Septostomy

From Bay Area Structural Heart Wiki
Revision as of 21:56, 30 November 2020 by Suddemj (talk | contribs) (→‎Equipment:)
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.

ECHO guided transeptal puncture.


Equipment:

Open

  • Amplatz Super Stiff 1cm
  • .032 x 260J
  • 5fr. MPA2
  • 8.5fr. SL1
  • Manifold to measure LA pressure
  • Sheath based on balloon size (See chart)
  • Presto indeflator
  • 0-Prolene


Standby

  • Amplatz Extra Stiff

Baylis Setup:

Open

  • Baylis generator
  • Baylis Large curve needle
  • Baylis cable
  • Grounding Pad


Balloon size determined by MD.

*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart, and chart above.



Approved: MD initials MM/YY