Basics of the Cath Lab: TAVR Resources for CVPs, Fellows, and the Cath Curious-Edwards Prep

Video Transcription

Video Summary

The video outlines the meticulous preparation process for a 26mm transcatheter heart valve implantation. It begins with flushing sheaths and introducers using heparinized saline, followed by hydrating and de-airing the atrion balloon to the nominal volume of 23ml, crucial to avoid air bubbles. The Commander delivery system is then prepared by removing protective coverings, flushing ports, and ensuring precise component alignment. The valve undergoes rehydration for two minutes, followed by a careful pre-crimping step to fit it inside the Qualcrimp system, emphasizing handling to avoid damage. Subsequent steps include verifying valve size, expiration, and temperature indicators. The full crimp is performed in stages with rotations and alignments, locking the balloon appropriately. Final flushing removes residual bubbles, and the stylet is removed. Throughout, safety checks, sterile technique, and team communication are stressed to ensure readiness for implantation. The process ensures the valve is optimally prepared for successful deployment.

Keywords

transcatheter heart valve

26mm valve preparation

heparinized saline flushing

Commander delivery system

Qualcrimp valve crimping