Watchman Retrieval

set fluoro to card alt 10p/s

drugs - verapamil, lido+epi, 1L of hep saline for the table, normal manifold setup

To Drop:

preclose

straight 6 pig

33cm 20f gore (2cc saline to prep valve)

Grandslam 300cm

260cm 0.035" J

Amplatz 260cm 1cm floppy tip

VersaCross 260cm

TrueSteer (poss 13f Agilis instead, Ono thru Truesteer was tight though case was successful)

Raptor

Ono

50/60cc syringe

1L of hep saline on the table

manifold + pressure line

sentinel

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5/6 slender radial sheath

2.5 of verapamil (instead of slurry for Spies)

Tegaderm for radial sheath

Radial drape

tr band

Procedural order:

1) radial access

2) verapamil

3) pigtail + wire to arch

4) arch picture thru pigtail (hand inject w/manifold)

5) grandslam

6) sentinel

7) rfv micro access + preclose + dilate

8) gore 20f (2cc saline in valve to prep) + versacross telescoping to transeptal

9) upsize versacross to either truesteer or agilis 13f (truesteer was tight interacting w/ono last case)

10) ono

11) raptor

12) retrieve

13) arch shot post sentinel removal

poss reimplant

tr band (12cc, green dot on sheath entry site) /groin closure