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:=== | |||
*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 | |||
<br /> | |||
[[Category:Procedures]] |
Latest revision as of 20:48, 27 July 2023
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