ASD Closure: Difference between revisions

From Bay Area Structural Heart Wiki
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*5Fr Micropuncture  Kit   
*5Fr Micropuncture  Kit   
*8fr Pinnacle (for preclose dilation)
*8fr Pinnacle  


====Standby====
====Standby====
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====Open====
====Open====
 
*0.035 x 260 Rosen
*0.035 x 250 Amplatz Super Stiff 1cm tip
*Cordis “J” Wire 0.032 x 260  
*Cordis “J” Wire 0.032 x 260  


====Standby====
====Standby====
 
*0.035 x 250 Amplatz Super Stiff 1cm tip
*BMW 190cm
*BMW 190cm
*Versacore 145cm
*Versacore 145cm
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*3-port manifold
*3-port manifold
*Perclose
*Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
*Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
*1 bowl with 20% contrast/80% saline for Sizing Balloon prep
*1 bowl with 20% contrast/80% saline for Sizing Balloon prep
Line 50: Line 47:


===Devices on standby:===
===Devices on standby:===
Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
*Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
 
*Perclose
*Sizing Balloon (Range: 18, 24, 34mm)
*Sizing Balloon (Range: 18, 24, 34mm)
*TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
*TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
*Device = SEPTAL OCCLUDERS (All available sizes)
*Device = SEPTAL OCCLUDERS (All available sizes)
*Cardioform devices - '''If needing to deliver cardioform sheath, use a 7F shuttle sheath dilator.'''


Cardioform devices - '''If needing to deliver cardioform sheath, use a 7F shuttle sheath dilator.'''
===Procedure===
#Access with micropuncture and ultrasound
#8fr sheath (might pre-close)
#MP with Rosen to cross ASD
#Exchange Rosen for 260J to LUPV
#Possible sizing balloon used here
#Prep and deliver device




Revision as of 00:15, 9 June 2020

DR. Daniels - DRAFT

RFV access, GENERAL ANESTHESIA with TEE

Medications:

  • Pre-Op Antibiotics : Ancef IV
  • Antiplatelet : Aspirin & Plavix

Sheaths:

Open

  • 5Fr Micropuncture Kit
  • 8fr Pinnacle

Standby

  • 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia

Wires:

Open

  • 0.035 x 260 Rosen
  • Cordis “J” Wire 0.032 x 260

Standby

  • 0.035 x 250 Amplatz Super Stiff 1cm tip
  • BMW 190cm
  • Versacore 145cm
  • Cordis “J” 0.035 x 260 cm
  • Amplatzer Guide 0.035 x 260 cm

Catheters:

Open

  • 5Fr MPA 100 cm diagnostic

Misc. Supplies:

  • 3-port manifold
  • Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
  • 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
  • 60 ml syringe
  • 20 ml syringe

Devices on standby:

  • Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
  • Perclose
  • Sizing Balloon (Range: 18, 24, 34mm)
  • TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
  • Device = SEPTAL OCCLUDERS (All available sizes)
  • Cardioform devices - If needing to deliver cardioform sheath, use a 7F shuttle sheath dilator.

Procedure

  1. Access with micropuncture and ultrasound
  2. 8fr sheath (might pre-close)
  3. MP with Rosen to cross ASD
  4. Exchange Rosen for 260J to LUPV
  5. Possible sizing balloon used here
  6. Prep and deliver device


Pericardiocentesis

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 Device embolization/retrieval Supplies:

  • 16 or 18 Fr x 33 cm Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare

APPROVED: MD initials MM/YY

DR. Spies - DRAFT

RFV access, GENERAL ANESTHESIA with TEE

Medications:

  • Pre-Op Antibiotics : Ancef IV
  • Antiplatelet : Aspirin & Plavix

Sheaths:

Open

  • 5Fr Micropuncture  Kit  
  • 8fr Pinnacle (for preclose dilation)

Standby

  • 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia

Wires:

Open

  • 0.035 x 250 Amplatz Super Stiff 1cm tip
  • Cordis “J” Wire 0.032 x 260

Standby

  • BMW 190cm
  • Versacore 145cm
  • Cordis “J” 0.035 x 260 cm
  • Amplatzer Guide 0.035 x 260 cm

Catheters:

Open

  • 5Fr MPA 100 cm diagnostic

Misc. Supplies:

  • 3-port manifold
  • Perclose
  • Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
  • (3)packs of sterile towels
  • 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
  • 60 ml syringe
  • (2) 20 ml syringe

Devices on standby:

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • Sizing Balloon (Range: 18, 24, 34mm)
  • TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
  • Device = SEPTAL OCCLUDERS (All available sizes)

Cardioform devices - If needing to deliver cardioform sheath, use a 7F shuttle sheath dilator.


Pericardiocentesis

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 Device embolization/retrieval Supplies:

  • 16 or 18 Fr x 33 cm Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare


APPROVED: MD initials MM/YY


DR. Walsh - DRAFT

RFV access, GENERAL ANESTHESIA with TEE

Medications:

  • Pre-Op Antibiotics : Ancef IV
  • Antiplatelet : Aspirin & Plavix

Sheaths:

Open

  • 5Fr Micropuncture  Kit  
  • 8Fr x 23 Brite Tip Sheath for RFV access

Standby

  • 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia

Wires:

Open

  • 0.035 x 250 Amplatz Straight Tip Super Stiff
  • Cordis “J” Wire 0.035 x 150cm

Standby

  • BMW 190cm
  • Versacore 145cm
  • Cordis “J” 0.035 x 260 cm
  • Amplatzer Guide 0.035 x 260 cm

Catheters:

Open

  • 6Fr MPA 100 cm diagnostic
  • 5Fr Arrow Wedge Swan

Misc. Supplies:

  • 3-port manifold
  • Perclose
  • 25g  1 ½ “ Daniels Lido Needle
  • Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
  • (3)packs of sterile towels
  • 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
  • 60 ml syringe
  • (2) 20 ml syringe

Devices on standby:

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • Sizing Balloon (Range: 18, 24, 34mm)
  • TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
  • Device = SEPTAL OCCLUDERS (All available sizes)

Emergency Supplies:

  • Pericardiocentesis Tray
  • Pericardiocentesis Supplies:
    • 5Fr VS Micropuncture
    • Dilators
    • 0.035 J Wire 150 cm
    • 60 ml syringe
    • Pericardiocentesis drainage bag
    • Bard Pigtail drainage catheter size per MD request

Emergency Device embolization/retrieval Supplies:

  • 16 or 18 Fr x 33 cm Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare


APPROVED: MD initials MM/YY


DR. Hui - DRAFT

RFV access, GENERAL ANESTHESIA with TEE

Medications:

  • Pre-Op Antibiotics : Ancef IV
  • Antiplatelet : Aspirin & Plavix

Sheaths:

Open

  • 5Fr Micropuncture  Kit  
  • 6fr pinnacle for RFV access

Standby

  • 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia

Wires:

Open

  • 0.035 x 250 Amplatz Straight Tip Super Stiff
  • Cordis “J” Wire 0.035 x 150cm

Standby

  • BMW 190cm
  • Versacore 145cm
  • Cordis “J” 0.035 x 260 cm
  • Amplatzer Guide 0.035 x 260 cm

Catheters:

Open

  • 6Fr MPA 100 cm diagnostic

Misc. Supplies:

  • 3-port manifold with a stopcock on the front
  • Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
  • (3)packs of sterile towels
  • 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
  • 60 ml syringe
  • (2) 20 ml syringe

Devices on standby:

Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS

  • Sizing Balloon (Range: 18, 24, 34mm)
  • TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
  • Device = SEPTAL OCCLUDERS (All available sizes)

Emergency Supplies:

  • Pericardiocentesis Tray
  • Pericardiocentesis Supplies:
    • 5Fr VS Micropuncture
    • Dilators
    • 0.035 J Wire 150 cm
    • 60 ml syringe
    • Pericardiocentesis drainage bag

Emergency Device embolization/retrieval Supplies:

  • 16 or 18 Fr x 33 cm Dry Seal Sheath
  • 6 or 7 Fr Ensnare Kit or Gooseneck Snare

APPROVED: MD initials MM/YY

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