Tricuspid ViR
From Bay Area Structural Heart Wiki
THIS PAGE IS BASED OFF THE 1 PREVIOUS TVIR. VERY PRELIMINARY.
Due to the open nature of the tricuspid surgical ring, PVL is highly likely post transcatheter valve placement.
| Anesthesia | Imaging | Access | ACIST | Manifold |
|---|---|---|---|---|
| GA | Fluoro, TEE |
LEFT IJ Vein |
No | No |
Supplies
- Standard TAVR backtable setup with Certitude delivery system
- 8F Sheath
- 150 J
- 260J
- Safari
- Alligator Clip Pacing cable
- 6F Angled Pigtail
- 0 Prolene
- Micropuncture
- Perclose x 1
Standby:
- Sizing Balloon?
- 5F MPA
- 8.5F TourGuide
- Agilis
- 6F balloon wedge
- Pacing Supplies
PVL Closure:
- Plug Cart in room. May be ASO, Cardioform, or AVP2
- Standard Glidewire for crossing
- Amplatz ES if using Trevisio/Torqvue
Procedure
- IJ access
- Maybe single preclose?
- Certitude Sheath Advanced
- Pigtail and J wire advanced to RV
- J wire exchanged for Safari
- Shave back of Safari for pacing
- Valve delivery system advanced
- Pacer tested
- Valve deployed
- Safari exchanged for J wire
- Perclose completed and woggle placed.
- Voila.
