Aortic Valvuloplasty

Mitral Valvuloplasty - DRAFT

Device:

Standby

• Toray INOUE-Balloon Kit (usually 28 mm, but need 26 and 30 mm available)

Sheaths:

Open

• 9frx20 Brite tip
• 8frx10 Pinnacle
• 8.5 SL1 transseptal

Wires:

Open

• Amplatz Super Stiff 260cm 1cm tip
• Cordis 150J

Standby

• .032 wire for SL1 sheath

Catheters:

Open

• 5fr MPA2

Baylis/TransSeptal:

Open

• Baylis generator from EP
• Large curve C1 Baylis needle
• Baylis cable
• Grounding pad

Misc Supplies:

Open

• Micropuncture
• US probe cover
• (2) 3-port manifolds
• Closure
  • 0-Prolene or 0-PDSII (Spies)
  • Perclose (Not Spies)
• 25g blue lido needle (Daniels)
• 60cc syringe
• Stopcock

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:

• IABP

(Toray INOUE - Balloon)

1 RFV Access. X2

Conscious sedation by RN

TTE and ICE guidance (need sonographer)

Prerequisite: TEE done in Echo lab morning of to exclude LAA thrombus

Sheaths: •1 Probe Cover •1 5Fr VS Micropuncture Kit •1 9 Fr x >20 cm sheath RFV access •1 8 Fr Short sheath •1 8.5 Fr SL 1 transseptal sheath

Closure: •1 6Fr Perclose •1 Extra sterile mosquitos for Perclose

2 Manifold Set Up: No ACIST •2 3-port manifold

Wires: •1 cm Straight Tip Amplatz Super Stiff 260 cm

•Cordis “J” Wire 0.035 x 150 cm

Standby Items: •

Catheters: •1 5Fr. Multipurpose catheter

•1 5 Fr Arrow Swan

Standby Items: •

•

Transeptal Access Supplies •Large Curve C1 71cm Baylis Trans-septal Needle

•Baylis Cable

•Baylis Machine

•Orange Grounding Pad

Device Table •1 Toray INOUE-Balloon Kit (usually 28 mm, but need 26 and 30 mm available)

•2 1L bag Heparinized Saline (Both on pressured bag hanging on IV pole)

•1 Large Sterile Bowl filled with 1L Heparinized Saline for device use only

•2 60 ml luer-lock syringe

•5 High-Pressure stopcock

•50 ml Visipaque contrast for balloon prep. RATIO 1:5

Emergency Pericardiocentesis Supplies •Pericardiocentesis Tray

•Pericardiocentesis Supplies:

•5Fr VS Micropuncture

•Dilators

•0.035 J Wire 150 cm

•60 ml syringe

•Pericardiocenteis drainage bag

•Bard Pigtail drainage catheter size per MD request

Emergency Plug Dislodgement/Retrieval Supplies •NA

•IABP is device of choice for complication of severe mitral regurgitation

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APPROVED: MD initials MM/YY