Aortic Valvuloplasty: Difference between revisions
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====Open==== | ====Open==== | ||
* | *Sheath- dependent upon balloon size. Verify with MD. | ||
*8fr x 10 Pinnacle | *8fr x 10 Pinnacle | ||
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===Device:=== | ===Device:=== | ||
[[Z-med Balloon|Z-Med Balloon]] (Ask for sizing) | [[Z-med Balloon|Z-Med Balloon]] or Tyshak Nucleus (Ask for sizing) | ||
===Wires:=== | ===Wires:=== | ||
| Line 26: | Line 26: | ||
====Open==== | ====Open==== | ||
*Cordis 260J | *Cordis 260J | ||
*Straight stiff 150 Glidewire | *Straight stiff 150 Glidewire | ||
| Line 37: | Line 36: | ||
*Cordis 150 straight | *Cordis 150 straight | ||
=== Catheters: === | |||
===Catheters:=== | |||
====Open==== | ====Open==== | ||
| Line 46: | Line 43: | ||
*6fr Langston | *6fr Langston | ||
===Misc Supplies:=== | ===Misc Supplies:=== | ||
| Line 52: | Line 48: | ||
*(2) 3-port manifolds | *(2) 3-port manifolds | ||
*Alligator clip pacing cable | *Alligator clip pacing cable | ||
*60cc syringe | *60cc syringe | ||
*High pressure stopcock | *High pressure stopcock | ||
| Line 82: | Line 76: | ||
*Patient prepped and draped with femoral drape | *Patient prepped and draped with femoral drape | ||
*Double manifold setup | *Double manifold setup | ||
**DUAL MANIFOLDS | **DUAL MANIFOLDS. One with contrast if coronaries to be performed. | ||
*Access with micropuncture and ultrasound | *Access with micropuncture and ultrasound | ||
*8F dilator to predilate tract | *8F dilator to predilate tract | ||
*Preclose with Perclose | *Preclose with Perclose | ||
* | *Sheath inserted | ||
*AL1 catheter inserted OTW and wire exchanged for straight stiff glide | *AL1 catheter inserted OTW and wire exchanged for straight stiff glide | ||
*After crossing the valve, 260J inserted and AL1 removed, Langston inserted and simultaneous pressures measured | *After crossing the valve, 260J inserted and AL1 removed, Langston inserted and simultaneous pressures measured | ||
*Safari 2 wire inserted and Langston removed | *Safari 2 wire inserted and Langston removed | ||
* | *Needle placed under the skin and coating on distal end of Safari 2 wire shaved off with a scalpel. Alligator pacing cable connected to wire and suture. Thresholds tested. | ||
*ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY. | *ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY. | ||
*Rapid A Pacing performed as directed by MD. | *Rapid A Pacing performed as directed by MD. | ||
*Balloon inflated, image stored. | *Balloon inflated, image stored. | ||
*Langston catheter reinserted post | *Langston catheter reinserted post BAV and simultaneous pressures obtained | ||
*MD completes first perclose, sheath removed, 2nd perclose inserted. | *MD completes first perclose, sheath removed, 2nd perclose inserted. | ||
| Line 136: | Line 130: | ||
*[[Z-med Balloon|Z-Med valvuloplasty balloon]] - Ask for size | *[[Z-med Balloon|Z-Med valvuloplasty balloon]] - Ask for size | ||
*High pressure stopcock | *High pressure stopcock | ||
* | *2 manifolds | ||
====Standby==== | ====Standby==== | ||
Revision as of 17:05, 27 March 2020
Daniels/Spies - (Draft)
Sheaths:
Open
- Sheath- dependent upon balloon size. Verify with MD.
- 8fr x 10 Pinnacle
Standby
- 8fr x 35 BriteTip (Pacing)
Device:
Z-Med Balloon or Tyshak Nucleus (Ask for sizing)
Wires:
Open
- Cordis 260J
- Straight stiff 150 Glidewire
- Safari 2 wire
Standby
- Angled Glidewire
- Amplatz super stiff 260 with 1cm tip
- Cordis 150 straight
Catheters:
Open
- 5fr AL1
- 6fr Langston
Misc Supplies:
Open
- (2) 3-port manifolds
- Alligator clip pacing cable
- 60cc syringe
- High pressure stopcock
- Atrion indeflator
- (2) Perclose
- Epi in red syringe
Standby
- 5fr JSN quad catheter (TAVR pacing catheter)
- Remington pacing cable (Tavr)
- EP quad cable
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:
ECMO / ECMO cart
Procedure:
- Zoll pads placed
- Patient prepped and draped with femoral drape
- Double manifold setup
- DUAL MANIFOLDS. One with contrast if coronaries to be performed.
- Access with micropuncture and ultrasound
- 8F dilator to predilate tract
- Preclose with Perclose
- Sheath inserted
- AL1 catheter inserted OTW and wire exchanged for straight stiff glide
- After crossing the valve, 260J inserted and AL1 removed, Langston inserted and simultaneous pressures measured
- Safari 2 wire inserted and Langston removed
- Needle placed under the skin and coating on distal end of Safari 2 wire shaved off with a scalpel. Alligator pacing cable connected to wire and suture. Thresholds tested.
- ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY.
- Rapid A Pacing performed as directed by MD.
- Balloon inflated, image stored.
- Langston catheter reinserted post BAV and simultaneous pressures obtained
- MD completes first perclose, sheath removed, 2nd perclose inserted.
APPROVED: MD initials MM/YY
Hui / Milechman - (Draft)
Sheaths:
Open
- 12fr x 30 sheath - Type?
- 6fr x 10cm Pinnacle
Catheters:
Open
- 5fr angled pig
- 5fr AL1 diagnostic Hui
- 6fr RCB (Milechman)
- 6fr Langston
Wires
Open
- Straight stiff Glidewire 150
- Cordis 150 straight wire
- Cordis 260J
- .032 x 260 wire ?
Misc. Supplies
Open
- Micropuncture
- Probe cover
- (2) 60cc syringe
- Z-Med valvuloplasty balloon - Ask for size
- High pressure stopcock
- 2 manifolds
Standby
- Pacer equipment?
APPROVED: MD initials MM/YY
