MAC Lampoon steps: Difference between revisions

Revision as of 18:30, 9 September 2021

RRA access -> 6fr slender
- Grandslam to check access to arch
- Grandslam removed until access is completed
LFA access -> 8fr dilator -> Pre-close -> 8fr. Pinnacle
LFV access -> 8.5fr. X 23 brite tip
RFV access -> 8fr dilator -> Pre-close x2 -> Amplatz Super Stiff -> 26 Dry Seal
6fr pigtail through LFA for arch shot
- 6 FPS and subtraction
Grandslam loaded in Sentinel and inserted
- Pigtail removed after Sentinel deployed
.032x260 loaded in SL1 and advanced through Dryseal
Wire removed and Baylis needle advanced
Transseptal puncture
If septum is soft/thin:
- .032x260 x2 inserted into LA via SL1
If septum is thick/tough:
- .032x260 inserted into SL1 with MPA and placed in LUPV
- .032 exchanged for Amplatz SS 1cm
- SL1 advanced into LA
- Amplatz SS exchanged for .032x260 x2 inserted into LA
SL1 removed
Agilis x2 advanced into LA

@@ Line 7: / Line 7: @@
 #6fr pigtail through LFA for arch shot
 #*6 FPS and subtraction
-#Grand
+#Grandslam loaded in Sentinel and inserted
+#*Pigtail removed after Sentinel deployed
+#.032x260 loaded in SL1 and advanced through Dryseal
+#Wire removed and Baylis needle advanced
+#Transseptal puncture
+#If septum is soft/thin:
+#*.032x260 x2 inserted into LA via SL1
+#If septum is thick/tough:
+#*.032x260 inserted into SL1 with MPA and placed in LUPV
+#*.032 exchanged for Amplatz SS 1cm
+#*SL1 advanced into LA
+#*Amplatz SS exchanged for .032x260 x2 inserted into LA
+#SL1 removed
+#Agilis x2 advanced into LA