Hao PVI

PULMONARY VEIN ISOLATION

PVI
Anesthesia	Imaging	Access	Pre-Procedure
General	US, Fluoro, ICE	Femoral Vein x4

Main Header

Foot of Table

• (1) SMALL DEFIB PAD SET
• (2) GROUND PATCHES
• (2) SETS OF CARTO PATCHES
• (4) SLEEVES OF EKG DOTS
• (3) CHLORAPREP STICKS

Open

• (3) 8F PINNACLE
• (1) 10.5F FAST-CATH
• (1) 72" PRESSURE LINE
• (1) TRANSDUCER PRESSURE LINE KIT
• (1) THERMACOOL TUBING
• (1) ACT/ISO TUBING
• (1) IOBAN 35X35
• (1) ACUNAV SLEEVE
• (1) US SLEEVE
• (1) RAD-PAD
• (1) 34-34 ABLATOR CABLE
• (2) 34-12 CS CABLE
• (1) BAYLIS CABLE
• (1) LAMP 90° 71" SHEATH
• (1) SL0 71" SHEATH
• (1) BAYLIS NEEDLE

Standby

• (1) BSW DECA D/F CATHETER
• (1) 10F SOUNDSTAR ICE CATHETER
• (1) NON-NAV LASSO 20 (IF PENTARAY EXPECTED INSTEAD, ADD 1X 72" PRESSURE LINE)
• (1) ST-F ABLATION CATHETER
• (1) 0.0 PDS
• (2) MEDIUM TEGADERM

Procedure

• PLACE PATCHES (hyperlink to diagram: front(incl subXiph window)/back, variant if patient has device)
• INTUBATE (offer assistance to anesthesiologist as needed)
• PREP/DRAPE (details here - scrub and circulator)
• ACCESS (sheath placement details)
• PLACE CS/ICE (ice hookup instructions)
• TRANSEPTAL #1: LAMP + LASSO (OR PENTARAY), RECORD LA PRESSURE (details: baylis, grounds/map cable placement, line flush)
• TRANSEPTAL #2: SL0 + ST-F (details: baylis, grounds/map cable placement, line flush)
• MAP
• ABLATE (details)
• ISUPREL TEST (details)
• ADENOSINE TEST (details)
• PROTAMINE (details)
• SUTURE (Z-STITCH) IF POSSIBLE (details)

APPROVED: MD initials MM/YY