TAVR/TAVI
STEP 1
ENSURE PATIENT HAS COMPLETELY FILLED OUT THE CARDIAC WORKSHEET. IF ANY AREA IS LEFT BLANK MAKE SURE TO VERIFY ALL QUESTIONS
STEP 2
PROPERLY EXPLAIN IN DETAIL WHAT WILL OCCUR DURINGTHE EXAM SO THAT THE PATIENT FEELS COMFORTABLE AND HAS TIME TO ASK QUESTIONS
STEP 3
ONCE ALL PRIOR INFORMATION HAS BEEN VERIFIED AND ARE ABLE TO PROCEED WITH EXAM. START A 18 OR 20GAUGE IV IN THE RIGHT ARM. FOR BEST RESULTS AN INJECTION RATE OF 4CC/SEC IS RECOMMENDED. IF YOU DO NOT FEEL A 18 GAUGE IS POSSIBLE OR HAVE MADE AN ATTEMPT REACH OUT TO CLINICAL LEADERSHIP FOR GUIDANCE
STEP 4
ONCE IV HAS BEEN PLACED, POSITION PATIENT WITH BOTH ARMS UP AND PERFORM A ROUTINE CARDIAC CALCIUM SCORE (IF ORDERED AND NO HISTORY OF STENT OR GRAFT). REMEMBER TO KEEP YOU FIELD-OF-VIEW (FOV) TO 25CM FOR GE OR 250MM FOR SIEMENS
IMPORTANT DETAIL: IF THE PATIENT HAS HISTORY OR CARDIACSTENT, CABG, ECT.. DO NOT PERFORM CALCIUM SCORE EVEN IF ORDERED AS IT WILL GIVE A FALSE POSITIVE READING. DOCUMENT WHY CALCIUM SCORE WAS NOT PERFORMEDIN YOUR TECH NOTES.
STEP 5
FOR ACQUISITION OF THE CCTA ENSURE THE SMALLEST FOV POSSIBLE TO ENSURE THE BEST SPACIAL RESOLUTION. SCAN SHOULD EXTEDND FROM THE CARINA THROUGH THE APEX OF THE HEART (SHOWN BELOW)
STEP 6
ALTHOUGH CLEARANCE FROM A RADIOLOGIST IS NOT REQUIRED, IT IS RECOMMENDED YOU REACH OUT TO CLINICAL LEADERSHIP OR CARDIAC RADIOLOGIST TO ENSURE IMAGE QUALITY AS THIS IS A PER-OPERATIVE EXAM AND ALL EFFORT SHOULD BE MADE TO ENSURE THERE IS NO DELAY IN THE PATIENTS FUTURE CARE
PHASE 1
Detail your services
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Announce coming events
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Share the big news
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Display their FAQs
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