Goyal Farapulse: Difference between revisions
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-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr) | -Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr) | ||
-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, on pump at | -Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, on pump at 60-120cc/hr) | ||
| Line 76: | Line 76: | ||
Drop List: Sheaths: | Drop List: Sheaths: | ||
8f pinnacle (LiveWire DuoDeca) (Most cranial RFV stick) | '''8f pinnacle''' (LiveWire DuoDeca) (Most cranial RFV stick) | ||
10.5F fastcath (ICE) (middle of 3 RFV sticks) | '''10.5F fastcath''' (ICE) (middle of 3 RFV sticks) | ||
8f pinnacle (Most caudal RFV stick) (---> Preclose ----> | '''8f pinnacle''' (Most caudal RFV stick) (---> Preclose ----> Long 13F Agilis + Baylis 98cm ---> Map with Grid X/Penta/Octa -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave) | ||
| Line 94: | Line 94: | ||
1x Perclose | 1x Perclose | ||
DuoDeca + Cable (most cranial stick) | DuoDeca + Cable (either quick connect or pin depending on lab) (most cranial stick) | ||
Grid + Cable | Grid/Penta/Octa + Cable or sleeve | ||
13F Agilis (check curve) | |||
Baylis Cable | |||
Latest revision as of 15:48, 17 September 2025
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 60-120cc/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 ----> Long 13F Agilis + Baylis 98cm ---> Map with Grid X/Penta/Octa -----> 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 (either quick connect or pin depending on lab) (most cranial stick)
Grid/Penta/Octa + Cable or sleeve
13F Agilis (check curve)
Baylis Cable
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
