Perc. Transvenous Mitral Commissurotomy
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
Pericardiocentesis (Standby): Call Echo
Open: Eye drape Chiba biopsy needle 10cm 18g Skater introducer set Bard locking pigtail (6f or 8f) (3) 60ml luer lock syringe Standard .035 150cm j wire Amplatz super stiff .035 180cm wire Probe cover Stopcock Accordion drainage bag 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
APPROVED: MD initials MM/YY
