WatchmanEPmisc: Difference between revisions

From Bay Area Structural Heart Wiki
No edit summary
No edit summary
Line 3: Line 3:
While the [[Watchman|Cath Lab's Watchman Page]] provides the majority of what you need, this page has some additional info.   
While the [[Watchman|Cath Lab's Watchman Page]] provides the majority of what you need, this page has some additional info.   


''---workflow change 4/1/24---''   
''---workflow change <s>4/1/24</s> 8/26/24---''   


'''SPIES:''' Set fluoro to 10p/s, Card Alt.  2 x RFV access. Please make sure to separate the wires by 10mm.   
'''SPIES:''' Set fluoro to 10p/s, Card Alt.  2 x RFV access. Please make sure to separate the wires by 10mm.   


8F RFV ---> pre close Perclose ----> 16F 33cm Dryseal sheath ---> advance 230cm Baylis Versa Cross through 16F
8F RFV ---> pre close Perclose ----> 16F 33cm Dryseal OR TrueSteer sheath - check with Spies before dropping ---> advance 230cm Baylis Versa Cross through 16F


10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. Locate a catheter, ICE display connection cable+adapter (DP-DVI), and the cardboard box in the watchman cart for noninvasive prior to case
10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. Locate a catheter, ICE display connection cable+adapter (DP-DVI), and the cardboard box in the watchman cart for noninvasive prior to case
Line 13: Line 13:




WOODS: No ICE so no dryseal, no checkflo, no verisight, no second perclose  
'''WOODS''': No ICE, no dryseal/TrueSteer, no checkflo, no verisight, no second perclose  




Line 40: Line 40:
'''<big>Pull list</big>'''
'''<big>Pull list</big>'''


''--temporary/new 4/1/24: --''
''--temporary/new 8/26/24 --''


''--SPIES:16f dryseal, 10f 30cm checkflo, Verisight ICE, a second perclose for the ice sheath (postclose)''
''--if Spies:''


--0.0 silk + needle driver   
''--check with him whether to drop16f DrySeal OR TrueSteer (dropped by rep - deflectable watchman delivery sheath),''
 
''--10f 30cm checkflo, Verisight ICE, ice sleeve, a second perclose for the ice sheath (postclose)''
 
--0.0 silk + needle driver only if using DrySeal  


-6fr Straight Pig   
-6fr Straight Pig   

Revision as of 20:48, 26 August 2024

last updated 11/16/23 zr/ac

While the Cath Lab's Watchman Page provides the majority of what you need, this page has some additional info.

---workflow change 4/1/24 8/26/24---

SPIES: Set fluoro to 10p/s, Card Alt. 2 x RFV access. Please make sure to separate the wires by 10mm.

8F RFV ---> pre close Perclose ----> 16F 33cm Dryseal OR TrueSteer sheath - check with Spies before dropping ---> advance 230cm Baylis Versa Cross through 16F

10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. Locate a catheter, ICE display connection cable+adapter (DP-DVI), and the cardboard box in the watchman cart for noninvasive prior to case


WOODS: No ICE, no dryseal/TrueSteer, no checkflo, no verisight, no second perclose



RN:

-Large bottle of visipaque + contrast spike

-3x 500cc bags of normal saline with 5000 units of heparin per bag (2 for table, 1 for transducer)

-1x 1L bag of saline with 2000 units of heparin, premade in pyxis (manifold saline - on 1L pressure bag)

-Lido w/ Epi

-Check with PACU for pre-op - NS 500cc bolus, 4 chewable aspirins, precedex

-Labs day of: PT-INR, Type & Screen

-Labs within 30 days: CBC, BMP, EKG

-Tell Anesthesia - Ancef + General Anesthesia

-Tell PACU - shave groins + subxiphoid

Pull list

--temporary/new 8/26/24 --

--if Spies:

--check with him whether to drop16f DrySeal OR TrueSteer (dropped by rep - deflectable watchman delivery sheath),

--10f 30cm checkflo, Verisight ICE, ice sleeve, a second perclose for the ice sheath (postclose)

--0.0 silk + needle driver only if using DrySeal

-6fr Straight Pig

-Contrast Spike (ref 90400039)

-3 Port Manifold (ref 63160612)

-Long Versacross kit (230cm) (ref VXSK0032)

-Perclose (1 if Woods only, 2 for Spies)

-3cc syringe for ACT

-EP Pack

-Micropuncture

-8F pinnacle (just for dilator)

-Ultrasound Cover

-Pressure Transducer w/Tubing

-RadPad

-Rampart Cover

-Light Handle Cover

-The CCL Watchman Page mentions use of a 150 J Cordis - but Dr. Woods has been loading the 5fr pigtail over the 230cm versacross pigtailwire directly as of 4/2023.

-exofin on standby

-Ioban

-Ground pad, defib, dots, sp02, bp cuff