Micra post TAVI

In the course of a TAVI, it is sometimes necessary to implant a leadless pacemaker. This facility uses the Micra device. This page will guide you on this procedure in the post-TAVI setting.

Already on the table:

• Micropuncture set
• 150 j-wire
• 2x 20cc syringes
• 1-2x 60cc syringes

Open:

• 14 and 22 coons dilators
• 0 PDS or Prolene
• 180 Amplatz Super Stiff, 7cm tip

If pt. is dependent on TPM and it is in the RFV, assume you will be switching the TPM to the LFV and open:

• New ultrasound probe cover
• 8.5 x 35 Brite-tip sheath
• 5fr. Ballon tip TPM catheter

Prep:

• Set ACIST at 5ml/sec, 20ml total (to fill syringes).