Aortic Valvuloplasty

Note: Valvuloplasty Balloon Chart

Daniels/Spies - (Draft)

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
• (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: *New DD preference - True Balloon*

Z-Med Balloon or Tyshak Nucleus (Ask for sizing)

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
  

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.

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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?

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APPROVED: MD initials MM/YY