Tricuspid ViR: Difference between revisions
From Bay Area Structural Heart Wiki
(Created page with "Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement.") |
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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. | Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement. | ||
{| class="wikitable" | |||
|- | |||
!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 access | |||
#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 /> | |||
<HR> | |||
[[Category:Procedures]] | |||
Latest 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 access
- 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.
