Difference between revisions of "St. Joes Stockton TAVR"

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==Setup==
 
==Setup==
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{{Note|OR nurses will open light covers, arterial extension, and dressing supplies from their stock.}}
 
{{Note|OR nurses will open light covers, arterial extension, and dressing supplies from their stock.}}
  

Revision as of 14:07, 10 June 2026


TAVR Pack list

Stock Room

  • Basic Pack (Large table cover)
  • Marquis Blue Stopcock x2
  • 2 grey needles
  • U/S Probe Cover
  • Acist touch kit long pack
  • Micropuncture Introducer Set x2
  • Transducer
  • Amplatz Extra Stiff Wire Guide .035 260 -Edwards
  • Confida- Medtronic or Mahadevan
  • 3-8 Green Glove 2-7 Purple Gloves 3-7-½ PI Glove 2-7 PI Glove1-7 ½ Biogel Glove

Room 1

  • 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
  • 60CC Syringe X2 (2-extra for Buhari)
  • 24" tubing
  • 48" tubing
  • 8 - 10CC Syringes

Supply cart by break room

  • Mynx 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 Note: OR nurses will open light covers, arterial extension, and dressing supplies from their stock.

  1. Ensure you have 2 long tables.
  2. Back table pack to scrub table.
  3. Basic Pack to valve prep table.
  4. Open everything - RN's will help.
  5. Set tables and cover.
  6. When Pt. enters Anes. and RN's will hook pt up and shave and prep.
  7. Full 3 minute prep pause
  8. 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

  • 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