Septostomy

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.

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

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Approved: MD initials MM/YY