Mitral Clip

Mitral Clip
Anesthesia	Imaging	Access	Pre-Procedure
General	Fluoro, TEE, and ICE	Femoral Vein x2	Aspirin

Mitral Clip

Open:

(1)   Liter pressure bags

(2)   108cm High pressure Ivy Lines

(5) High Pressure Stopcock

(1) 8F Dilator

(1) 20F Dilator for CS

(1) 5F MPA2

(1) Amplatz SuperStiff 1cm Tip

(1) .035 X 260 “J” wire

(1) .035 x 150 “J” wire

(1) 8.5 F SL1

(1) Baylis large curve transeptal needle and cable

(1) Perclose

(1) 2-0 Prolene suture

(1) Probe cover

(2) 60cc syringe

(1) 12” extension (Keep stickers to label flush tubing)

(3) Sterile towel packs for back table

(1) 3 port manifold to measure LA pressure only

(1) Fluoro cover to anesthesia Ivy pole or moving xray shield

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.

Main Header e.g. wires,sheaths:

Open

• ITEMS TO ALWAYS OPEN
• (2) Items in ALL CAPS
• (quantity) ITEM

Standby

• STANDBY ITEMS
• GO HERE

Procedure

• Bullet list of typical procedure steps
• More steps

Inset alternative steps
or notes
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APPROVED: MD initials MM/YY