Tricuspid ViR: Difference between revisions
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THIS PAGE IS BASED OFF THE 1 PREVIOUS TVIR. VERY PRELIMINARY. | |||
Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement. | Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement. | ||
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==Supplies== | ==Supplies== | ||
*Standard TAVR backtable setup | *Standard TAVR backtable setup with Certitude delivery system | ||
*8F Sheath | *8F Sheath | ||
*150 J | *150 J | ||
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*6F Angled Pigtail | *6F Angled Pigtail | ||
*0 Prolene | *0 Prolene | ||
*Micropuncture | *Micropuncture | ||
*Perclose x 1 | |||
Standby: | Standby: | ||
*Sizing Balloon? | |||
*5F MPA | |||
*8.5F TourGuide | *8.5F TourGuide | ||
*Agilis | |||
*6F balloon wedge | *6F balloon wedge | ||
* | *Pacing Supplies | ||
'''PVL Closure:''' | |||
* Plug Cart in room. May be ASO, Cardioform, or AVP2 | |||
* Standard Glidewire for crossing | |||
* Amplatz ES if using Trevisio/Torqvue | |||
<br /> | <br /> | ||
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==Procedure== | ==Procedure== | ||
* | *IJ access | ||
* | *Maybe single preclose? | ||
* | *Certitude Sheath Advanced | ||
*Pigtail and J wire advanced to RV | *Pigtail and J wire advanced to RV | ||
*J wire exchanged for Safari | *J wire exchanged for Safari | ||
**Shave back of Safari for pacing | **Shave back of Safari for pacing | ||
*Valve delivery system advanced | *Valve delivery system advanced | ||
*Pacer tested | *Pacer tested | ||
Revision as of 22:56, 16 February 2021
THIS PAGE IS BASED OFF THE 1 PREVIOUS TVIR. VERY PRELIMINARY.
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 with Certitude delivery system
- 8F Sheath
- 150 J
- 260J
- Safari
- Alligator Clip Pacing cable
- 6F Angled Pigtail
- 0 Prolene
- Micropuncture
- Perclose x 1
Standby:
- Sizing Balloon?
- 5F MPA
- 8.5F TourGuide
- Agilis
- 6F balloon wedge
- Pacing Supplies
PVL Closure:
- Plug Cart in room. May be ASO, Cardioform, or AVP2
- Standard Glidewire for crossing
- Amplatz ES if using Trevisio/Torqvue
Procedure
- IJ access
- Maybe single preclose?
- Certitude Sheath Advanced
- Pigtail and J wire advanced to RV
- J wire exchanged for Safari
- Shave back of Safari for pacing
- Valve delivery system advanced
- Pacer tested
- Valve deployed
- Safari exchanged for J wire
- Perclose completed and woggle placed.
- Voila.
