Goyal Farapulse
General: Goyal wants to be flexible btw BW/Abbott and droplist will adjust depending on vendor.
-Consent - Electrophysiology Study with Catheter Ablation
-Patient intubated/paralyzed (long acting) throughout procedure
-No foley
-No isuprel
-Antibiotics per woods protocol (only w/device, implants etc.)
-Fluoro
-Goal ACT>300
CardioLab 12 Leads (lab 5), or Claris 12 lead / MacLab 5 lead (lab 4), Anesthesia leads
-1 Grounds, Abbott patches, regular defib pad
From Pyxis:
-Case by case basis for protamine
-No famotidine
-bupivicaine
- (2x) heparin vials (10,000 u/10mL)
- (1x) heparin premixed (25,000/250mL)
- for typical AFL PFA: Nitro - 250ml bottle of 200mcg/ml
Bags:
-500mL NS for ACT line
-1L LR anesthesia
-(1x) 500mL NS with 5000u heparin for the table
-(2x) 500mL NS with 5000u heparin for red/yellow lines
-(1x prepulled from pyxis 25,000u heparin/250mL NS) heparin drip for blue line
Lines:
-ACT
-Blue (heparin drip)
-Red (Grid - Heparin 5000u/500mL NS @ 120cc/hr)
-Yellow (Farapulse - Heparin 5000u/500mL NS pressure bag, on pump at 50cc/hr)
Charting ablation in Cupid:
System used - freetext Farapulse
Energy - freetext PFA
Number of energy applications - # per Ablation site
Drop List: Sheaths:
8f locking sheath (LiveWire DuoDeca) (Most cranial RFV stick)
10F pinnacle (ICE) (middle of 3 RFV sticks)
8f pinnacle (Most caudal RFV stick) (---> Preclose ----> SL1 + Baylis 71cm ---> Map with Grid -----> Remove Grid/Upsize to Faradrive ----> Ablate with Farawave)
Rampart + Radpad
3x yellow filters
10f Acunav (non-soundstar) (middle of 3 RFV sticks)
1x Perclose
DuoDeca + Cable (most cranial stick)
Grid + Cable
Light handle cover
VersaCross 180cm (if known PFA... if unknown, ask MD)
1x Ice Sleeve
1x Access sleeve
ACT line
1x pressure transducer tubing set (label blue)
2x pressure line extensions (label red/yellow)
Ioban
8F pinnacle
8f locking sheath
10.5f fastcath
ask - driver/0pds/stopcock for woggle if no protamine
chloraprep
vascade x2
Rosen wire w/1.5mmJ
