TAVI - CoreValve (Medtronic): Difference between revisions
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'''Transcatheter Aortic Valve Repair''' ([[wikipedia:Percutaneous_aortic_valve_replacement|Wikipedia]]) procedures utilize a femoral approach to deliver a stent-based aortic valve to the patients heart. There are two valve types available: | '''Transcatheter Aortic Valve Repair''' ([[wikipedia:Percutaneous_aortic_valve_replacement|Wikipedia]]) procedures utilize a femoral approach to deliver a stent-based aortic valve to the patients heart. There are two valve types available: | ||
*[https://www.medtronic.com/us-en/healthcare-professionals/therapies-procedures/cardiovascular/transcatheter-aortic-valve-replacement.html CoreValve by Medtronic] | *[https://www.medtronic.com/us-en/healthcare-professionals/therapies-procedures/cardiovascular/transcatheter-aortic-valve-replacement.html CoreValve by Medtronic] - This page | ||
*[https://www.edwards.com/gb/devices/heart-valves/transcatheter-SAPIEN-3-Ultra Sapien 3 Ultra by Edwards] | *[https://www.edwards.com/gb/devices/heart-valves/transcatheter-SAPIEN-3-Ultra Sapien 3 Ultra by Edwards] - [[TAVR - Sapien 3 (Edwards)]] | ||
This procedure is usually done in Room 1, and requires a 5 person team: Front table scrub, Back table scrub (device prep), Circulator, Pacer/Circulator, and Recorder. The rep for the respective company will be present to assist with device prep except in the case of an emergency valve placement. | This procedure is usually done in Room 1, and requires a 5 person team: Front table scrub, Back table scrub (device prep), Circulator, Pacer/Circulator, and Recorder. The rep for the respective company will be present to assist with device prep except in the case of an emergency valve placement. | ||
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===Sheaths:=== | ===Sheaths:=== | ||
*5Fr Micropunture Kit | *5Fr Micropunture Kit | ||
*6Fr x 10cm sheath | *6Fr x 10cm sheath | ||
*8Fr x 10 cm sheath (Dilator used only) | *8Fr x 10 cm sheath (Dilator used only) | ||
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===Catheters:=== | ===Catheters:=== | ||
*5Fr AL1 diagnostic | *5Fr AL1 diagnostic | ||
*5Fr Ang Pigtail | *5Fr Ang Pigtail | ||
*5Fr JL4/JR4 (when doing coronary angiography) | *5Fr JL4/JR4 (when doing coronary angiography) | ||
Revision as of 19:04, 28 October 2019
Transcatheter Aortic Valve Repair (Wikipedia) procedures utilize a femoral approach to deliver a stent-based aortic valve to the patients heart. There are two valve types available:
This procedure is usually done in Room 1, and requires a 5 person team: Front table scrub, Back table scrub (device prep), Circulator, Pacer/Circulator, and Recorder. The rep for the respective company will be present to assist with device prep except in the case of an emergency valve placement.
In rare cases, the BASILICA procedure will be necessary to split the existing valve leaflets to prevent blockage of the coronary arteries. In that situation, the equipment on the BASILICA page will be needed in addition to the equipment listed below.
Daniels/Spies - Draft
ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX
Sheaths:
- 5Fr Micropunture Kit
- 6Fr x 10cm sheath
- 8Fr x 10 cm sheath (Dilator used only)
- 8Fr x 35 cm Brite Tip Sheath
- 9Fr x 10cm sheath
Wires
- (2) Cordis 150J
- Cordis 260J
- Amplatz Extra Stiff 260cm
- Terumo Stiff Straight Glidewire 0.035 x 150 cm
- CORE VALVE - Safari 2 Wire used instead of Amplatz ES
Catheters:
- 5Fr AL1 diagnostic
- 5Fr Ang Pigtail
- 5Fr JL4/JR4 (when doing coronary angiography)
- CORE VALVE - 5Fr Str Pigtail in addition to catheters listed above
Medications on table:
- Lido/Bupivicaine 50/50
- Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)
- 10 ml Rotaglide
Miscellaneous Supplies
- Daniel’s TAVR 3-port manifold kit
- Acist hand control
- 25g 1 ½ “ Daniels Lido Needle"
- Suture Lock
- (4) Sterile Bowls
- ¾ sterile sheet or back table cover
- (2) High Pressure stopcocks
- (2) 60ml syringe
- 20 ml syringe
- (3) Perclose
- CORE VALVE - 2L cold NS, DO NOT NEED: 4 sterile bowls, 60ml syringes
Transvenous pacemaker supplies
- 5Fr Josephson Pacing catheter
- Dual Red/Black Pacing Remington cables
- EP Quad Cable
Standby ECMO & Pericardial Effusion supplies
EMERGENT PERICARDIOCENTESIS
Not DD or CS
Call Echo
- Micropuncture
- 75 Amplatz SS
- Pericardiocentesis tray
- Accordion drain bag
Spies
Call Echo
Supplies:
- Micro puncture
- 150cm J wire
- 4/5fr slender sheath
- 5fr straight pigtail diagnostic
- gravity drainage bag
- brown reservoir lab canister
- Two 50 or 60ml syringes
Daniels
Call Echo
Supplies
Open
Emergency Kit located in each lab containing the following items:
- Eye drape
- Skater introducer set
- Bard locking pigtail (6f or 8f)
- (3) 60ml luer lock syringe
- Amplatz super stiff .035 180cm wire
- Probe cover
- Stopcock
- Accordion drainage bag
Standby
- Chiba biopsy needle 10cm 18g
- Standard .035 150cm j wire
Approved: MM/YY
