Open MVI: Difference between revisions
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* 2 CL staff needed- 1 scrub 1 circulator/monitor | *2 CL staff needed- 1 scrub 1 circulator/monitor | ||
* Leave carts in the hall | *Leave carts in the hall | ||
* One long table for all equipment | *One long table for all equipment | ||
* Attach our leads in case we need to measure LVEDP | *Attach our leads in case we need to measure LVEDP | ||
* IF Sentinel: | *IF Sentinel: | ||
** Surgical incision made first so anticoagulation can be performed after | **Surgical incision made first so anticoagulation can be performed after | ||
** Preprep device | **Preprep device | ||
** Keep ACIST on cart and have ready to hook up, 100% contrast ok if creatnine ok | **Keep ACIST on cart and have ready to hook up, 100% contrast ok if creatnine ok | ||
* IF CP Bypass cannulas inserted by IC | *IF CP Bypass cannulas inserted by IC | ||
** 8F sheath first used for pigtail- AOgram for sentinel | **8F sheath first used for pigtail- AOgram for sentinel | ||
** Preclose A x 2 | **Preclose A x 2 | ||
** Standard ECMO equipment | **Standard ECMO equipment | ||
* Don't open valve equipment until cannulas and sentinel in place (if using) | *Don't open valve equipment until cannulas and sentinel in place (if using) | ||
* Remove C arm after sentinel/cannula placement. | *Remove C arm after sentinel/cannula placement. | ||
* 2 Commander setups used | *2 Commander setups used | ||
** one for dilating graft | **one for dilating graft | ||
** one for valve- 2 indeflators if 29 | **one for valve- 2 indeflators if 29 | ||
* CTS secures Aortic Stent Graft | *CTS secures Aortic Stent Graft | ||
* Open valve according to OR policy | *Open valve according to OR policy | ||
** Verify with MD prior to opening | **Verify with MD prior to opening | ||
** Give OR a copy of IFU | **Give OR a copy of IFU | ||
* Valve | * Pigtail inserted preloaded with Safari wire | ||
** Valve needs to be mounted on balloon. Edwards to get us information about aligning valve on balloon without fluoro. | *Valve | ||
** Fill 38 indeflator to max to account for post dil placement (29) | **Valve needs to be mounted on balloon. **Edwards to get us information about aligning valve on balloon without fluoro.** | ||
* Remove Sentinel BEFORE PROTAMINE | **Fill 38 indeflator to max to account for post dil placement (29) | ||
* Move table out of the way. OR has it from here until TR band ready to be applied. | * Pigtail inserted preloaded with Safari wire | ||
*Remove Sentinel BEFORE PROTAMINE | |||
*Move table out of the way. OR has it from here until TR band ready to be applied. | |||
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'''Post procedure thoughts''' | '''Post procedure thoughts''' | ||
* Certitude delivery system? | *Certitude delivery system? | ||
* Bring Xray back in for stent graft and valve deployment | *Bring Xray back in for stent graft and valve deployment | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 23:31, 5 September 2020
Hybrid OR Procedure
- 2 CL staff needed- 1 scrub 1 circulator/monitor
- Leave carts in the hall
- One long table for all equipment
- Attach our leads in case we need to measure LVEDP
- IF Sentinel:
- Surgical incision made first so anticoagulation can be performed after
- Preprep device
- Keep ACIST on cart and have ready to hook up, 100% contrast ok if creatnine ok
- IF CP Bypass cannulas inserted by IC
- 8F sheath first used for pigtail- AOgram for sentinel
- Preclose A x 2
- Standard ECMO equipment
- Don't open valve equipment until cannulas and sentinel in place (if using)
- Remove C arm after sentinel/cannula placement.
- 2 Commander setups used
- one for dilating graft
- one for valve- 2 indeflators if 29
- CTS secures Aortic Stent Graft
- Open valve according to OR policy
- Verify with MD prior to opening
- Give OR a copy of IFU
- Pigtail inserted preloaded with Safari wire
- Valve
- Valve needs to be mounted on balloon. **Edwards to get us information about aligning valve on balloon without fluoro.**
- Fill 38 indeflator to max to account for post dil placement (29)
- Pigtail inserted preloaded with Safari wire
- Remove Sentinel BEFORE PROTAMINE
- Move table out of the way. OR has it from here until TR band ready to be applied.
Post procedure thoughts
- Certitude delivery system?
- Bring Xray back in for stent graft and valve deployment
