Intrepid valve: Difference between revisions
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{{Note|CALL MILENA AS SOON AS PATIENT IS IN THE ROOM!! 415-368-3094}}</BR>[[File:Intrepid_supply_list.pdf|thumb|page=1|right|Supply list from Medtronic]] | {{Note|CALL MILENA AS SOON AS PATIENT IS IN THE ROOM!! 415-368-3094}}</BR> | ||
<BR>[[File:Intrepid_supply_list.pdf|thumb|page=1|right|Supply list from Medtronic]] | |||
[[File:IntrepidTable1.jpg|thumb|150px|right|Intrepid table Setup]] | [[File:IntrepidTable1.jpg|thumb|150px|right|Intrepid table Setup]] | ||
[[File:IntrepidTable2.jpg|thumb|150px|right|Intrepid table Setup]] | [[File:IntrepidTable2.jpg|thumb|150px|right|Intrepid table Setup]] | ||
[[File:IntrepidTable3.jpg|thumb|150px|right|Intrepid table Setup]] | [[File:IntrepidTable3.jpg|thumb|150px|right|Intrepid table Setup]] | ||
{{Note|TIMEOUT - Be sure that any temporary catheter across the tricuspid valve is removed prior to deployment }} | |||
__NOINDEX__ | __NOINDEX__ | ||
===Setup Notes=== | ===Setup Notes=== | ||
| Line 9: | Line 12: | ||
**(2) Pressure bags with NS for device drips | **(2) Pressure bags with NS for device drips | ||
**(3) bowls with 500ml NS in each | **(3) bowls with 500ml NS in each | ||
**(1) 60 cc with 30ml of Hep Saline the other two are for Saline. | **(1) 60 cc with 30ml of Hep Saline the other two are for Saline. | ||
**Pickups for back table | **Pickups for back table | ||
* Mitra-clip plate and stool provided by reps (Stool edge is 100cm from mid-sternum) | *Mitra-clip plate and stool provided by reps (Stool edge is 100cm from mid-sternum) | ||
*Use Coban to attach long table to short table end-to-end to make extra long table | *Use Coban to attach long table to short table end-to-end to make extra long table | ||
* | *LV pacing | ||
===Open=== | ===Open=== | ||
| Line 24: | Line 26: | ||
*6fr. Pinnacle | *6fr. Pinnacle | ||
*8fr. Pinnacle | *8fr. Pinnacle | ||
*Safari | *Safari | ||
*0.035 x150 J-wire | *0.035 x150 J-wire | ||
*Lunderquist DC 260cm | *Lunderquist DC 260cm | ||
*Rampart Drape | |||
*5Fr JR4 diagnostic catheter | *5Fr JR4 diagnostic catheter | ||
*5Fr angled pigtail | *5Fr angled pigtail | ||
*Alligator clip pacing cable | *Alligator clip pacing cable | ||
*(3) Perclose | * (3) Perclose | ||
*2 Roto-tubing(for back table) | * 2 Roto-tubing(for back table) | ||
*2 60ml syringes (for back table) | * 2 60ml syringes (for back table) | ||
*2 20ml syringes (for back table) | *2 20ml syringes (for back table) | ||
*Acist setup with 100% contrast for RV or LV gram | *Acist setup with 100% contrast for RV or LV gram | ||
===Procedure=== | === Procedure=== | ||
#6Fr Sheath RFA with micropuncture | #6Fr Sheath RFA with micropuncture | ||
#8Fr Sheath RFV with 18 gauge entry needle access | #8Fr Sheath RFV with 18 gauge entry needle access | ||
#RFV Pre-closed x 2 | # RFV Pre-closed x 2 | ||
#150 J loaded into perclose and 8Fr sheath in RFV | #150 J loaded into perclose and 8Fr sheath in RFV | ||
#JR4 advanced to SVC for wire exchange. | #JR4 advanced to SVC for wire exchange. | ||
#J-wire removed for Lunderquist. | #J-wire removed for Lunderquist. | ||
#40Fr Dilator in and out. | #40Fr Dilator in and out. | ||
| Line 52: | Line 55: | ||
#Final positioning of valve and deployed while pacing. | #Final positioning of valve and deployed while pacing. | ||
#Safari and pigtail | #Safari and pigtail | ||
#Intrepid sheath removed and perclose completed. May need a 2-0 prolene for mattress stitch. | #Intrepid sheath removed and perclose completed. May need a 2-0 prolene for mattress stitch. | ||
#Perclose to RFA | #Perclose to RFA | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Latest revision as of 21:51, 24 September 2024
Note: CALL MILENA AS SOON AS PATIENT IS IN THE ROOM!! 415-368-3094
Note: TIMEOUT - Be sure that any temporary catheter across the tricuspid valve is removed prior to deployment
Setup Notes
- Reps prep - ~ 1 hour! (Make sure reps are prepping valve WAYYY before we prep the patient)
- (6) liters cold saline
- (2) Pressure bags with NS for device drips
- (3) bowls with 500ml NS in each
- (1) 60 cc with 30ml of Hep Saline the other two are for Saline.
- Pickups for back table
- Mitra-clip plate and stool provided by reps (Stool edge is 100cm from mid-sternum)
- Use Coban to attach long table to short table end-to-end to make extra long table
- LV pacing
Open
- TAVR pack
- Back table cover
- Micropuncture
- 6fr. Pinnacle
- 8fr. Pinnacle
- Safari
- 0.035 x150 J-wire
- Lunderquist DC 260cm
- Rampart Drape
- 5Fr JR4 diagnostic catheter
- 5Fr angled pigtail
- Alligator clip pacing cable
- (3) Perclose
- 2 Roto-tubing(for back table)
- 2 60ml syringes (for back table)
- 2 20ml syringes (for back table)
- Acist setup with 100% contrast for RV or LV gram
Procedure
- 6Fr Sheath RFA with micropuncture
- 8Fr Sheath RFV with 18 gauge entry needle access
- RFV Pre-closed x 2
- 150 J loaded into perclose and 8Fr sheath in RFV
- JR4 advanced to SVC for wire exchange.
- J-wire removed for Lunderquist.
- 40Fr Dilator in and out.
- Intrepid sheath inserted over Lunderquist
- Manipulate valve to pre-deployment position
- 150J loaded in Pigtail -> LFA to cross Aortic valve
- J-wire out for Safari
- Safari positioned in LV and alligator clip attached (black to back)
- Pacing threshold tested
- Final positioning of valve and deployed while pacing.
- Safari and pigtail
- Intrepid sheath removed and perclose completed. May need a 2-0 prolene for mattress stitch.
- Perclose to RFA
