Tricuspid ViR: Difference between revisions
From Bay Area Structural Heart Wiki
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==Supplies== | |||
*Standard TAVR backtable setup | |||
*8F Sheath | |||
*150 J | |||
*260J | |||
*Safari | |||
*Alligator Clip Pacing cable | |||
*6F Angled Pigtail | |||
*0 Prolene | |||
*Micropuncture (for woggle only) | |||
Standby: | |||
*8.5F TourGuide | |||
*6F balloon wedge | |||
*5F balloon tip pacer | |||
<br /> | |||
==Procedure== | |||
*Single Venous access | |||
*Double Preclose | |||
*8F Sheath inserted | |||
*Pigtail and J wire advanced to RV | |||
*J wire exchanged for Safari | |||
**Shave back of Safari for pacing | |||
* Sheath exchanged for E Sheath | |||
*Valve delivery system advanced | |||
*Pacer tested | |||
*Valve deployed | |||
*Safari exchanged for J wire | |||
*Perclose completed and woggle placed. | |||
*Voila. | |||
<br /> | |||
<HR> | |||
[[Category:Procedures]] | |||
Revision as of 22:25, 16 February 2021
Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement.
| Anesthesia | Imaging | Access | ACIST | Manifold |
|---|---|---|---|---|
| GA | Fluoro, TEE |
LEFT IJ Vein |
No | No |
Supplies
- Standard TAVR backtable setup
- 8F Sheath
- 150 J
- 260J
- Safari
- Alligator Clip Pacing cable
- 6F Angled Pigtail
- 0 Prolene
- Micropuncture (for woggle only)
Standby:
- 8.5F TourGuide
- 6F balloon wedge
- 5F balloon tip pacer
Procedure
- Single Venous access
- Double Preclose
- 8F Sheath inserted
- Pigtail and J wire advanced to RV
- J wire exchanged for Safari
- Shave back of Safari for pacing
- Sheath exchanged for E Sheath
- Valve delivery system advanced
- Pacer tested
- Valve deployed
- Safari exchanged for J wire
- Perclose completed and woggle placed.
- Voila.
