Perc. Transvenous Mitral Commissurotomy: Difference between revisions

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Mitral Valvuloplasty - DRAFT
==DRAFT==
Device:
===Device:===
Standby
====Standby====
Toray INOUE-Balloon Kit (usually 28 mm, but need 26 and 30 mm available)


Sheaths:
*Toray INOUE-Balloon Kit (usually 28 mm, but need 26 and 30 mm available)
Open
9frx20 Brite tip
8frx10 Pinnacle
8.5 SL1 transseptal


Wires:
<br />
Open
===Sheaths:===
Amplatz Super Stiff 260cm 1cm tip
====Open====
Cordis 150J
Standby
.032 wire for SL1 sheath


Catheters:
*9frx20 Brite tip
Open
*8frx10 Pinnacle
5fr MPA2
*8.5 SL1 transseptal


Baylis/TransSeptal:
<br />
Open
===Wires:===
Baylis generator from EP
====Open====
Large curve C1 Baylis needle
Baylis cable
Grounding pad


Misc Supplies:
*Amplatz Super Stiff 260cm 1cm tip
Open
*Cordis 150J
Micropuncture
US probe cover
(2) 3-port manifolds
Closure
0-Prolene or 0-PDSII (Spies)
Perclose (Not Spies)
25g blue lido needle (Daniels)
60cc syringe
Stopcock


Pericardiocentesis (Standby):
====Standby====
Call Echo


Open:
*.032 wire for SL1 sheath
Eye drape
Chiba biopsy needle 10cm 18g
Skater introducer set
Bard locking pigtail (6f or 8f)
(3) 60ml luer lock syringe
Standard .035 150cm j wire
Amplatz super stiff .035 180cm wire
Probe cover
Stopcock
Accordion drainage bag
Emergency Standby:
IABP


(Toray INOUE - Balloon)
<br />
===Catheters:===
====Open====


1 RFV Access. X2
*5fr MPA2


Conscious sedation by RN
<br />
===Baylis/TransSeptal:===
====Open====


TTE and ICE guidance (need sonographer)
*Baylis generator from EP
*Large curve C1 Baylis needle
*Baylis cable
*Grounding pad


Prerequisite: TEE done in Echo lab morning of to exclude LAA thrombus
<br />
===Misc Supplies:===
====Open====


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
*Micropuncture
*US probe cover
*(2) 3-port manifolds
*Closure
**0-Prolene or 0-PDSII (Spies)
**Perclose (Not Spies)
*25g blue lido needle (Daniels)
*60cc syringe
*Stopcock


<br />
===Pericardiocentesis (Standby):===
{{Pericardiocentesis}}<br />


Closure: •1 6Fr Perclose •1 Extra sterile mosquitos for Perclose
===Emergency Standby:===


*IABP


2 Manifold Set Up: No ACIST •2 3-port manifold
<br />
 
 
 
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
 
[[Category:Procedures]]
[[Category:Procedures]]


APPROVED: MD initials MM/YY
APPROVED: MD initials MM/YY

Revision as of 16:24, 14 October 2019

DRAFT

Device:

Standby

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


Sheaths:

Open

  • 9frx20 Brite tip
  • 8frx10 Pinnacle
  • 8.5 SL1 transseptal


Wires:

Open

  • Amplatz Super Stiff 260cm 1cm tip
  • Cordis 150J

Standby

  • .032 wire for SL1 sheath


Catheters:

Open

  • 5fr MPA2


Baylis/TransSeptal:

Open

  • Baylis generator from EP
  • Large curve C1 Baylis needle
  • Baylis cable
  • Grounding pad


Misc Supplies:

Open

  • Micropuncture
  • US probe cover
  • (2) 3-port manifolds
  • Closure
    • 0-Prolene or 0-PDSII (Spies)
    • Perclose (Not Spies)
  • 25g blue lido needle (Daniels)
  • 60cc syringe
  • Stopcock


Pericardiocentesis (Standby):

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 Standby:

  • IABP


APPROVED: MD initials MM/YY

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