Aortic Valvuloplasty

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Revision as of 13:34, 22 June 2024 by Warneh (talk | contribs) (→‎Daniels/Spies - (Draft))
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Note Note: Valvuloplasty Balloon Chart

Daniels/Spies - (Draft)

Echo available for TTE

Sheaths:

Open

  • Micropuncture kit
  • 8fr x 10 Pinnacle
  • Fast Cath sheath (one French size larger then balloon)
  • Amplatz super stiff 7cm x 75 or 150 for sheath advancement
  • Cordis 150J
  • Straight stiff 150 Glidewire
  • Safari 2 wire
  • 5fr AL1
  • 5F Pigtail
  • (2) 3-port manifolds
  • Alligator clip pacing cable
  • 60cc syringe
  • High pressure stopcock
  • Atrion indeflator (found in TAVI closet)
  • (2) Perclose
  • Suture for sheath
  • Epi in red syringe
  • Aligator pacing cable
  • Booker pacing pad
  • Nu-knit and glue

Standby

  • 8fr x 35 BriteTip (Pacing)
  • Angled Glidewire
  • Amplatz super stiff 260 with 1cm tip
  • Cordis 150 straight
  • 5fr JSN quad catheter (TAVR pacing catheter)
  • Remington pacing cable (Tavr)
  • EP quad cable

Balloon :

* New DD preference - True Balloon*

Pericardiocentesis (Standby):

Not DD or CS

Call Echo

  • Micropuncture
  • 75 Amplatz SS
  • Pericardiocentesis tray
  • Accordion drain bag

Spies

Call Echo

Supplies:

  • Micro puncture
  • 150cm J wire
  • 4/5fr slender sheath
  • 5fr straight pigtail diagnostic
  • gravity drainage bag
  • brown reservoir lab canister
  • Two 50 or 60ml syringes


Daniels

Call Echo

Supplies

Open

Emergency Kit located in each lab containing the following items:

  • Eye drape
  • Skater introducer set
  • Bard locking pigtail (6f or 8f)
  • (3) 60ml luer lock syringe
  • Amplatz super stiff .035 180cm wire
  • Probe cover
  • Stopcock
  • Accordion drainage bag

Standby

  • Chiba biopsy needle 10cm 18g
  • Standard .035 150cm j wire

Emergency Standby:

ECMO / ECMO cart

Procedure:

  • Patient prepped and draped with femoral drape
  • Def pad placed as grounding pad on Apex for uni-polar pacing.
  • Double manifold setup
    • DUAL MANIFOLDS. One with contrast if coronaries to be performed.
  • Access with micro puncture and ultrasound
  • 8F dilator and pre-close
  • 12F Sheath inserted over SS wire
  • AL1 catheter inserted OTW and wire exchanged for straight stiff glide
  • After crossing the valve, AL1 or Pigtail used to measure simultaneous pressures. ( AO pressure hooked up to DrySeal)
  • Safari 2 wire inserted and catheter removed.
  • Balloon inserted.
  • Pacing capture tested.
  • Balloon inflated, image stored.  
  • Pigtail advanced for gradient measurement.
  • MD completes first perclose, sheath removed, 2nd perclose inserted.

APPROVED: MD initials MM/YY


Hui / Milechman - (Draft)

Sheaths:

Open

  • 12fr x 30 sheath - Type?
  • 6fr x 10cm Pinnacle

Catheters:

Open

  • 5fr angled pig
  • 5fr AL1 diagnostic Hui
  • 6fr RCB (Milechman)
  • 6fr Langston

Wires

Open

  • Straight stiff Glidewire 150
  • Cordis 150 straight wire
  • Cordis 260J
  • .032 x 260 wire ?

Misc. Supplies

Open

Standby

  • Pacer equipment?



APPROVED: MD initials MM/YY