Intrepid valve: Difference between revisions
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[[File:Intrepid_supply_list.pdf|thumb|page=1|right|Supply list from Medtronic]] {{Note|This supply list is for Mitral}} | [[File:Intrepid_supply_list.pdf|thumb|page=1|right|Supply list from Medtronic]] | ||
{{Note|This supply list is for Mitral}} | |||
[[File:IntrepidTable1.jpg|thumb|150px|right|Intrepid table Setup]] | [[File:IntrepidTable1.jpg|thumb|150px|right|Intrepid table Setup]] | ||
[[File:IntrepidTable2.jpg|thumb|150px|right|Intrepid table Setup]] | [[File:IntrepidTable2.jpg|thumb|150px|right|Intrepid table Setup]] |
Revision as of 17:24, 6 December 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
- Needs acrylic board and footstool. We can use the MitraClip one, but they will probably bring one as well.
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