Tricuspid ViV: Difference between revisions

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{| class="wikitable"
{| class="wikitable"
! colspan="6" |Mitral Clip
|-
|-
!Anesthesia
!Anesthesia
!Imaging
!Imaging
!Access
!Access
!Pre-Procedure
!ACIST
!Manifold
!Pacing
|-
|-
|General
|MAC
|Fluoro, TEE
|Fluoro, TTE
|
|
4F Femoral Vein for drawing ACT's
Femoral Vein  
|No
|No
|25 Output, 140-200bpm
|}
 
==Supplies==
 
*Standard TAVR backtable setup
*8F Sheath
*150 J
*260J
*Safari
*Alligator Clip Pacing cable
*6F Angled Pigtail
*0 Prolene
*Micropuncture (for woggle only)
*Perclose and Nu-Knit
 
===Standby: ===
 
*8.5F Agilis or TourGuide
*Double-pump-valve-cracker setup for BVF
*6F balloon wedge
*5F balloon tip pacer
Pacing - 25 Output, 140-200bpm
 
==Procedure==


<nowiki>**</nowiki> If functional MR/low EF Anesthesia to obtain A line and femoral vein sheath not necessary.
#Single Venous access
|
#Pre-close
|}
#8F Sheath inserted
#Pigtail and J wire advanced to RV
#J wire exchanged for Safari
#Sheath exchanged for E Sheath
#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 22:58, 21 February 2024

Anesthesia Imaging Access ACIST Manifold Pacing
MAC Fluoro, TTE

Femoral Vein

No No 25 Output, 140-200bpm

Supplies

  • Standard TAVR backtable setup
  • 8F Sheath
  • 150 J
  • 260J
  • Safari
  • Alligator Clip Pacing cable
  • 6F Angled Pigtail
  • 0 Prolene
  • Micropuncture (for woggle only)
  • Perclose and Nu-Knit

Standby:

  • 8.5F Agilis or TourGuide
  • Double-pump-valve-cracker setup for BVF
  • 6F balloon wedge
  • 5F balloon tip pacer

Pacing - 25 Output, 140-200bpm

Procedure

  1. Single Venous access
  2. Pre-close
  3. 8F Sheath inserted
  4. Pigtail and J wire advanced to RV
  5. J wire exchanged for Safari
  6. Sheath exchanged for E Sheath
  7. Valve delivery system advanced
  8. Pacer tested
  9. Valve deployed
  10. Safari exchanged for J wire
  11. Perclose completed and woggle placed.
  12. Voila.