Mitral Clip

DRAFT

Mitral Clip
Anesthesia	Imaging	Access	Pre-Procedure
General	Fluoro, TEE, and ICE	Femoral Vein

Big Equipment:

Open

• Cath pack
• Lift / Footstool / Support base
• Clear Plexiglass base support
• Sterile System Stabilizer
• Baylis generator (Mitral only)
• ICE 8fr. and SwiftLink cover (Tricuspid only)
  • 9fr x 23cm Pinnacle for ICE

Baylis/transseptal:

Not used for Tricuspid clipping

Open

• SL1 TransSeptal sheath
• Large curve Baylis needle
• Baylis cable
• Grounding pad

Standby

• BRK1 transseptal needle (Rarely used)

Wires:

Open

• Cordis 260J
• Cordis 150J
• Amplatz SuperStiff 1cm Tip

Standby

• .032 X 260 “J” wire
• .014 X 190 BMW wire

Catheters:

Open

• 5F MPA2
  

Misc supplies:

Open

• (2) 108cm High pressure IV Lines
• (5) High Pressure Stopcock
• 8F Sheath for dilator - (also used as a backup sheath)
• Perclose (Not Spies)
• 0 Prolene suture on a CT-1 needle (Spies)
• 60cc syringe
• 12” extension (Keep stickers to label flush tubing)
• (3) Sterile towel packs for back table
• 3 port manifold to measure LA pressure only
• Fluoro cover to anesthesia IV pole or moving xray shield
• 20F Dilator
• Needle driver
• Micropuncture
• U/S probe cover

Standby

• Additional Perclose
• Pericardiocentesis supplies

Non-Sterile Supplies

• (4) Liter bags of heparinized saline
• (4) Liter sized pressure bags

Procedure

Prior to prepping patient, place MitralClip Plate (plexiglass board – hinge side up) under patient’s leg off center to the right. Place MitralClip Lift (step stool) over patients right leg, angled down towards the head. Measure 80cm from mid-sternum to leading edge of stool. Make sure there is direct contact between stool and plate.

Prep patient and drape per usual. Make sure to drape anesthesia pole and or xray shield.

• Bullet list of typical procedure steps
• More steps

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or notes
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APPROVED: MD initials MM/YY