ASD Closure: Difference between revisions

From Bay Area Structural Heart Wiki
(remove walsh)
Line 12: Line 12:
====Open====
====Open====


*5Fr Micropuncture  Kit
*5Fr Micropuncture  Kit
*8fr Pinnacle  
*8fr Pinnacle


====Standby====
====Standby====
Line 22: Line 22:


====Open====
====Open====
*0.035 x 260 Rosen
*0.035 x 260 Rosen
*J Wire 0.035 x 260
*J Wire 0.035 x 260


====Standby====
====Standby====
*0.035 x 250 Amplatz Super Stiff 1cm tip
*0.035 x 250 Amplatz Super Stiff 1cm tip
*BMW 190cm
*BMW 190cm
*Versacore 145cm
*Wholey 145cm
*Cordis “J” 0.032 x 260 cm
*Cordis “J” 0.032 x 260 cm


Line 46: Line 48:


===Devices on standby:===
===Devices on standby:===
*Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
*Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
*Perclose
*Perclose
Line 51: Line 54:
*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===
===Procedure===
#Access with micropuncture and ultrasound
#Access with micropuncture and ultrasound
#8fr sheath (might pre-close)
#8fr sheath (might pre-close)
Line 64: Line 68:
===Pericardiocentesis===
===Pericardiocentesis===
{{Pericardiocentesis}}
{{Pericardiocentesis}}


===Emergency Device embolization/retrieval Supplies:===
===Emergency Device embolization/retrieval Supplies:===
Line 98: Line 101:


*0.035 x 250 Amplatz Super Stiff 1cm tip
*0.035 x 250 Amplatz Super Stiff 1cm tip
*Cordis “J” Wire 0.032 x 260  
*.032x 260 J wire


====Standby====
====Standby====


*BMW 190cm
*BMW 190cm
*Versacore 145cm
*Wholey 145cm
*Cordis “J” 0.035 x 260 cm
*Cordis “J” 0.035 x 260 cm
*Amplatzer Guide 0.035 x 260 cm
*Amplatzer Guide 0.035 x 260 cm
Line 146: Line 149:


<br />
<br />
=='''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
<HR />
APPROVED: MD initials MM/YY




Revision as of 00:58, 30 July 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
  • J Wire 0.035 x 260

Standby

  • 0.035 x 250 Amplatz Super Stiff 1cm tip
  • BMW 190cm
  • Wholey 145cm
  • Cordis “J” 0.032 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
  • .032x 260 J wire

Standby

  • BMW 190cm
  • Wholey 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. 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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