Tricuspid ViV

Anesthesia	Imaging	Access	ACIST	Manifold
MAC	Fluoro, TTE	Femoral Vein	No	No

Supplies

• Standard TAVR backtable setup
• 8F Sheath
• 150 J
• 260J
• Safari
• Alligator Clip Pacing cable
• 6F Angled Pigtail
• 0 Prolene
• Micropuncture (for woggle only)

Standby:

• Agilis
• 6F balloon wedge

Procedure

• Single Venous access
• Single Preclose
• 8F Sheath inserted
• Pigtail and J wire advanced to RV
• J wire exchanged for Safari
  • Shave back of Safari for pacing
• Sheath exchanged for E Sheath
• Valve delivery system advanced
• Pacer tested
• Valve deployed
• Safari exchanged for J wire
• Perclose completed and woggle placed.
• Voila.