View source for LVAD Takedown - (Outflow Occlusion)

Performed when an LVAD patient has cardiac recovery and the LVAD is being decommissioned.


{| class="wikitable"
! colspan="6" |LVAD Outflow Graft Occlusion and Decommission 
|-
!Anesthesia
!Imaging
!Access
!Prep and Drape
|'''Extra Tidbits'''
|-
|General
|Fluoro, TEE
|8F Femoral Artery
|Prep out LVAD driveline and square off.  Drape groins in standard fashion, covering driveline drapes.  

When time to access driveline MD will cut out top drape to access driveline.
|DO NOT DC HEPARIN ON CALL TO CCL.
Need 1g of Vancomycin Powder for pocket.
|}

=== Equipment for Outflow Graft Occlusion ===

* Mircopuncture
* 7For 8F 90cm Shuttle sheath (Sheath depending on plug size)
* 5F MP
* Rosen
* AVP2
* Perclose
* Probe Cover
* Manifold with contrast line

<br />

=== Procedure for Outflow Graft Occlusion ===

* Shuttle Sheath advanced
** if using 8F, will preclose first
* Rosen advanced, may use MP if difficulty cannulating graft
* Shuttle tunneled into graft
* Plug advanced and deployed
* Groin closure 

<br />

=== Equipment for Driveline Transection and Internalization ===

* Double action rib cutter
* Pacemaker Tray
* 15 blade
* Bovie
* (2) 3-0 Vicryl
* (2) 4-0 Vicryl
* 1g Vancomycin Powder in cup
* Dermabond

<br />

=== Procedure for Driveline Transection and Internalization ===

* Skin incision
* Driveline transected
* Driveline severed with double action rib cutter
* Driveline Internalized
* Vancomycin sprinkled in pocket
* Pocket closed
* Dermabond applied.
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[[Category:Procedures]]