Open MVI: Difference between revisions

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Hybrid OR Procedure
Hybrid OR Procedure


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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588478/


*2 CL staff needed- 1 scrub 1 circulator/monitor
*2 CL staff needed- 1 scrub 1 circulator/monitor

Revision as of 17:11, 21 September 2021

Hybrid OR Procedure

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588478/

  • 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