ASD Closure
From Bay Area Structural Heart Wiki
DR. Daniels - DRAFT
RFV access, GENERAL ANESTHESIA with TEE
Medications:
- Pre-Op Antibiotics : Ancef IV
- Antiplatelet : Aspirin & Plavix
Sheaths:
Open
- 5Fr Micropuncture Kit
- 8fr Pinnacle
Standby
- 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia
Wires:
Open
- 0.035 x 260 Rosen
- J Wire 0.035 x 260
Standby
- 0.035 x 250 Amplatz Super Stiff 1cm tip
- BMW 190cm
- Wholey 145cm
- Cordis “J” 0.032 x 260 cm
Catheters:
Open
- 5Fr MPA 100 cm diagnostic
Misc. Supplies:
- 3-port manifold
- Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
- 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
- 60 ml syringe
- 20 ml syringe
Devices on standby:
- Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
- Perclose
- Sizing Balloon (Range: 18, 24, 34mm)
- TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
- Device = SEPTAL OCCLUDERS (All available sizes)
- Cardioform devices - If needing to deliver cardioform sheath, use a 7F shuttle sheath dilator.
Procedure
- Access with micropuncture and ultrasound
- 8fr sheath (might pre-close)
- MP with Rosen to cross ASD
- Exchange Rosen for 260J to LUPV
- Possible sizing balloon used here
- Prep and deliver device
Emergency Device embolization/retrieval Supplies:
- 16 or 18 Fr x 33 cm Dry Seal Sheath
- 6 or 7 Fr Ensnare Kit or Gooseneck Snare
DR. Spies - DRAFT
RFV access. (x2 if using ICE)
Medications:
- Pre-Op Antibiotics : Ancef IV
- Antiplatelet : Aspirin & Plavix
Open
- 5Fr Micropuncture Kit
- 8fr Pinnacle (for preclose dilation)
- .035 Amplatz Extra Stiff
- .035 Exchange J
- 5Fr MPA 100 cm diagnostic
- 0-Prolene for woggle or tie at end
Standby
- 8F TorqVue
- 24 Sizing balloon
- 6F Balloon Wedge
- Stopcock
- 3-port manifold
Misc
- Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
- 10% Contrast mix for sizing balloon
- 60 ml syringe
- 9F 25cm Brite Tip if using ICE
- SwiftLink (ICE)
- 8F Accunav (ICE)
Devices on standby:
Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
- Sizing Balloon (Range: 18, 24, 34mm)
- TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
- Device = SEPTAL OCCLUDERS (All available sizes)
Procedure:
- Access with US and Micropuncture
- 8F Sheath inserted possible RHC performed with 6F Balloon Wedge
- (If Using) ICE catheter inserted, bubble study performed
- MPA and J wire advanced across septum
- J wire exchanged for Amplatz ES
- Sizing balloon inserted
- Measurements taken on x-ray image
- ASD closed
- Insertion sites closed
APPROVED: MD initials MM/YY
DR. Hui - DRAFT
RFV access, GENERAL ANESTHESIA with TEE
Medications:
- Pre-Op Antibiotics : Ancef IV
- Antiplatelet : Aspirin & Plavix
Sheaths:
Open
- 5Fr Micropuncture Kit
- 6fr pinnacle for RFV access
Standby
- 4 Fr x 10 cm Pinnacle (possible femoral arterial line for anesthesia
Wires:
Open
- 0.035 x 250 Amplatz Straight Tip Super Stiff
- Cordis “J” Wire 0.035 x 150cm
Standby
- BMW 190cm
- Versacore 145cm
- Cordis “J” 0.035 x 260 cm
- Amplatzer Guide 0.035 x 260 cm
Catheters:
Open
- 6Fr MPA 100 cm diagnostic
Misc. Supplies:
- 3-port manifold with a stopcock on the front
- Large Sterile Bowl with 1L Heparinized Saline for Device Prep USE ONLY
- (3)packs of sterile towels
- 1 bowl with 20% contrast/80% saline for Sizing Balloon prep
- 60 ml syringe
- (2) 20 ml syringe
Devices on standby:
Amplatzer Supplies & Occluder Devices: OPEN WHEN MD REQUESTS
- Sizing Balloon (Range: 18, 24, 34mm)
- TorqVue Delivery Sheath (Range: 7, 8, 9, 10, 12Fr)
- Device = SEPTAL OCCLUDERS (All available sizes)
APPROVED: MD initials MM/YY
