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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Revision as of 16:33, 16 February 2021

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.


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