Tricuspid ViV: Difference between revisions

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Tricuspid ring is open to allow space for AV node.  Higher likelihood of PVL due to shape.
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*Agilis
*8.5F TourGuide
*6F balloon wedge
*6F balloon wedge
*5F balloon tip pacer


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Revision as of 22:04, 5 February 2021

Tricuspid ring is open to allow space for AV node. Higher likelihood of PVL due to shape.

Anesthesia Imaging Access ACIST Manifold
MAC Fluoro, TTE

Femoral Vein

No No

Supplies

  • Standard TAVR backtable setup
  • 8F Sheath
  • 150 J
  • 260J
  • Safari
  • Alligator Clip Pacing cable
  • 6F Angled Pigtail
  • 0 Prolene
  • Micropuncture (for woggle only)


Standby:

  • 8.5F TourGuide
  • 6F balloon wedge
  • 5F balloon tip pacer


Procedure

  • Single Venous access
  • Double Preclose
  • 8F Sheath inserted
  • Pigtail and J wire advanced to RV
  • J wire exchanged for Safari
    • Shave back of Safari for pacing
  • Sheath exchanged for E Sheath
  • Valve delivery system advanced
  • Pacer tested
  • Valve deployed
  • Safari exchanged for J wire
  • Perclose completed and woggle placed.
  • Voila.