TAVI-JenaValve: Difference between revisions
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'''As of 12/11 we will now pace for ALL Jenavalve implants.''' | '''As of 12/11 we will now pace for ALL Jenavalve implants.''' | ||
'''Anesthesia- | '''Anesthesia- MAC is our new standard. Have ICU on standby.''' | ||
===Sheaths:=== | ===Sheaths:=== | ||
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*5Fr Micropunture Kit | *5Fr Micropunture Kit | ||
*6Fr x 10cm sheath | *6Fr x 10cm sheath | ||
*8Fr x 10 cm sheath | *8Fr x 10 cm sheath | ||
*18F Cook Sheath- on standby | *18F Cook Sheath- on standby | ||
| Line 38: | Line 37: | ||
*3-port manifold kit | *3-port manifold kit | ||
*Acist hand control | *Acist hand control | ||
* | *1 L warm saline (on standby) | ||
* | *3 L cold saline | ||
*(2) 60ml syringes | *(2) 60ml syringes (for back table) | ||
*(2) 20ml syringes | *(2) 20ml syringes (one for back table one for front) | ||
*stopcock | *stopcock (for back table) | ||
*co-pilot | *co-pilot (for back table) | ||
*108cm tubing | *108cm tubing (for back table) | ||
*500ml hep saline on pressure bag | *500ml hep saline on pressure bag for delivery system | ||
*(3) Perclose | *(3) Perclose | ||
*(5) bowls | *(5) bowls (cold saline in all 5 * NO need for contrast mix on back table *) | ||
*Alligator pacer cable (Unipolar pacing) | |||
*Suture removal kit (for back table) | |||
===Transvenous pacemaker supplies=== | ===On Standby : Transvenous pacemaker supplies=== | ||
*8F Brite tip Sheath | |||
*5Fr Josephson Pacing catheter | *5Fr Josephson Pacing catheter | ||
*Dual Red/Black Pacing Remington cables | *Dual Red/Black Pacing Remington cables | ||
Revision as of 16:46, 10 March 2022
Daniels/Spies - Draft
ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX
As of 12/11 we will now pace for ALL Jenavalve implants.
Anesthesia- MAC is our new standard. Have ICU on standby.
Sheaths:
- 5Fr Micropunture Kit
- 6Fr x 10cm sheath
- 8Fr x 10 cm sheath
- 18F Cook Sheath- on standby
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
- 1 L warm saline (on standby)
- 3 L cold saline
- (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)
- 108cm tubing (for back table)
- 500ml hep saline on pressure bag for delivery system
- (3) Perclose
- (5) bowls (cold saline in all 5 * NO need for contrast mix on back table *)
- Alligator pacer cable (Unipolar pacing)
- Suture removal kit (for back table)
On Standby : Transvenous pacemaker supplies
- 8F Brite tip Sheath
- 5Fr Josephson Pacing catheter
- Dual Red/Black Pacing Remington cables
- EP Quad Cable
PROCEDURAL INFO:
- Standard TAVR access.
- 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
- Jwire 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 JVsheath
- Possible exchange for 18F if concern about pulling safari through/BAV needed
