WATCHMAN PROTOCOL

 1.      Left atrial appendage base width ____ mm.

 2.      Left atrial appendage body length ____ mm.

 3.      Left atrial appendage tail orientation anteriorly to the patient's left.

 4.      Superior pulmonary vein confluence orientation to the left atrial appendage base _________ (posterior to and to the             patient's right)

 5.      Left atrial appendage os maximum diameter ____ mm.

 6.      Left atrial appendage os minimum diameter ____ mm.

 7.      Left atrial appendage os average diameter ____ mm.

 8.      Left atrial appendage os area ____ cm2.

AV PROTOCOL

 1.       Left ventricular outflow tract maximum diameter, __   mm.

 2.      Left ventricular outflow tract minimum diameter, __ mm.

 3.      Left ventricular outflow tract average diameter, __ mm.

 4.      Left ventricular outflow tract area, __ cm2.

 5.      AV hinge maximum diameter, __ mm.

 6.      AV hinge minimum diameter, __ mm.

 7.      AV hinge average diameter, __ mm.

 8.      AV hinge area, __ cm2.

 9.      Right ostial height, __ mm.

10.     Left ostial height, __ mm.

 11.    Right common iliac artery average diameter, __ mm.  There is no significant atherosclerotic calcification or intimal irregularity or tortuosity.

 12.    Right external iliac artery average diameter, __ mm.  There is no significant atherosclerotic calcification or intimal irregularity or tortuosity.

 13.    Right common femoral artery average diameter, __ mm.  There is no significant atherosclerotic calcification or intimal irregularity or tortuosity.

 14.    Left common iliac artery average diameter, __ mm.  There is no significant atherosclerotic calcification or intimal irregularity or tortuosity..

 15.    Left external iliac artery average diameter, __ mm.  There is no significant atherosclerotic calcification or intimal irregularity or tortuosity.

 16.    Left common femoral artery average diameter, __ mm.  There is no significant atherosclerotic calcification or intimal irregularity or tortuosity.