UCD Cryo A-fib

Open

• EP Pack
• Flexcath
• 28mm Arctic Advance
• Probe Cover
• 2 - Ice Cover - Shockwave
• Copilot
• Manifold + dump bag
• Smart Ablate Tubing
• Micropuncture
• 20ml syringes 2-4
• A-line set
• Pressure transducer kit x3
• 7F locking
• 8F locking
• 8.5 Non-locking
• 6fr CRD 2 quad

Pezeshkian	Srivatsa	Cortez	Munir
Stockroom
Versacross D0	Versacross D1
Soundstar 10Fr	Soundstar 8Fr
DecaNav D	DecaNav F
Lab
Octaray D 2-2-2	Octaray F 3-3-3
Dynamic XT steerable quad	CRD 2 Quad
Achieve 20mm	Achieve 15mm
Long 11Fr	Long 9Fr
14fr non-locking	Zero Gravity drape
Standby	If needed for touch up post cryo or for redo afib.
Smart touch thermocool STSF DF	Smart touch thermocool ST FJ
	Perclose x1 Vascade x3

Cables

• Achieve cable
• Electrical umbilical cable
• Coaxial umbilical cable
• DecNav cable
• Pentaray cable
• Quad cable x 2
• Abalator cable

Procedure

Read UCD EP Role for pre and post procedural steps.

• Open ablation window on live screen
• Check that ablation switch behind ablation consoles is set to "Cryo"
• Physician will place catheters and access LA.
• Measure conduction intervals
• Once Cryo ballon is in LA and ablation starts do the following:
  • Save and label freeze frame of fluoro with location of freeze and ablation number ex: "LUPV Cryo #1" copy this text and save
  • Monitor ablation sequence
  • After ablation ends, record ablation data including copied text to Ablation End log entry comment section ex: "LUPV Cryo #1 180sec -45C"
    • If esophagus temp is affected, record this temp also "23C esoph"
  • EP study is conducted during Cryo ablation phase of procedure
    • Atrial Wenckebach, Atrial ERP, and VERP