Paravalvular leak- Mitral

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Note Warning: This procedures equipment is highly variable, consult with the physician before opening expensive stuff.

Notes

  • Various equipment needed is dependent upon size of leak.
  • All shuttle sheaths and plugs are located on the "plug cart" in the sterile core behind lab 1.
  • Total Length of FlexCath: 81cm.
  • Total Length of Agilis: 71cm
  • If Flexcath is an acceptable option, use it. Much cheaper than agilis.
  • AVPII cable length: 100cm Cables can be daisy-chained!
  • 90cm Shuttle Sheath is not long enough to put into FlexCath. Will have to remove flex cath.

Misc Supplies:

Open

  • 0-Ethibond
  • Micropuncture
  • Perclose
  • 3-port manifold naked (no ACIST) - always open!
  • 60cc syringe

Standby

  • Watchdog
  • stopcock
  • Mustang for septostomy
  • priority pack
  • 180* torqvue (French size not important here, only using for the cable.)

Sheaths:

Open

  • 8F pinnacle
  • 5F Pinnacle (for shuttle sheath not for access)
  • 12F Dryseal
  • 110cm Shuttle sheaths (Size depends on occluder)
  • Agilis small curve

Standby

  • 4fr x 10cm Pinnacle - (A-line)
  • Cook 30cm

Wires:

Open

  • 260 Standard J
  • Straight Glide 260cm
  • Angled Glide 260cm
  • Amplatz ES 260cm
  • .032 260J

Catheters:

Open

  • 5F MPA 100 cm with a 125cm on standby

Note Note: The deployment cable for the ADO can be daisy-chained for more length!

Standby

  • 5fr IM diagnostic
  • 5fr JR4 diagnostic
  • Berenstein 125cm (Spies)

Transseptal

Note Note: Not needed if recent transseptal procedure performed

Open

  • Baylis machine
  • Baylis cable
  • Grounding pad
  • Large curve C1 Baylis needle
  • 8.5fr SL1 transseptal sheath

Device embolization / retrieval:

Standby

  • EnSnare or Gooseneck
  • 16 or 18fr x 33cm Dryseal
  • JR4 Guide