Goyal Farapulse

General: Goyal wants to be flexible btw BW/Abbott and droplist will adjust depending on vendor.

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/paralyzed (long acting) throughout procedure

-No foley

-No isuprel

-Antibiotics per woods protocol (only w/device, implants etc.)

-Fluoro

-Goal ACT>300

CardioLab 12 Leads (lab 5), or Claris 12 lead / MacLab 5 lead (lab 4), Anesthesia leads

-1 Grounds, Abbott patches, regular defib pad

From Pyxis:

-Case by case basis for protamine

-No famotidine

-bupivicaine

- (2x) heparin vials (10,000 u/10mL)

- (1x) heparin premixed (25,000/250mL)

- for typical AFL PFA: Nitro - 250ml bottle of 200mcg/ml

Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(1x) 500mL NS with 5000u heparin for the table

-(2x) 500mL NS with 5000u heparin for red/yellow lines

-(1x prepulled from pyxis 25,000u heparin/250mL NS) heparin drip for blue line

Lines:

-ACT

-Blue (heparin drip)

-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr)

-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, on pump at 50cc/hr)

Charting ablation in Cupid:

System used - freetext Farapulse

Energy - freetext PFA

Number of energy applications - # per Ablation site

Drop List: Sheaths:

8f pinnacle (LiveWire DuoDeca) (Most cranial RFV stick)

10.5F fastcath (ICE) (middle of 3 RFV sticks)

8f pinnacle (Most caudal RFV stick) (---> Preclose ----> SL1 + Baylis 71cm ---> Map with Grid -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave)

Rampart + Radpad

3x yellow filters

10f Acunav (non-soundstar) (middle of 3 RFV sticks)

1x Perclose

DuoDeca + Cable (most cranial stick)

Grid + Cable

Light handle cover

VersaCross 180cm (if known PFA... if unknown, ask MD)

1x Ice Sleeve

1x Access sleeve

ACT line

3x pressure line extensions (label blue/red/yellow)

Ioban

2x 8F pinnacle

10.5f fastcath

ask - driver/0pds/stopcock for woggle if no protamine

chloraprep

vascade x2

Rosen wire w/1.5mmJ