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)
• Perclose and Nu-Knit

Standby:

• 8.5F Agilis or TourGuide
• Double-pump-valve-cracker setup for BVF
• 6F balloon wedge
• 5F balloon tip pacer

Pacing - 25 Output, 140-200bpm

Procedure

1. Single Venous access
2. Pre-close
3. 8F Sheath inserted
4. Pigtail and J wire advanced to RV
5. J wire exchanged for Safari
   • Shave back of Safari for pacing
6. Sheath exchanged for E Sheath
7. Valve delivery system advanced
8. Pacer tested
9. Valve deployed
10. Safari exchanged for J wire
11. Perclose completed and woggle placed.
12. Voila.

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