Tricuspid ViR

THIS PAGE IS BASED OFF THE 1 PREVIOUS TVIR. VERY PRELIMINARY.

Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement.

Anesthesia	Imaging	Access	ACIST	Manifold
GA	Fluoro, TEE	LEFT IJ Vein	No	No

Supplies

Open:

• Standard TAVR backtable setup with Certitude delivery system
• 8F Sheath
• 150 J
• 260J
• Safari
• Alligator Clip Pacing cable
• 6F Angled Pigtail
• 0 Prolene
• Micropuncture
• Perclose x 1

Standby:

• Sizing Balloon?
• 5F MPA
• 8.5F TourGuide
• Agilis
• 6F balloon wedge
• Pacing Supplies

PVL Closure:

• Plug Cart in room. May be ASO, Cardioform, or AVP2
• Standard Glidewire for crossing
• Amplatz ES if using Trevisio/Torqvue

Procedure

1. IJ access
2. Single preclose
3. Certitude Sheath Advanced
4. Pigtail and J wire advanced to RV
5. J wire exchanged for Safari
   • Shave back of Safari for pacing
6. Valve delivery system advanced
7. Pacer tested
8. Valve deployed
9. Safari exchanged for J wire
10. Perclose completed and woggle placed.
11. Voila.

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