Septostomy

An atrial Septostomy is performed in the setting of ECMO when there is a concern that Left Atrium pressures are high due to the Ecmo flow. Generally done in the setting of ECMO. It can be a stand alone procedure if not performed when ECMO is initiated.

ECHO guided transeptal puncture.

Equipment:

Open

• Amplatz Super Stiff 1cm
• Cordis 260J

• 5fr. MPA2
• 8.5fr. SL1
• Manifold to measure LA pressure
• SHEATH*

Standby

• 0.32 x 260J
• Amplatz Extra Stiff

Baylis Setup:

Open

• Baylis generator
• Baylis Large curve needle
• Baylis cable
• Grounding Pad

Balloon size determined by MD.

*Sheath size determined by balloon. Balloon volume listed on Structural Heart Cart.

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Approved: MD initials MM/YY