TAVI-JenaValve: Difference between revisions
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==Daniels/Spies - Draft== | ==Daniels/Spies - Draft== | ||
ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX | '''ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX''' | ||
If patient has permanent pacer, no need for TVP. Pacing is only used for backup (not deployment). | '''If patient has permanent pacer, no need for TVP. Pacing is only used for backup (not deployment).''' | ||
Anesthesia- GA is standard. May consider MAC based on patient. If MAC, may want ICE. | '''Anesthesia- GA is standard. May consider MAC based on patient. If MAC, may want ICE.''' | ||
===Sheaths:=== | ===Sheaths:=== | ||
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===PROCEDURAL INFO:=== | ===PROCEDURAL INFO:=== | ||
* Standard TAVR access. NO V IF PT HAS PACEMAKER. | *Standard TAVR access. NO V IF PT HAS PACEMAKER. | ||
* Pigtail in contralateral access, injection for coplanar angle. | *Pigtail in contralateral access, injection for coplanar angle. | ||
* Pigtail exchanged for MPA | *Pigtail exchanged for MPA | ||
* Pigtail advanced on primary side for valve crossing over J wire | *Pigtail advanced on primary side for valve crossing over J wire | ||
* Jwire exchanged for Safari and pigtail removed | *Jwire exchanged for Safari and pigtail removed | ||
* JV Guide sheath inserted | *JV Guide sheath inserted | ||
* | * | ||
<br /> | <br /> | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 00:01, 29 September 2020
Daniels/Spies - Draft
ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX
If patient has permanent pacer, no need for TVP. Pacing is only used for backup (not deployment).
Anesthesia- GA is standard. May consider MAC based on patient. If MAC, may want ICE.
Sheaths:
- 5Fr Micropunture Kit
- 6Fr x 10cm sheath
- 8Fr x 10 cm sheath (Dilator used only)
- 8Fr x 35 cm Brite Tip Sheath
- 18F Cook Sheath- on standby in case of BAV
Wires:
- (2) Cordis 150J
- Cordis 260J
- Safari 2
Catheters:
- 5Fr MPA
- 5Fr Angled Pigtail
- 5F MBP on standby
Medications on table:
- Lido/Bupivicaine 50/50
- Epinephrine 10mcg/ml in red medallion syringe (From anesthesia)
Miscellaneous Supplies
- 3-port manifold kit
- Acist hand control
- 3L cold saline
- 1L warm saline
- (2) 60ml syringes
- (2) 20ml syringes
- stopcock
- co-pilot
- 108cm tubing
- 500ml hep saline on pressure bag
- (3) Perclose
- (5) bowls
Transvenous pacemaker supplies
- 5Fr Josephson Pacing catheter
- Dual Red/Black Pacing Remington cables
- EP Quad Cable
PROCEDURAL INFO:
- Standard TAVR access. NO V IF PT HAS PACEMAKER.
- Pigtail in contralateral access, injection for coplanar angle.
- Pigtail exchanged for MPA
- Pigtail advanced on primary side for valve crossing over J wire
- Jwire exchanged for Safari and pigtail removed
- JV Guide sheath inserted
