TAVI-JenaValve: Difference between revisions

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{{Note|Ensure Milena and the research team are in the lab at the time the patient enters the room. This is to expedite the valve prep. }}
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==Daniels/Spies - Draft==
'''ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX'''
'''Bipolar Pacing for ALL Jenavalve implants. (Because JenaValve sheath doesn't allow for electrical conduction.)'''
'''Anesthesia- MAC is our new standard. Have ICU on standby.'''
===Sheaths:===


== Daniels/Spies - Draft[edit | edit source] ==
*5Fr Micropunture Kit
ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX
*6Fr x 10cm sheath
*8Fr x 10 cm sheath
*18F Cook Sheath *** On standby


=== Sheaths:[edit | edit source] ===
===Wires:===


* 5Fr Micropunture Kit
*(2) Cordis 150J
* 6Fr x 10cm sheath
*Cordis 260J
* 8Fr x 10 cm sheath (Dilator used only)
*Safari 2
* 8Fr x 35 cm Brite Tip Sheath
*Lunderquist *** On Standby
* 9Fr x 10cm sheath
* 18F Cook Sheath


=== Wires[edit | edit source] ===
===Catheters:===


* (2) Cordis 150J
*5Fr MPA
* Cordis 260J
*5F MBP *** On standby
* Safari 2
*5F & 6F Angled Pigtail
*6F Marker Pigtail *** ASK BEFORE OPENING (From IR . If you only have a 5F drop PSI to 400.)


=== Catheters:[edit | edit source] ===
===Medications on table:===


* 5Fr MPA
*Lido/Bupivicaine 50/50
* 5Fr MPB
* 5Fr Angled Pigtail


=== Medications on table:[edit | edit source] ===
*Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)


* Lido/Bupivicaine 50/50
===Miscellaneous Supplies===


* Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)
*3-port manifold kit (only if shooting coronaries)
*Acist hand control
*1 L warm saline (on standby)
*3 L cold saline
*(2) 60ml syringes (for back table)
*(2) 20ml syringes (one for back table one for front)
*stopcock (for back table)
*co-pilot (for back table)
*Roto-tubing (for back table, will be tossed over from table and spiked in pressure bag of hep saline)
*500ml hep saline on pressure bag for delivery system
*(3) Perclose
*(5) bowls (cold saline in all 5 * NO need for contrast mix on back table *)
*Suture removal kit (for back table)  


=== Miscellaneous Supplies[edit | edit source] ===
===Transvenous pacemaker supplies===


* 3-port manifold kit
*8F Brite tip Sheath
* Acist hand control
*5Fr Josephson Pacing catheter
* 2L cold saline
*Dual Red/Black Pacing Remington cables
* 2L room temp saline
*EP Quad Cable
* (2) 60ml syringes
* (2) 20ml syringes
* stopcock
* co-pilot
* 108cm tubing
* 500ml hep saline on pressure bag
* back table cover
* (3) Perclose
* (5) bowls


=== Transvenous pacemaker supplies[edit | edit source] ===
===PROCEDURAL INFO:===


* 5Fr Josephson Pacing catheter
*Standard TAVR access. (Jenavalve sheath is 20F)
* Dual Red/Black Pacing Remington cables
*Pigtail in contralateral access, injection for coplanar angle.
* EP Quad Cable
*Change injector to 10/10 after coplanar angle established.
*Pigtail exchanged for MPA
*Pigtail advanced on primary side for valve crossing over J wire
*J-wire exchanged for Safari and pigtail removed
*JV Guide sheath inserted (when ACT above 250)
*Delivery system attached to pressure bag via co-pilot on front table.
*Valve inserted and deployed
*Delivery system pulled back into JV sheath
*Possible exchange for 18F sheath, re-advance the MP to remove the safari
 
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=== PROCEDURAL INFO: ===
[[Category:Procedures]]

Latest revision as of 20:48, 27 July 2023

Note Note: Ensure Milena and the research team are in the lab at the time the patient enters the room. This is to expedite the valve prep.


Daniels/Spies - Draft

ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX

Bipolar Pacing for ALL Jenavalve implants. (Because JenaValve sheath doesn't allow for electrical conduction.)

Anesthesia- MAC is our new standard. Have ICU on standby.

Sheaths:

  • 5Fr Micropunture Kit
  • 6Fr x 10cm sheath
  • 8Fr x 10 cm sheath
  • 18F Cook Sheath *** On standby

Wires:

  • (2) Cordis 150J
  • Cordis 260J
  • Safari 2
  • Lunderquist *** On Standby

Catheters:

  • 5Fr MPA
  • 5F MBP *** On standby
  • 5F & 6F Angled Pigtail
  • 6F Marker Pigtail *** ASK BEFORE OPENING (From IR . If you only have a 5F drop PSI to 400.)

Medications on table:

  • Lido/Bupivicaine 50/50
  • Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)

Miscellaneous Supplies

  • 3-port manifold kit (only if shooting coronaries)
  • Acist hand control
  • 1 L warm saline (on standby)
  • 3 L cold saline
  • (2) 60ml syringes (for back table)
  • (2) 20ml syringes (one for back table one for front)
  • stopcock (for back table)
  • co-pilot (for back table)
  • Roto-tubing (for back table, will be tossed over from table and spiked in pressure bag of hep saline)
  • 500ml hep saline on pressure bag for delivery system
  • (3) Perclose
  • (5) bowls (cold saline in all 5 * NO need for contrast mix on back table *)
  • Suture removal kit (for back table)

Transvenous pacemaker supplies

  • 8F Brite tip Sheath
  • 5Fr Josephson Pacing catheter
  • Dual Red/Black Pacing Remington cables
  • EP Quad Cable

PROCEDURAL INFO:

  • Standard TAVR access. (Jenavalve sheath is 20F)
  • Pigtail in contralateral access, injection for coplanar angle.
  • Change injector to 10/10 after coplanar angle established.
  • Pigtail exchanged for MPA
  • Pigtail advanced on primary side for valve crossing over J wire
  • J-wire exchanged for Safari and pigtail removed
  • JV Guide sheath inserted (when ACT above 250)
  • Delivery system attached to pressure bag via co-pilot on front table.
  • Valve inserted and deployed
  • Delivery system pulled back into JV sheath
  • Possible exchange for 18F sheath, re-advance the MP to remove the safari


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