JMH-INARI

From TheInterWiki

Product

Open

  • Cath Lab Pack
  • Ultrasound Probe Cover
  • 5F Micropuncture Stiffened Set
  • Right heart kit
  • 180 stiff angled Terumo
  • 260 Amplatz SS 1cm tip
  • 6F Angled Pig
  • 6F Perclose Proglide SMC
  • 20F/45 - 22F/45 Coons dilator set
  • DrySeal Flex 26F 33CM
  • Pinnacle 6F/10cm Sheath
  • Fluid Delivery Set 72 Inch
  • Medrad Injector Syringe
  • J Tip 035/145 Fixed Core Wire
  • INARI TRIEVER 24
  • VERT 5F/125 Slip-Cath Cath
  • FLOWSAVER
  • 2 packs of towels

Standby

  • Extra Flowsaver
  • INARI TRIEVER 20fr curve


Procedure

  1. Lots of towels and robust gutter with towels
  2. Access US and micropuncture
  3. 6fr sheath
  4. Preclose
  5. 6fr sheath
  1. Pigtail to PA for pressures to decide: >50 for sure
  2. Position Long 1cm Amplatz SS through Pig
  3. Use Coons dilators to size up
  4. Dry seal air in valve with syringe attached
  5. Pressure drip with stopcock to Dryseal side port for blood return
  6. Prob mattress with his Ethilon at end.

Note Protip: Will position with stiff glide and vert or bern, then maintain position with AmpSS then extract.