Aortic Valvuloplasty: Difference between revisions
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====ECMO / ECMO cart==== | ====ECMO / ECMO cart==== | ||
===Procedure:=== | ===Procedure:=== | ||
*Patient prepped and draped with femoral drape | *Patient prepped and draped with femoral drape | ||
*Def pad placed as grounding pad on Apex for uni-polar pacing. | |||
*Double manifold setup | *Double manifold setup | ||
**DUAL MANIFOLDS. One with contrast if coronaries to be performed. | **DUAL MANIFOLDS. One with contrast if coronaries to be performed. | ||
*Access with | *Access with micro puncture and ultrasound | ||
*8F dilator | *8F dilator and pre-close | ||
*12F Sheath inserted over SS wire | |||
*Sheath inserted | |||
*AL1 catheter inserted OTW and wire exchanged for straight stiff glide | *AL1 catheter inserted OTW and wire exchanged for straight stiff glide | ||
*After crossing the valve, | *After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal) | ||
*Safari 2 wire inserted and | *Safari 2 wire inserted and catheter removed. | ||
*ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY. | *ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY. | ||
* | *Pacing capture tested. | ||
*Balloon inflated, image stored. | *Balloon inflated, image stored. | ||
* | *Pigtail advanced for gradient measurement. | ||
*MD completes first perclose, sheath removed, 2nd perclose inserted. | *MD completes first perclose, sheath removed, 2nd perclose inserted. | ||
Revision as of 22:11, 5 April 2023
Note: Valvuloplasty Balloon Chart
Daniels/Spies - (Draft)
Echo available for TTE
Sheaths:
Open
- Micropuncture kit
- 8fr x 10 Pinnacle
- 12F Dryseal (confirm with MD)
- 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
- (2) Perclose
- Suture for sheath
- Epi in red syringe
- Aligator pacing cable
- Booker pacing pad
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
Device:
Z-Med Balloon or Tyshak Nucleus (Ask for sizing)
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.
- ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY.
- 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
