Open MVI: Difference between revisions
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Hybrid OR Procedure | Hybrid OR Procedure | ||
[[File:MVRskirt.jpeg|thumb|150px|right|Gore-Tex skirt on valve]] | [[File:MVRskirt.jpeg|thumb|150px|right|Gore-Tex skirt on valve<BR> | ||
*7-0 Prolene<BR> | |||
*.04 Gore-tex]] | |||
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588478/ | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588478/ | ||
Revision as of 17:42, 22 September 2021
Hybrid OR Procedure
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588478/
- 2 CL staff needed- 1 scrub 1 circulator/monitor
- Leave carts in the hall
- One long table for all equipment
- Attach our leads in case we need to measure LVEDP
- IF Sentinel:
- Surgical incision made first so anticoagulation can be performed after
- Preprep device
- Keep ACIST on cart and have ready to hook up, 100% contrast ok if creatnine ok
- IF CP Bypass cannulas inserted by IC
- 8F sheath first used for pigtail- AOgram for sentinel
- Preclose A x 2
- Standard ECMO equipment
- Don't open valve equipment until cannulas and sentinel in place (if using)
- Remove C arm after sentinel/cannula placement.
- 2 Commander setups used
- one for dilating graft
- one for valve- 2 indeflators if 29
- CTS secures Aortic Stent Graft
- Open valve according to OR policy
- Verify with MD prior to opening
- Give OR a copy of IFU
- Pigtail inserted preloaded with Safari wire
- Valve
- Valve needs to be mounted on balloon. **Edwards to get us information about aligning valve on balloon without fluoro.**
- Fill 38 indeflator to max to account for post dil placement (29)
- Pigtail inserted preloaded with Safari wire
- Remove Sentinel BEFORE PROTAMINE
- Move table out of the way. OR has it from here until TR band ready to be applied.
Post procedure thoughts
- Certitude delivery system?
- Bring Xray back in for stent graft and valve deployment
