Aortic Valvuloplasty

Mitral Valvuloplasty - DRAFT

(Toray INOUE - Balloon)

1 RFV Access. X2

Conscious sedation by RN

TTE and ICE guidance (need sonographer)

Prerequisite: TEE done in Echo lab morning of to exclude LAA thrombus

Sheaths: •1 Probe Cover •1 5Fr VS Micropuncture Kit •1 9 Fr x >20 cm sheath RFV access •1 8 Fr Short sheath •1 8.5 Fr SL 1 transseptal sheath

Closure: •1 6Fr Perclose •1 Extra sterile mosquitos for Perclose

2 Manifold Set Up: No ACIST •2 3-port manifold

Wires: •1 cm Straight Tip Amplatz Super Stiff 260 cm

•Cordis “J” Wire 0.035 x 150 cm

Standby Items: •

Catheters: •1 5Fr. Multipurpose catheter

•1 5 Fr Arrow Swan

Standby Items: •

•

Transeptal Access Supplies •Large Curve C1 71cm Baylis Trans-septal Needle

•Baylis Cable

•Baylis Machine

•Orange Grounding Pad

Device Table •1 Toray INOUE-Balloon Kit (usually 28 mm, but need 26 and 30 mm available)

•2 1L bag Heparinized Saline (Both on pressured bag hanging on IV pole)

•1 Large Sterile Bowl filled with 1L Heparinized Saline for device use only

•2 60 ml luer-lock syringe

•5 High-Pressure stopcock

•50 ml Visipaque contrast for balloon prep. RATIO 1:5

Emergency Pericardiocentesis Supplies •Pericardiocentesis Tray

•Pericardiocentesis Supplies:

•5Fr VS Micropuncture

•Dilators

•0.035 J Wire 150 cm

•60 ml syringe

•Pericardiocenteis drainage bag

•Bard Pigtail drainage catheter size per MD request

Emergency Plug Dislodgement/Retrieval Supplies •NA

•IABP is device of choice for complication of severe mitral regurgitation

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APPROVED: MD initials MM/YY