Tricuspid ViR: Difference between revisions
From Bay Area Structural Heart Wiki
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==Supplies== | ==Supplies== | ||
===Open:=== | |||
*Standard TAVR backtable setup with Certitude delivery system | *Standard TAVR backtable setup with Certitude delivery system | ||
*8F Sheath | *8F Sheath | ||
| Line 35: | Line 35: | ||
*Perclose x 1 | *Perclose x 1 | ||
===Standby: === | |||
Standby: | |||
*Sizing Balloon? | *Sizing Balloon? | ||
*5F MPA | *5F MPA | ||
| Line 46: | Line 44: | ||
==PVL Closure:== | |||
* Plug Cart in room. May be ASO, Cardioform, or AVP2 | * Plug Cart in room. May be ASO, Cardioform, or AVP2 | ||
* Standard Glidewire for crossing | * Standard Glidewire for crossing | ||
* Amplatz ES if using Trevisio/Torqvue | * Amplatz ES if using Trevisio/Torqvue | ||
==Procedure== | ==Procedure== | ||
#IJ accessS | |||
#Single preclose | |||
#Certitude Sheath Advanced | |||
#Pigtail and J wire advanced to RV | |||
#J wire exchanged for Safari | |||
#*Shave back of Safari for pacing | |||
#Valve delivery system advanced | |||
#Pacer tested | |||
#Valve deployed | |||
#Safari exchanged for J wire | |||
#Perclose completed and woggle placed. | |||
#Voila. | |||
<br /> | <br /> | ||
Revision as of 22:19, 8 December 2021
THIS PAGE IS BASED OFF THE 1 PREVIOUS TVIR. VERY PRELIMINARY.
Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement.
| Anesthesia | Imaging | Access | ACIST | Manifold |
|---|---|---|---|---|
| GA | Fluoro, TEE |
LEFT IJ Vein |
No | No |
Supplies
Open:
- Standard TAVR backtable setup with Certitude delivery system
- 8F Sheath
- 150 J
- 260J
- Safari
- Alligator Clip Pacing cable
- 6F Angled Pigtail
- 0 Prolene
- Micropuncture
- Perclose x 1
Standby:
- Sizing Balloon?
- 5F MPA
- 8.5F TourGuide
- Agilis
- 6F balloon wedge
- Pacing Supplies
PVL Closure:
- Plug Cart in room. May be ASO, Cardioform, or AVP2
- Standard Glidewire for crossing
- Amplatz ES if using Trevisio/Torqvue
Procedure
- IJ accessS
- Single preclose
- Certitude Sheath Advanced
- Pigtail and J wire advanced to RV
- J wire exchanged for Safari
- Shave back of Safari for pacing
- Valve delivery system advanced
- Pacer tested
- Valve deployed
- Safari exchanged for J wire
- Perclose completed and woggle placed.
- Voila.
