Difference between revisions of "St joes Stockton TAVR"

From TheInterWiki
 
(2 intermediate revisions by the same user not shown)
Line 10: Line 10:
 
*.035 / Wire 260 cm X1
 
*.035 / Wire 260 cm X1
 
*.035 LLT Guide wire 145CM X1
 
*.035 LLT Guide wire 145CM X1
*Lunderquist Extra Stiff Wire Guide double curve 260CM X1
+
*Lunderquist Extra Stiff Wire Guide double curve 260CM X1 -not Punnam Ali
 
*6 FR Per Close Proglide x2
 
*6 FR Per Close Proglide x2
 
*Mynx Perclose for Mahadevan
 
*Mynx Perclose for Mahadevan
Line 79: Line 79:
 
*Mynx for vein
 
*Mynx for vein
 
*Cleanup
 
*Cleanup
 +
 +
==Notes==
 +
 +
===Ali / Punnam===
 +
 +
*8fr for vein
 +
*Amp ss for big sheath no lunderquist
 +
*14fr. sheath dilator first, not 16fr
 +
*Confida
 +
*Extra Perclose for L art.
 +
*Manual pressure for vein
 +
*No glue

Latest revision as of 17:22, 9 April 2026

TAVR SUPPLY LIST

  • Basic Pack (Large table cover)
  • Marquis Blue Stopcock x2
  • U/S Probe Cover
  • Acist touch kit long pack
  • Micropuncture Introducer Set x2
  • 6 FR Terumo Pinnacle Ref RSS602 x2
  • 8 FR Terumo Pinnacle Ref RSS802 x1
  • .035 J Wire 145
  • .035 / Wire 260 cm X1
  • .035 LLT Guide wire 145CM X1
  • Lunderquist Extra Stiff Wire Guide double curve 260CM X1 -not Punnam Ali
  • 6 FR Per Close Proglide x2
  • Mynx Perclose for Mahadevan
  • 6fr AngioSeal
  • 60CC Syringe X2 (2-extra for Buhari)
  • 24" tubing
  • 48" tubing
  • Transducer
  • 8 - 10CC Syringes
  • 3-8 Green Glove 2-7 Purple Gloves 3-7-½ PI Glove 2-7 PI Glove1-7 ½ Biogel Glove
  • Amplatz Extra Stiff Wire Guide .035 260 -Edwards
  • Confida- Medtronic or Mahadevan
  • 2 grey needles

Edwards pacer supplies

  • Remington pacer cables
  • Repositioning Sleeve
  • 5FR (197MM) Pacel pacing catheter
  • 2-3 Blue Sterile Bowls (Disposable)
  • 6 FR Terumo Pinnacle REF. R55602 X1
  • 2 24" Tubing

Edwards setup

  • 20ml contrast to setup table for mix
  • 2x60cc syringes
  • 30cc syringe

Medtronic Setup

Standby

  • Pacer setup
  • Venous sheath and lines

Open

  • Confida wire
  • Alligator clips


Procedure

  • Full OR prep, but standard CCL drape.
  • RN opens venous extension.
  • Drs get access and help themselves.
  • 6fr to dilate
  • 6fr venous
  • Pre close
  • 8fr sheath arterial
  • Pigtail
  • Crossing catheter
  • Vein access
  • Pacer
  • Lunderquist -> sheath
  • Lund out
  • Position pigtail
  • Cross valve
  • 260j
  • Pigtail across valve
  • Amplatz in
  • Load valve
  • Advance valve on balloon
  • Deploy
  • Fluoro Save!
  • Echo
  • Remove system
  • Pigtail for gradient
  • Short j's
  • Perclose
  • Angioseal for 6fr artery
  • Mynx for vein
  • Cleanup

Notes

Ali / Punnam

  • 8fr for vein
  • Amp ss for big sheath no lunderquist
  • 14fr. sheath dilator first, not 16fr
  • Confida
  • Extra Perclose for L art.
  • Manual pressure for vein
  • No glue