Goyal Farapulse

General: Goyal wants to be flexible btw BW/Abbott and droplist will adjust depending on vendor.

-Consent - Electrophysiology Study with Catheter Ablation

-Patient intubated/paralyzed (long acting) throughout procedure

-No foley

-No isuprel

-Antibiotics per woods protocol (only w/device, implants etc.)

-Fluoro

-Goal ACT>300

CardioLab 12 Leads (lab 5), or Claris 12 lead / MacLab 5 lead (lab 4), Anesthesia leads

-1 Grounds, Abbott patches, regular defib pad

From Pyxis:

-Case by case basis for protamine

-No famotidine

-bupivicaine

- (2x) heparin vials (10,000 u/10mL)

- (1x) heparin premixed (25,000/250mL)

- for typical AFL PFA: Nitro - 250ml bottle of 200mcg/ml

Bags:

-500mL NS for ACT line

-1L LR anesthesia

-(1x) 500mL NS with 5000u heparin for the table

-(2x) 500mL NS with 5000u heparin for red/yellow lines

-(1x prepulled from pyxis 25,000u heparin/250mL NS) heparin drip for blue line

Lines:

-ACT

-Blue (heparin drip)

-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr)

-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, on pump at 50cc/hr)

Charting ablation in Cupid:

System used - freetext Farapulse

Energy - freetext PFA

Number of energy applications - # per Ablation site

Drop List: Sheaths:

8f locking sheath (LiveWire DuoDeca) (Most cranial RFV stick)

10F pinnacle (ICE) (middle of 3 RFV sticks)

8f pinnacle (Most caudal RFV stick) (---> Preclose ----> SL1 + Baylis 71cm ---> Map with Grid -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave)

Rampart + Radpad

3x yellow filters

10f Acunav (non-soundstar) (middle of 3 RFV sticks)

1x Perclose

DuoDeca + Cable (most cranial stick)

Grid + Cable

Light handle cover

Alligator Clips

VersaCross 180cm (if known PFA... if unknown, ask MD)

1x Ice Sleeve

1x Access sleeve

ACT line

1x pressure transducer tubing set (label blue)

2x pressure line extensions (label red/yellow)

Ioban

8F pinnacle

8f locking sheath

10.5f fastcath

ask - driver/0pds/stopcock for woggle if no protamine

chloraprep

vascade x2

Rosen wire w/1.5mmJ