Mitraclip PLUG
From Bay Area Structural Heart Wiki
ADOII
Equipment:
- 260cm J Wire
- Amplatz ES 260
- 20F Dryseal
- Agilis
- 5F 110cm Shuttle Sheath (dependent on plug size)
- 5F 10cm Pinnacle Sheath (for shuttle sheath not access)
- Straight glidewire (standard)
- .032 x 260 J
- MPA 125cm
- 180* torqvue (French size not important here, only using for the cable.)
Note: The deployment cable for the torqvue can be daisy-chained for more length!
- 0-Ethibond
- Naked 3-Port manifold for pressures only
Procedure for placing a plug between 2 Mitraclips in the same setting:
- 8F sheath and 260cm J inserted through guide delivery system.
- Guide delivery system removed, 20F dryseal inserted
- Agilis inserted
- Preload Shuttle sheath with glidewire and advance through agilis
- Glidewire used to cross between plugs and removed with shuttle dilator.
- 5F sheath inserted into shuttle in lieu of using torqvue delivery sideport
- Transition between shuttle and torqvue insertion isn't flush so occluder starts to deploy if sheath not used
CARDIOFORM
Equipment:
14fr. MTS = Mullins
- Angled Glide
- Amplatz ES
- Amplatz SS
- Rosen Wire
- 5F MP
- 7F Shuttle - dilator used inside Cardioform sheath
- Flexcath- ***flexcath $150, Agilis $900***
- 20F Dryseal
- 20mm Snare- snare dilator to angle toward valve
IF Arterial Access needed for Body Floss
- Micropuncture
- 6F Sheath
- Guide
- Watchdog
- Stopcock
- JAG wire
- Flexcath used for direction but has to be removed because it's too long for cardioform.
