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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 2 ppsx

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 2 ppsx

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 2 ppsx

... filled.CO 2 is extremely diffusable and escapes instantaneouslyinto air through any opening, including the tiny opening in the tip of a syringe. If the tip of a syringe full of CO 2 remains open, ... is within the vein and that the veinactually is patent. If the vein is patent and the Medi-Cut™is well within the vein, the soft J curved wire is reintro-duced through the Medi-Cut™ and advanced ... repeatedly and rapidly with a standard, sharp and open-tipped needle. The needle is introduced rapidly and deeply, know-ingly and purposefully trying to transect the vessel duringits introduction,...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 1 pps

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 1 pps

... passages in a review.First published 20 06ISBN-13: 97 8-1 -4 05 1 -2 20 09ISBN-10: 1-4 05 1 -2 20 05Library of Congress Cataloging -in- Publication DataMullins, Charles E. Cardiac catheterization in congenital ... Congenital diagnosis. 2. Heart Defects, Congenital therapy. 3. Heart Catheterization methods. WG 22 0M959c 20 05]RJ 423 .5.C36M85 20 05618. 92 120 754—dc 22 2005 022 329 A catalogue record for this title is available ... (Zofran)Promethazine (Phenergan)InotropicsPhenylephrine (Neo-Synephrine)Epinephrine (Adrenaline)Norepinephrine (Levophed, Noradrenaline, Levoartenolol)Isoproterenol (Isuprel)DopamineDobutamineMilrinone...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 3 pps

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 3 pps

... left in a catheter and/ or within the circulation for more than several min-utes without withdrawing the wire and cleaning it and also clearing and flushing the catheter every several min-utes! In ... should be used to eliminate the forma-tion of thrombi and embolic phenomena from wires.Always introducing and using wires through back-bleed valves with flush ports and maintaining the lumenof ... two locations within the left heart orgreat artery arising from the left heart. All this informa-tion is obtained through the single venous introductorysite and without entering an artery at...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 4 pps

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 4 pps

... is:15 g/dl × 1.34 ml O 2 /g Hgb = 20 .1 ml O 2 /g Hgb And the cardiac output in this patient is:QS==CI= = 2. 5 l/min/m 2 Or, combining denominators:QS== = 2. 5 l/min/m 2 The same basic formula ... hemoglobin, oxy-hemoglobin,deoxy-hemoglobin, carboxy-hemoglobin and methemo-globin. However, the various co-oximeter apparatuses are expensive and they require special hemolyzing and cleaning ... sam-ples are increased slightly to 70% in the SVC and 98% in the SA. The oxygen capacity of the hemoglobin is still 20 .1, while the SA pO 2 is 500 and the SVC pO 2 is 40.QS=== =2. 14 l/min/m 2 Thus,...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 5 ppt

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 5 ppt

... desirable, and in our laboratory is considered essential. In the new-born infant with congenital heart disease, the arterial lineis often present as an umbilical artery line when the infantarrives in ... Meijer A, and Van Gelder B. Learning curve char-acteristics of pacing lead extraction with a laser sheath. PacingClin Electrophysiol 1998; 21 (11 Pt 2) : 23 09 23 13.CHAPTER 14 Blade and special ... significantly larger initial opening in the septum than the opening that is usually found or cre-ated in patients requiring these small fixed communica-tions, and this opening in the septum must...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 6 ppt

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 6 ppt

... systemic vein and a separate indwelling femoral arterial monitoringline. The majority of the hemodynamic and anatomicinformation is obtained through these lines before thecarotid cut-down is initiated. ... prograde catheter in the left ventricle and the separate indwelling femoral arte-rial line provide continuous left ventricular and systemicarterial pressure monitoring before, during and after thedilation ... for monitoring pressures and for theadministration of fluid and medication, and is possiblyhelpful in determining the relative severity of com-bined lesions.Percutaneous entry into the artery...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 7 ppt

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 7 ppt

... some talent and con-siderable additional time on the part of the operator dur-ing each case.“Sheath-within-a-sheath” technique for thedelivery of stentsccombined front-loading and pre-positioned ... occurring in most congenital heart patients.References1. Mullins CE et al. Implantation of balloon-expandable intra-vascular grafts by catheterization in pulmonary arteries and systemic veins. ... Coll Cardiol 20 01; 38 (2) : 521526 .9. Cheung YF et al. Early and intermediate-term complicationsof self-expanding stents limit their potential application in children with congenital heart disease....
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 8 doc

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 8 doc

... Br Heart J 19 92; 67(3): 24 0 24 5.19. Michel-Behnke I et al. Stent implantation in the ductus arte-riosus for pulmonary blood supply in congenital heart dis-ease. Catheter Cardiovasc Interv 20 04; ... grafting. Radiology 1986; 160: 723726 .3. Shaffer KM et al. Intravascular stents in congenital heart dis-ease: short- and long-term results from a large single-centerexperience. J Am Coll Cardiol ... Transluminal expandable nitinol coil stent grafting: preliminary report. Radiology 1983; 147(1): 25 9 26 0. 2. Palmaz JC et al. Atherosclerotic rabbit aortas: expandableintraluminal grafting. Radiology...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 9 doc

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

... CardioSEAL™ and/ or a STARFlex™ device, a9–11-French short sheath is introduced into the rightfemoral vein, a 6- or 7-French sheath is introduced into theleft femoral vein, and a Quick-Cath™ or ... sheath/dila-tor set is introduced over the wire and advanced into theskin and the vein.With the dilator maintained on continuous flush and the valve of the side port of the sheath closed and not ... that fluid and/ or air are flowing out of, and are notbeing sucked into the sheath by negative intrathoracic pres-sure. Realizing that a 1 0- or 11-French sheath can hold10– 12 ml of air and/ or clot,...
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Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 10 doc

Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult - Part 10 doc

... occludediliofemoral veins and inferior vena cava using intravascularstents: re-establishing access for future cardiac catheteriza-tion and cardiac surgery. J Am Coll Cardiol 20 01; 37(1): 25 1 25 7.14. Justino ... formation in a vein that has sluggish flow and/ or has been damaged by surgical or catheter inter-vention, including chronic indwelling intravenouscatheters and infusions. Occlusions of small veins ... the more chal-lenging and time-consuming procedures in the cardiac catheterization laboratory.A myocardial biopsy usually is accomplished in the cardiac catheterization laboratory and accompanied...
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