TAVI - JenaValve: Difference between revisions
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{{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. }} | |||
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==Daniels/Spies - Draft== | |||
'''ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX''' | |||
'''Anesthesia- MAC is our new standard. Have ICU on standby.''' | |||
=== Sheaths: | ===Sheaths:=== | ||
* 5Fr Micropunture Kit | *5Fr Micropunture Kit | ||
* 6Fr | *6Fr Slender Sheath (Verify secondary access will be radial) | ||
*8Fr x 10 cm sheath | |||
* 8Fr x | *18F Cook Sheath *** On standby | ||
* 18F Cook Sheath | |||
=== Wires | ===Wires:=== | ||
* (2) Cordis 150J | *(2) Cordis 150J | ||
* Cordis 260J | *Cordis 260J | ||
* Safari 2 | *"Baby J" Glide 150 *if doing radial* | ||
*Safari 2 | |||
*Lunderquist *** On Standby | |||
=== Catheters: | ===Catheters:=== | ||
* 5Fr MPA | *5Fr MPA | ||
* | *5F MBP *** On standby | ||
* | *5F & 6F Angled Pigtail (Can be found in IR Room 2) | ||
*6F Marker Pigtail *** ASK BEFORE OPENING (From IR. If you only have a 5F drop PSI to 400.) | |||
=== Medications on table: | ===Medications on table:=== | ||
* Lido/Bupivicaine 50/50 | *Lido/Bupivicaine 50/50 | ||
*Verapamil for radial access | |||
* Epinephrine 10mcg/ml in red medallion syringe (From anesthesia) | *Epinephrine 10mcg/ml in red medallion syringe (From anesthesia) | ||
=== Miscellaneous Supplies | ===Miscellaneous Supplies=== | ||
* 3-port manifold kit | *3-port manifold kit (only if shooting coronaries) | ||
* Acist hand control | *Acist hand control | ||
* | *3 L cold NS | ||
*(2) 60ml syringes (for back table) | |||
* (2) 60ml syringes | *(2) 20ml syringes (one for back table one for front) | ||
* (2) 20ml syringes | *stopcock (for back table) | ||
* stopcock | *co-pilot (for back table) | ||
* co-pilot | *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 | ||
* 500ml hep saline on pressure bag | *(3) Perclose | ||
*(4) bowls (cold saline in all 4 * NO need for contrast mix on back table *) | |||
* (3) Perclose | *Suture removal kit (for back table) | ||
* ( | *Alligator cables for pacing | ||
*Solopace Remote | |||
=== Transvenous pacemaker supplies | ===Backup Transvenous pacemaker supplies *ON STANDBY*=== | ||
* 5Fr Josephson Pacing catheter | *8F Brite tip Sheath | ||
* Dual Red/Black Pacing Remington cables | *5Fr Josephson Pacing catheter | ||
* EP Quad Cable | *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 | |||
<br /> | |||
[[Category:Procedures]] | |||
Latest revision as of 16:16, 25 June 2025
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
Anesthesia- MAC is our new standard. Have ICU on standby.
Sheaths:
- 5Fr Micropunture Kit
- 6Fr Slender Sheath (Verify secondary access will be radial)
- 8Fr x 10 cm sheath
- 18F Cook Sheath *** On standby
Wires:
- (2) Cordis 150J
- Cordis 260J
- "Baby J" Glide 150 *if doing radial*
- Safari 2
- Lunderquist *** On Standby
Catheters:
- 5Fr MPA
- 5F MBP *** On standby
- 5F & 6F Angled Pigtail (Can be found in IR Room 2)
- 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
- Verapamil for radial access
- Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)
Miscellaneous Supplies
- 3-port manifold kit (only if shooting coronaries)
- Acist hand control
- 3 L cold NS
- (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
- (4) bowls (cold saline in all 4 * NO need for contrast mix on back table *)
- Suture removal kit (for back table)
- Alligator cables for pacing
- Solopace Remote
Backup Transvenous pacemaker supplies *ON STANDBY*
- 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
