Tip to Base Lampoon
Tip to Base Lampoon, also referred to as "Reverse Lampoon". Performed when VIV Mitral will likely cause LVOT obstruction.
| VIV Mitral with Tip to Base Lampoon | |||
|---|---|---|---|
| Anesthesia | Imaging | Access | ACIST/manifold |
| General | Biplane Fluoro and TEE | Femoral Vein x2
Femoral Artery x2 |
ACIST with 100% contrast ok if normal creat
One manifold with contrast One naked manifold |
| Pre-Procedure Watchouts | |||
| |||
TAVR/TMVI
- Edwards Sapien 3 Ultra (20, 23 & 26mm) and Sapien 3 (29mm) – scan the valve barcode (box) in McKesson for documentation and charges. Bundle includes valve, delivery system, crimper, e sheath intro set, balloon cath & locking syringe. With the new inventory system (POU) space is limited in entering item full description. If pre dilatation Edwards balloon is necessary free text the balloon used in procedure notes (McKesson).
- Medtronic Core Valve – all items are charge separately. Scan all barcodes (delivery system, loading system and valve).
Access Sites:
7F RFA
26F RFV (primary access)
7.5F LFA (for balloon pump)
8FLFV (for pacer)
Open:
FROM STRUCTURAL HEART CART
.014 Astato xs 20 guidewire 300cm
Piggyback (??? Maybe finecross, verify preference)
26F Dryseal
14mm Armada Balloon
25mm Gooseneck snare
SL1
Baylis Needle
Bovie pen
Grounding Pad
MISC SUPPLIES
(2) Watchdog devices
(2) Stopcocks
4 hemostats
(3) 60ml syringes
(2) 12 inch extension tubing
Bowl of D5
Agilis SM Curl
Priority Pack
Balloon Pump
ACIST setup (if normal creatnine 100% contrast ok. only used for arch injection)
Naked Manifold (simultaneous pressure measurements post procedure)
FROM STORE ROOM
8F 35cm Brite Tip Sheath
Josephson Pacing Wire
Remington Cable
Blue Pacing Cable
Sentinel- opened after grandslam wire across great vessels
FROM ROOM SUPPLIES
6F PA Catheter
.032 260cm J wire
.035 260cm J wire
(2) .035 150cm J wire
300cm Grandslam
Safari
Amplatz SS 1cm
8F Sheath
7F Sheath
6F JR4 Guide
6F MP1 Guide
5F MPA1
6F Straight Pigtail
5/6 Slender Sheath
Perclose x 4
0 Ethibond
0 Prolene x 2
Be Ready For:
ECMO
Alcohol Septal Ablation
ASD Closure
