tailieunhanh - Ebook Pocket guide to diagnostic cardiac catheterization: Part 2

(BQ) Part 2 book "Pocket guide to diagnostic cardiac catheterization" presents the following contents: Right heart catheterization, right and left heart hemodynamics, shunt detection and calculation, endomyocardial biopsy, pericardiocentesis, temporary transvenous pacemaker placement,. | CHAPTER 10 Right Heart Catheterization The best way out of difficulty is through it Anonymous Indications and Contraindications of the Procedure Every procedure performed in the cardiac catheterization laboratory has its own indications and contraindications. The same can be said about right heart catheterization Tables and . The majority of right heart catheterization procedures are done with a multilumen 7- to 8-Fr balloon-tipped flotation catheter with thermodilution cardiac output measurement 2 Prior to insertion the operator checks the balloon for the presence of an air leak by inflating it under water flushes the lumen of the catheter zeroes the pressure transducer at the level of the mid right atrium and ensures that no air bubbles are present in the tubing or in the catheter after its distal port is connected to the pressure transducer to avoid underdamped or overdamped pressure tracings . Recorded pressure will be too low if a transducer is positioned too high and vice versa for every inch that the heart is away from the reference point of the transducer a 2 mm Hg degree of error will be introduced. If left bundle branch block is present on the ECG the right heart catheterization procedure should be done with extreme caution in order to avoid iatrogenic right bundle branch block that could result in complete heart block. It is recommended to have a temporary pacemaker ready in case a prolonged episode of iatrogenic complete Pocket Guide to Diagnostic Cardiac Catheterization 2016 Andro G. Kacharava 145 Stephen D. Clements Jr. A. Maziar Zafari Cardiotext Publishing ISBN 978-1-935395-35-5. 146 Chapter 10 Right Heart Catheterization TABLE Indications for diagnostic right heart catheterization. INDICATION NOTES Acute myocardial infarction Complicated by hypotension HF sinus tachycardia RV infarction or mechanical complications VSD tamponade or acute MR Assessment of volume status When physical examination is unreliable Severe left

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• Diagnostic cardiac catheterization
• A brief history of cardiac catheterization
• The cardiac catheterization laboratory
• Angiography of coronary bypass grafts
• Vascular access
• The multipurpose catheter
• Diagnostic methods in the cardiac catheterization laboratory
• Coronary anomalies and fistula
• Quantitative coronary angiography
• Pre intervention evaluation
• Pharmacological intervention trials
• Clinical applications of OCT
• Viability assessment
• Cardiovascular interventional MR imaging
• Coronary stenosis evaluation with CT angiography
• Invasive evaluation of renal artery stenosis
• Precatheterization care
• Pulmonary angiography