TAVI-JenaValve: Difference between revisions
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'''ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX''' | '''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.''' | '''Anesthesia- MAC is our new standard. Have ICU on standby.''' | ||
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*6Fr x 10cm sheath | *6Fr x 10cm sheath | ||
*8Fr x 10 cm sheath | *8Fr x 10 cm sheath | ||
*18F Cook Sheath | *18F Cook Sheath *** On standby | ||
===Wires:=== | ===Wires:=== | ||
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*Cordis 260J | *Cordis 260J | ||
*Safari 2 | *Safari 2 | ||
*Lunderquist *** On Standby | |||
===Catheters:=== | ===Catheters:=== | ||
*5Fr MPA | *5Fr MPA | ||
* | *5F MBP *** On standby | ||
*5F | *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:=== | ===Medications on table:=== | ||
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===Miscellaneous Supplies=== | ===Miscellaneous Supplies=== | ||
*3-port manifold kit | *3-port manifold kit (only if shooting coronaries) | ||
*Acist hand control | *Acist hand control | ||
*1 L warm saline (on standby) | *1 L warm saline (on standby) | ||
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*(3) Perclose | *(3) Perclose | ||
*(5) bowls (cold saline in all 5 * NO need for contrast mix on back table *) | *(5) bowls (cold saline in all 5 * NO need for contrast mix on back table *) | ||
*Suture removal kit (for back table) | *Suture removal kit (for back table) | ||
=== | ===Transvenous pacemaker supplies=== | ||
*8F Brite tip Sheath | *8F Brite tip Sheath | ||
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===PROCEDURAL INFO:=== | ===PROCEDURAL INFO:=== | ||
*Standard TAVR access. | *Standard TAVR access. (Jenavalve sheath is 20F) | ||
*Pigtail in contralateral access, injection for coplanar angle. | *Pigtail in contralateral access, injection for coplanar angle. | ||
*Change injector to 10/10 after coplanar angle established. | *Change injector to 10/10 after coplanar angle established. | ||
*Pigtail exchanged for MPA | *Pigtail exchanged for MPA | ||
*Pigtail advanced on primary side for valve crossing over J wire | *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) | *JV Guide sheath inserted (when ACT above 250) | ||
*Delivery system attached to pressure bag via co-pilot on front table. | *Delivery system attached to pressure bag via co-pilot on front table. | ||
*Valve inserted and deployed | *Valve inserted and deployed | ||
*Delivery system pulled back into | *Delivery system pulled back into JV sheath | ||
*Possible exchange for 18F sheath, re-advance the MP to remove the safari | *Possible exchange for 18F sheath, re-advance the MP to remove the safari | ||
<br /> | <br /> | ||
[[Category:Procedures]] | [[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
