tailieunhanh - Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 9

Khi hài lòng với cấu hình và vị trí vách ngăn bằng cách soi huỳnh quang và TEE ICE, an ninh của bản định hình trong các vách ngăn là "thử nghiệm" bằng phương tiện của một mức độ vừa phải mạnh mẽ, và fro, đẩy-kéo cáp giao hàng / devicea cái gọi là "lung Minnesota". | CHAPTER 28 Atrial septal defect occlusion When satisfied with the configuration and the position on the septum by both fluoroscopy and by TEE or ICE the security of the fixation in the septum is tested by means of a moderately vigorous to and fro push-pull on the delivery cable device the so called Minnesota wiggle . When both disks are positioned properly on and fixed securely in the septum and as traction is applied to the cable and the device which is fixed securely in the septum the right and left atrial disks separate from each other with each pull. As the disks are separated the rim of septal tissue that is between the disks is seen even more clearly on the TEE or ICE. As the cable is pushed during the wiggle the right and left atrial disks are pushed together but still should have some distance between the opposing edges of the disks and should not push through and or away from the septal defect. The entire circumference of the device is scrutinized with the TEE or ICE dum gthta v iggk to verifythatthe septal rimi s sand-wiched betwee ntlietwoc is s llol tbe ndd sound iOr mdanei eoram with aniejergonlhrough ihesewygatecatneteayositionydcigsetyosagoinst thd-iehr gidedOltk ofrhggeviee domonstratg sthe-aignmentaathe White relaiine to tho snptum aeg noips to dsmoestrate iS parto- ei therdisks awhewrtsn tkdeaf hhsqrtr m. b erhl- eothỄitefihWótfOigt agg jgk oenthta hub ese eadudeg Out tha sheet- ihh teg atriai siho dees ddt fotm eg tather an einhgateg1 egisat yr j cnbra isagtgoneitjibg nhirabnosmalcgnfigerationwso-kt persẽtsevíì adernde habandtighi disk arscom-pieteln cut of ite de-ivereshcath. Theeaast etioiogyoS i - idh Slh tt ti iwehta haw tge wiree Side Nesnoesd eot ageext t gg sow diss eivngatch rashgort hrn rdri vetaeach s-hefande or maybeseldied to excessite toequíng of the bevise nnh vogle wdt e hind wasecdllwithiutgo 1 11 8 neeosssoyenn -be hevic gtadurUyreeumesitsnasmai sodSiguhhddn1 ittbs rauo - .