[[450 Technical Outline of Transcatheter Aortic Valve Replacement]] # Guidewire Pacing for TAVI Date Created: [[20220820]] - After Seldinger technique access of intended valve deployment vessel, and after preparation with 11 blade and fascial dissection with mosquito clamp, remove vi-drape from skin margins to prepare for application of the skin ground (black) alligator clamp of pacing cable. - After deployment of Lunderquist wire into LV apex, and exchange of sentrant femoral sheath for the delivery system over the Lunderquist, when delivery system nose cone has crossed aortic valve - Apply black alligator clip (ground) to exposed skin at puncture site - Apply red alligator clip (positive) to Lunderquist wire - Set pacing box to desired rate and to 20 mA - When pacing desired, plug cable into box - ![[LV Guidewire Pacing.png]] Links: https://citoday.com/articles/2022-july-aug/pacing-over-the-wire-in-minimalistic-tavi https://pubmed.ncbi.nlm.nih.gov/31857014/