Septostomy
From Bay Area Structural Heart Wiki
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.
*Have a 22 Tyshak nucleus on standby for Spies and Daniels
Approved: MD initials MM/YY
