TAVR
One complication s/p TAVR
*CVA
*Dislodgement
*BBB or HB
*Bleeding
A mitra clip is a term for CUT or CLASPE
claspe
What are the clinical indications for a CABG?
2-3 blocked arteries
primary left main disease
need for valve replacement
What is a watchman's device?
left atrial appendage closure device
When does a PFO naturally close?
at birth
noninvasive, age, condition, other needs to open chest
What are the common access points for a mitraclip?
right femoral venous
left femoral venous
NEVER arterial
Why is an insulin gtt necessary the night before a CABG? What do you need in adjunct to insulin?
close glucose monitoring with Q1 hour FS
D10
What cardiac arrhythmia is commonly associated with this procedure?
Afib
opening between the left and right atrium
What are the clinical indications for a TAVR?
*SOB
*Aortic stenosis
How many leaflets does the mitra clip close?
2
What is required the night before a CABG?
*CHG bath
*linen change
*Bactroban oitment
What does a TEE tell the provider 2 months after the procedure?
if epithelialization has occurred and the spaces are closed
Is a PFO closure minimally invasive?
Yes, trans-catheter approach in femoral vein
Name 2 barriers to a TAVR D/C
*Echo
*Physical therapy consult
Mitra clip is used for mitral ____ and mitral ____
regurgitation, prolapse
What is required the morning of a 2nd case CABG?
*Mepilex on sacrum
*CHG bath
*linen change
*Shower
*Hair clip
*bactraban oitment
*pack belongings
What medications can be discontinued after 45 days s/p Watchman?
anticoagulants
**antiplatelets (Plavix) and Aspirin are added at this time of a clean TEE --> epitheliazation has occured, no spaces between the device and appendage are present
What are the dangers of a PFO in an adult?
stroke
O2 rich and poor blood contamination
Why would a patient return from a TAVR with a temporary pacemaker in place?
heart block or new bundle branch block
What sets apart a Mitra clip catheter approach from all others?
Trans-septal puncture
Where does a surgeon harvest grafts from?
Saphenous vein, lima vein, mammory vein (arm, leg, auxilla)
Why is a chest xray necessary immediately after a watchman is placed?
migration of device
A patient with a history of PFO needs what attached to their IV?
0.8 downstream micron filter