Intrepid valve: Difference between revisions
From Bay Area Structural Heart Wiki
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*A/V access on opposite side | *A/V access on opposite side | ||
*Monopolar pacing in LV via arterial access with Safari and apical pacing patch | *Monopolar pacing in LV via arterial access with Safari and apical pacing patch | ||
==Mitral== | |||
===Open=== | ===Open=== | ||
*TAVR pack | *TAVR pack | ||
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*Alligator clip pacing cable (Black clip stays on table; pass off red and plug to circ.) | *Alligator clip pacing cable (Black clip stays on table; pass off red and plug to circ.) | ||
*Perclose | *Perclose | ||
===Procedure=== | |||
#Surgical cutdown to RFV | |||
#18 gauge entry needle access -> 8fr. Sheath | |||
#150 J loaded in JR4 inserted | |||
#J-wire removed for Lunderquist | |||
#Intrepid sheath inserted over Lunderquist | |||
#LFA access with micropuncture -> 6fr. Sheath | |||
#Manipulate valve to pre-deployment position | |||
#150J loaded in JR4 -> 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 JR4 removed | |||
#Intrepid sheath removed and surgically closed | |||
#Perclose to LFA | |||
[[Category::Procedures]] | |||
Revision as of 23:15, 23 November 2021
File:Intrepid supply list.pdf
Note: This supply list is for Mitral
Setup Notes
- Reps prep - ~ 1 hour!
- 6 liters cold saline
- Pressure bags x2 for device drips
- Open ECMO tray for reps
- Mitra-clip plate and stool
- Use Coban to attach long table to short table end-to-end to make extra long table(drape first).
- Surgical access
- Neptune and Bovie
- OR setup like carotid
- Cut-down with plegeted purse-string
- A/V access on opposite side
- Monopolar pacing in LV via arterial access with Safari and apical pacing patch
Mitral
Open
- TAVR pack
- Back table cover
- 6fr. Pinnacle
- 8fr. Pinnacle
- Micropuncture
- 0.035x150 J-wire
- 5fr. JR4 diagnostic catheter
- Safari wire
- Alligator clip pacing cable (Black clip stays on table; pass off red and plug to circ.)
- Perclose
Procedure
- Surgical cutdown to RFV
- 18 gauge entry needle access -> 8fr. Sheath
- 150 J loaded in JR4 inserted
- J-wire removed for Lunderquist
- Intrepid sheath inserted over Lunderquist
- LFA access with micropuncture -> 6fr. Sheath
- Manipulate valve to pre-deployment position
- 150J loaded in JR4 -> 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 JR4 removed
- Intrepid sheath removed and surgically closed
- Perclose to LFA
