Tricuspid ViV
From Bay Area Structural Heart Wiki
Tricuspid ring is open to allow space for AV node. Higher likelihood of PVL due to shape.
| 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:
- 8.5F TourGuide
- 6F balloon wedge
- 5F balloon tip pacer
Procedure
- Single Venous access
- Double 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.
