Difference between revisions of "St. Joes Stockton TAVR"
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*Basic Pack (Large table cover) | *Basic Pack (Large table cover) | ||
*Marquis Blue Stopcock x2 | *Marquis Blue Stopcock x2 | ||
| − | * | + | *Gray needle (22 gauge) |
*U/S Probe Cover | *U/S Probe Cover | ||
| − | |||
*Micropuncture Introducer Set x2 | *Micropuncture Introducer Set x2 | ||
*Transducer | *Transducer | ||
| Line 17: | Line 16: | ||
*Amplatz Extra Stiff Wire Guide .035 260 -Edwards | *Amplatz Extra Stiff Wire Guide .035 260 -Edwards | ||
*Confida- Medtronic or Mahadevan | *Confida- Medtronic or Mahadevan | ||
| − | |||
===Room 1=== | ===Room 1=== | ||
| Line 25: | Line 23: | ||
*24" tubing | *24" tubing | ||
*48" tubing | *48" tubing | ||
| − | * | + | *Acist touch kit long pack |
===Supply cart by break room=== | ===Supply cart by break room=== | ||
| Line 105: | Line 103: | ||
===Ali / Punnam=== | ===Ali / Punnam=== | ||
| − | |||
| − | |||
*Amp ss for big sheath no lunderquist | *Amp ss for big sheath no lunderquist | ||
*14fr. sheath dilator first, not 16fr | *14fr. sheath dilator first, not 16fr | ||
*Confida | *Confida | ||
| − | + | ||
| − | + | === Procedural differences=== | |
| − | + | ||
| + | #access left groin first six French times two | ||
| + | #pigtail up then roadmap to shoot right groin for stick | ||
| + | #Wet towels x3 | ||
| + | #8 French dilator for R groin-> Perclose x2 -> 8fr sheath | ||
| + | #Amplatz SS in 8fr dilator to R groin alongside short j | ||
| + | #after device deployed, pull confida wire and replace with long J | ||
Latest revision as of 21:34, 14 September 2026
TAVR Pack list
Stock Room
- Basic Pack (Large table cover)
- Marquis Blue Stopcock x2
- Gray needle (22 gauge)
- U/S Probe Cover
- Micropuncture Introducer Set x2
- Transducer
- .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
- Amplatz Extra Stiff Wire Guide .035 260 -Edwards
- Confida- Medtronic or Mahadevan
Room 1
- 6 FR Terumo Pinnacle Ref RSS602 x2
- 8 FR Terumo Pinnacle Ref RSS802 x1
- 60CC Syringe X2 (2-extra for Buhari)
- 24" tubing
- 48" tubing
- Acist touch kit long pack
Supply cart by break room
- Mynx - Not Mahadevan
- 6 FR Per Close Proglide x2 - Extra Perclose for Mahadevan
- 6fr AngioSeal
- Basic Pack III (also in OR stock room)
Edwards
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
Open
- Confida wire
- Alligator clips
Standby
- Pacer setup
- Venous sheath and lines
Setup
Note: OR nurses will open light covers, arterial extension, and dressing supplies from their stock.
- Ensure you have 2 long tables.
- Back table pack to scrub table.
- Basic Pack to valve prep table.
- Open everything - RN's will help.
- Set tables and cover.
- When Pt. enters Anes. and RN's will hook pt up and shave and prep.
- Full 3 minute prep pause
- Drape
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
- Amp ss for big sheath no lunderquist
- 14fr. sheath dilator first, not 16fr
- Confida
Procedural differences
- access left groin first six French times two
- pigtail up then roadmap to shoot right groin for stick
- Wet towels x3
- 8 French dilator for R groin-> Perclose x2 -> 8fr sheath
- Amplatz SS in 8fr dilator to R groin alongside short j
- after device deployed, pull confida wire and replace with long J
