Tricuspid ViR

From Bay Area Structural Heart Wiki
Revision as of 21:56, 8 April 2021 by Dronsfj (talk | contribs)

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 accessS
  • 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.