Aortic Valvuloplasty
From Bay Area Structural Heart Wiki
Daniels - (Draft)
Sheaths:
Open
- 12fr x 33 DrySeal
- 8fr x 10 Pinnacle
Standby
- 8fr x 35 BriteTip (Pacing)
Wires:
Open
- Cordis 150J
- Cordis 260J
- Straight stiff 150 Glidewire
- Safari 2 wire
Standby
- Angled Glidewire
- Amplatz super stiff 260 with 1cm tip
- Cordis 150 straight
Catheters:
Open
- 5fr AL1
- 6fr Langston
Misc Supplies:
Open
- (2) 3-port manifolds
- 25g lido needle (Daniels)
- Alligator clip pacing cable
- Orange pacing suture
- 60cc syringe
- High pressure stopcock
- Atrion indeflator
- (2) Perclose
- Epi in red syringe
Standby
- 5fr JSN quad catheter (TAVR pacing catheter)
- Remington pacing cable (Tavr)
- EP quad cable
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:
- Zoll pads placed
- Patient prepped and draped with femoral drape
- Double manifold setup
- DUAL MANIFOLDS, ACIST only if angio to be performed
- Access with micropuncture and ultrasound
- 8F dilator to predilate tract
- Preclose with Perclose
- 12F Dryseal sheath inserted
- AL1 catheter inserted OTW and wire exchanged for straight stiff glide
- After crossing the valve, 260J inserted and AL1 removed, Langston inserted and simultaneous pressures measured
- Safari 2 wire inserted and Langston removed
- Pacing suture placed under the skin and distal end of Safari 2 wire shaved off with a scalpel. Alligator pacing cable connected to wire and suture. Thresholds tested.
- ZMed/Tyshak Nucleus balloon inserted and PREPPED INSIDE THE BODY.
- Rapid A Pacing performed as directed by MD.
- Balloon inflated, image stored.
- Langston catheter reinserted post intervention and simultaneous pressures obtained
- MD completes first perclose, sheath removed, 2nd perclose inserted.
APPROVED: MD initials MM/YY
