Mitral Clip: Difference between revisions
From Bay Area Structural Heart Wiki
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| Line 18: | Line 18: | ||
====Open==== | ====Open==== | ||
* | *Cath pack | ||
* | *Lift / Footstool / Support base | ||
* | *Clear Plexiglass base support | ||
* | *Sterile System Stabilizer | ||
*( | *Baylis generator (Mitral only) | ||
*ICE 8fr. and SwiftLink cover (Tricuspid only) | |||
===Baylis/transseptal:=== | ===Baylis/transseptal:=== | ||
| Line 28: | Line 29: | ||
====Open==== | ====Open==== | ||
* | *SL1 TransSeptal sheath | ||
* | *Large curve Baylis needle | ||
* | *Baylis cable | ||
* | *Grounding pad | ||
====Standby==== | ====Standby==== | ||
| Line 41: | Line 42: | ||
====Open==== | ====Open==== | ||
* | *Cordis 260J | ||
* | *Cordis 150J | ||
* | *Amplatz SuperStiff 1cm Tip | ||
====Standby==== | ====Standby==== | ||
* | *.032 X 260 “J” wire | ||
* | *.014 X 190 BMW wire | ||
===Catheters:=== | ===Catheters:=== | ||
| Line 54: | Line 55: | ||
====Open==== | ====Open==== | ||
* | *5F MPA2<br /> | ||
=== Misc supplies: === | ===Misc supplies:=== | ||
==== Open ==== | ====Open==== | ||
* (2) 108cm High pressure IV Lines | *(2) 108cm High pressure IV Lines | ||
* (5) High Pressure Stopcock | *(5) High Pressure Stopcock | ||
* | *8F Sheath for dilator - (also used as a backup sheath) | ||
* ( | *Perclose (Not Spies) | ||
* | *0 Prolene suture on a CT-1 needle (Spies) | ||
* | *60cc syringe | ||
* | *12” extension (Keep stickers to label flush tubing) | ||
* (3) Sterile towel packs for back table | *(3) Sterile towel packs for back table | ||
* | *3 port manifold to measure LA pressure only | ||
* | *Fluoro cover to anesthesia IV pole or moving xray shield | ||
* | *20F Dilator | ||
* | *Needle driver | ||
* | *Micropuncture | ||
* | *U/S probe cover | ||
==== Standby ==== | ====Standby==== | ||
* Additional Perclose | *Additional Perclose | ||
* Pericardiocentesis supplies | *Pericardiocentesis supplies | ||
===Non-Sterile Supplies=== | ===Non-Sterile Supplies=== | ||
* (4) Liter bags of heparinized saline | *(4) Liter bags of heparinized saline | ||
* (4) Liter sized pressure bags | *(4) Liter sized pressure bags | ||
==Procedure== | ==Procedure== | ||
| Line 99: | Line 100: | ||
Start line with a space | Start line with a space | ||
More spaces inset more | More spaces inset more | ||
[[Category:Procedures]] | |||
APPROVED: MD initials MM/YY | APPROVED: MD initials MM/YY | ||
Revision as of 20:22, 21 October 2019
DRAFT
| Mitral Clip | |||||
|---|---|---|---|---|---|
| Anesthesia | Imaging | Access | Pre-Procedure | ||
| General | Fluoro, TEE, and ICE |
Femoral Vein |
|||
Big Equipment:
Open
- Cath pack
- Lift / Footstool / Support base
- Clear Plexiglass base support
- Sterile System Stabilizer
- Baylis generator (Mitral only)
- ICE 8fr. and SwiftLink cover (Tricuspid only)
Baylis/transseptal:
Not used for Tricuspid clipping
Open
- SL1 TransSeptal sheath
- Large curve Baylis needle
- Baylis cable
- Grounding pad
Standby
- BRK1 transseptal needle (Rarely used)
Wires:
Open
- Cordis 260J
- Cordis 150J
- Amplatz SuperStiff 1cm Tip
Standby
- .032 X 260 “J” wire
- .014 X 190 BMW wire
Catheters:
Open
- 5F MPA2
Misc supplies:
Open
- (2) 108cm High pressure IV Lines
- (5) High Pressure Stopcock
- 8F Sheath for dilator - (also used as a backup sheath)
- Perclose (Not Spies)
- 0 Prolene suture on a CT-1 needle (Spies)
- 60cc syringe
- 12” extension (Keep stickers to label flush tubing)
- (3) Sterile towel packs for back table
- 3 port manifold to measure LA pressure only
- Fluoro cover to anesthesia IV pole or moving xray shield
- 20F Dilator
- Needle driver
- Micropuncture
- U/S probe cover
Standby
- Additional Perclose
- Pericardiocentesis supplies
Non-Sterile Supplies
- (4) Liter bags of heparinized saline
- (4) Liter sized pressure bags
Procedure
Prior to prepping patient, place MitralClip Plate (plexiglass board – hinge side up) under patient’s leg off center to the right. Place MitralClip Lift (step stool) over patients right leg, angled down towards the head. Measure 80cm from mid-sternum to leading edge of stool. Make sure there is direct contact between stool and plate.
Prep patient and drape per usual. Make sure to drape anesthesia pole and or xray shield.
- Bullet list of typical procedure steps
- More steps
Inset alternative steps
or notes
Start line with a space
More spaces inset more
APPROVED: MD initials MM/YY
