TAVI-JenaValve: Difference between revisions
From Bay Area Structural Heart Wiki
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'''ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX''' | '''ACIST A1000V SYRINGE USED WITH 50/50 CONTRAST MIX''' | ||
'''As of 12/11 we will now | '''As of 12/11 we will now pace for ALL Jenavalve implants.''' | ||
'''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.''' | ||
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===PROCEDURAL INFO:=== | ===PROCEDURAL INFO:=== | ||
*Standard TAVR access. | *Standard TAVR access. | ||
*Pigtail in contralateral access, injection for coplanar angle. | *Pigtail in contralateral access, injection for coplanar angle. | ||
*Change injector to 10/10 after coplanar angle established. | *Change injector to 10/10 after coplanar angle established. | ||
Revision as of 17:11, 15 December 2020
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- 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
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.
- 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
