Septostomy

Z-Med Inflation Chart

Other Balloons Inflation Chart

An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrial pressures are high due to the ECMO flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.

Equipment: Daniels

• Indiflator
• Naked 3 port manifold for LA pressure
• Sheath , one French size larger then minimum balloon size
• Balloon, size determined via ECHO

* NEW - Baylis Transseptal

• VersaCross system
• Grounding pad

STANDBY!

• SL1 TransSeptal sheath
• Large curve Baylis needle
• Baylis cable

• .032 X 260 “J” wire
• Amplatz SuperStiff 1cm Tip 260cm

• 5F MPA2

Equipment: Spies

• Indeflator
• Naked 3 port manifold for LA pressure

* NEW - Baylis Transseptal

• VersaCross system
• Grounding pad

STANDBY!

• SL1 TransSeptal sheath
• Large curve Baylis needle
• Baylis cable

• .032 X 260 “J” wire
• SuperStiff 1cm Tip 260cm
• 5F MPA2

Procedure requires Baylis

• Baylis generator
• Grounding Pad

Balloon size determined by MD.

• Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.
• Have a 22 True balloon on standby for Spies and Daniels

---

Approved: MD initials MM/YY