TAVI-JenaValve: Difference between revisions
From Bay Area Structural Heart Wiki
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If patient has permanent pacer, no need for TVP. Pacing is only used for backup (not deployment). | If patient has permanent pacer, no need for TVP. Pacing is only used for backup (not deployment). | ||
Anesthesia- GA is standard. May consider MAC based on patient. If MAC, may want ICE. | |||
===Sheaths:=== | ===Sheaths:=== | ||
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*8Fr x 10 cm sheath (Dilator used only) | *8Fr x 10 cm sheath (Dilator used only) | ||
*8Fr x 35 cm Brite Tip Sheath | *8Fr x 35 cm Brite Tip Sheath | ||
*18F Cook Sheath- on standby in case of BAV | |||
*18F Cook Sheath | |||
===Wires:=== | ===Wires:=== | ||
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*5Fr MPA | *5Fr MPA | ||
*5Fr Angled Pigtail | *5Fr Angled Pigtail | ||
*5F MBP on standby | |||
===Medications on table:=== | ===Medications on table:=== | ||
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*3-port manifold kit | *3-port manifold kit | ||
*Acist hand control | *Acist hand control | ||
* | *3L cold saline | ||
* | *1L warm saline | ||
*(2) 60ml syringes | *(2) 60ml syringes | ||
*(2) 20ml syringes | *(2) 20ml syringes | ||
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*108cm tubing | *108cm tubing | ||
*500ml hep saline on pressure bag | *500ml hep saline on pressure bag | ||
*(3) Perclose | *(3) Perclose | ||
*(5) bowls | *(5) bowls | ||
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===PROCEDURAL INFO:=== | ===PROCEDURAL INFO:=== | ||
* Standard TAVR access. NO V IF PT HAS PACEMAKER. | |||
* Pigtail in contralateral access, injection for coplanar angle. | |||
* Pigtail exchanged for MPA | |||
* Pigtail advanced on primary side for valve crossing over J wire | |||
* Jwire exchanged for Safari and pigtail removed | |||
* JV Guide sheath inserted | |||
* | |||
<br /> | |||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 00:00, 29 September 2020
Daniels/Spies - Draft
ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX
If patient has permanent pacer, no need for TVP. Pacing is only used for backup (not deployment).
Anesthesia- GA is standard. May consider MAC based on patient. If MAC, may want ICE.
Sheaths:
- 5Fr Micropunture Kit
- 6Fr x 10cm sheath
- 8Fr x 10 cm sheath (Dilator used only)
- 8Fr x 35 cm Brite Tip Sheath
- 18F Cook Sheath- on standby in case of BAV
Wires:
- (2) Cordis 150J
- Cordis 260J
- Safari 2
Catheters:
- 5Fr MPA
- 5Fr Angled Pigtail
- 5F MBP on standby
Medications on table:
- Lido/Bupivicaine 50/50
- Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)
Miscellaneous Supplies
- 3-port manifold kit
- Acist hand control
- 3L cold saline
- 1L warm saline
- (2) 60ml syringes
- (2) 20ml syringes
- stopcock
- co-pilot
- 108cm tubing
- 500ml hep saline on pressure bag
- (3) Perclose
- (5) bowls
Transvenous pacemaker supplies
- 5Fr Josephson Pacing catheter
- Dual Red/Black Pacing Remington cables
- EP Quad Cable
PROCEDURAL INFO:
- Standard TAVR access. NO V IF PT HAS PACEMAKER.
- Pigtail in contralateral access, injection for coplanar angle.
- Pigtail exchanged for MPA
- Pigtail advanced on primary side for valve crossing over J wire
- Jwire exchanged for Safari and pigtail removed
- JV Guide sheath inserted
