cm Tip 260cm
*5F MPA2
===Procedure requires Baylis===
*Baylis generator
*Baylis generator
*Baylis Large curve needle
*Baylis cable
*Grounding Pad
*Grounding Pad


<br />
===Balloon size determined by MD.===  
 
*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
===Balloon size determined by MD.=== <nowiki>*</nowiki>Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart.  
*Have a 22 True balloon on standby for Spies and Daniels
 
<br />
<br />
<hr />
<hr />
Approved: MD initials MM/YY
Approved: MD initials MM/YY
[[Category:Procedures]]
[[Category:Procedures]]

Latest revision as of 19:40, 11 October 2024

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.

Equipment: Daniels

  • Indiflator
  • Naked 3 port manifold for LA pressure
  • Sheath , one French size larger then minimum balloon size
  • Balloon, size determined via ECHO

* NEW - Baylis Transseptal

  • VersaCross system
  • Grounding pad

STANDBY!

  • SL1 TransSeptal sheath
  • Large curve Baylis needle
  • Baylis cable
  • .032 X 260 “J” wire
  • Amplatz SuperStiff 1cm Tip 260cm
  • 5F MPA2

Equipment: Spies

  • Indeflator
  • Naked 3 port manifold for LA pressure

* NEW - Baylis Transseptal

  • VersaCross system
  • Grounding pad

STANDBY!

  • SL1 TransSeptal sheath
  • Large curve Baylis needle
  • Baylis cable
  • .032 X 260 “J” wire
  • SuperStiff 1cm Tip 260cm
  • 5F MPA2

Procedure requires Baylis

  • Baylis generator
  • Grounding Pad

Balloon size determined by MD.

  • Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
  • Have a 22 True balloon on standby for Spies and Daniels


Approved: MD initials MM/YY

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