Septostomy: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
No edit summary |
||
| Line 6: | Line 6: | ||
===Equipment:=== | ===Equipment:=== | ||
====Open==== | ====Open:==== | ||
*Amplatz Super Stiff 1cm | *Amplatz Super Stiff 1cm | ||
*.032 x 260J | *.032 x 260J | ||
| Line 17: | Line 17: | ||
====Standby==== | ====Standby:==== | ||
*Amplatz Extra Stiff | *Amplatz Extra Stiff | ||
Revision as of 21:29, 6 December 2021
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:
Open:
- Amplatz Super Stiff 1cm
- .032 x 260J
- 5fr. MPA2
- 8.5fr. SL1
- Manifold to measure LA pressure
- Sheath based on balloon size (See chart)
- Presto indeflator
- 0-Prolene
Standby:
- 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.
- Have a 22 Tyshak nucleus on standby for Spies and Daniels
Approved: MD initials MM/YY
