cardiac catheterization angiography ivus and ffr

... precise and detailed cardiac catheterization, definitive therapy in the catheterization laboratory has become the major indication for cardiac catheterization for many of the lesions in pediatric and ... Intravascular ultrasound and intracardiac echo equipment Currently intravascular ultrasound (IVUS) and intracardiac echo (ICE) imaging are used frequently in many pediatric and congenital catheterization ... provider and for “income generation” while actually performing catheterizations References ACC/AHA A.C.o.C.A.H.A.A.H.T.F.o.C.C ACC/AHA guidelines for cardiac catheterization and cardiac catheterization...

Ngày tải lên: 13/08/2014, 12:20

... connecting and flush/pressure tubing, “manifolds” (which include stopcocks and pressure transducers), and the catheterization “trays” or “packs” for the catheterization table Cardiac catheterization ... pediatric/congenital catheterization laboratory in the past few years Intracardiac echo provides dramatic, clear and easily understandable views of intracardiac structures Intracardiac echo does ... includes intravascular ultrasound (IVUS) , intracardiac echocardiography (ICE) and the Doppler needles Intravascular ultrasound (IVUS) Intravascular ultrasound (IVUS) has had considerable, but sporadic,...

Ngày tải lên: 13/08/2014, 12:20

... curve Both the catheter and the deflector wire (and handle!) within the catheter must be torqued and moved to and fro together The active deflector wires are not teflon coated, and tend to bind within ... manipulation alone of standard catheters Certainly, direct perforation of a vascular and/ or cardiac structure is a common fear, but in actuality it is extremely unusual and unlikely3 Most cardiac catheters ... a gas, and in the pediatric and congenital cardiac catheterization laboratory, the gas should always be filtered carbon dioxide (CO2) Carbon dioxide diffuses instantaneously into blood and, as...

Ngày tải lên: 13/08/2014, 12:20

... ventricular pressures are between 15 and 30 mmHg peak systolic and and mmHg end diastolic The normal left ventricular pressures are between 90 and 110 mmHg peak systolic and and 10 mmHg end diastolic As ... waveforms and amplitudes for each chamber and vessel in patients of all ages are well established The pressures observed at various sites within the heart and great vessels during a cardiac catheterization ... 288 decreased cardiac output The sedation or anesthesia of a patient during cardiac catheterization decreases their cardiac output compared to what it is when the patient is awake and at a normal...

Ngày tải lên: 13/08/2014, 12:20

... manipulation of any cardiac catheter Meticulous attention to the details of normal catheterization procedures for the manipulation of catheters, wires and sheaths, and the prevention of air and/ or clot ... location of the balloon and its size-relationship to the LA by both biplane fluoroscopy and echocardiogram; (2) pre-treatment with atropine; and (3) a more rapid and dextrous inflation and pull-through ... balloon expand the two ends of the stent on each side of the septum as the balloon expands completely Once the balloon and stent are fully expanded at both ends, the balloon is deflated and the security...

Ngày tải lên: 13/08/2014, 12:20

... recorded and angiography performed in both the left ventricle and the aorta through the prograde catheters as described earlier in this chapter Once the hemodynamics and angiography are completed and ... atrium and from there into the left ventricle Pressures are recorded from the left ventricle and the femoral arteries, and the left ventricular angiography is obtained to determine the severity and ... ventricle and the catheter in the descending aorta before, during and after the dilation procedure This allows simultaneous aortic and left ventricular pressure monitoring and recording during and...

Ngày tải lên: 13/08/2014, 12:20

... balloon is expanded at low pressure and just enough to approximate the inside of the partially expanded stent With the larger balloon expanded at low pressure within the stent and before expanding the ... the stent and a balloon large enough to expand and fix the stent in the caudal inferior vena cava is advanced over the wire and into the loose, partially expanded stent The balloon is expanded at ... unique characteristics and wide range of “available” and “custom” sizes, and its availability with an expandable “covering”, the C-P™ stent has had some unique investigational and compassionate use...

Ngày tải lên: 13/08/2014, 12:20

... the collapsed and the expanded states Once the balloon/stent combination is in position in the ductus, and before the stent is expanded in the ductus, the anatomy of the whole ductus and, in particular, ... occlusion and are used for PDA occlusions in the catheterization laboratory in the US These devices and their special delivery techniques have been demonstrated to be extremely safe and effective and ... anesthetized and/ or sedated through a secure intravenous line and positioned on the catheterization table Lidocaine is administered around the femoral vessels and the patient is prepped and draped...

Ngày tải lên: 13/08/2014, 12:20

... frame of the device to bow away from the mandrel and begin to coil The inner control catheter and mandrel (and device) again are advanced 1–2 cm and the mandril withdrawn the same distance, uncoiling ... from the mandrel on the right side of the septum Again, by slowly and meticulously advancing the inner control catheter and mandrel together and then alternately, withdrawing the mandrel the ... sheaths and on the wires and devices In addition, all sheaths and catheters are cleared meticulously of air and clot during each exchange of sheath/ CHAPTER 28 dilator, wire, catheter and device and...

Ngày tải lên: 13/08/2014, 12:20

... and inferior vena cava using intravascular stents: re-establishing access for future cardiac catheterization and cardiac surgery J Am Coll Cardiol 2001; 37(1): 251–257 Justino H, Benson LN, and ... more challenging and time-consuming procedures in the cardiac catheterization laboratory A myocardial biopsy usually is accomplished in the cardiac catheterization laboratory and accompanied by ... a femoral artery during, and/ or immediately following, a retrograde arterial catheterization is not an uncommon complication of cardiac catheterization in pediatric and congenital heart patients...

Ngày tải lên: 13/08/2014, 12:20

... international symposium on cardiac arrhythmias (9th Congress of the International Society for Holter and Noninvasive Electrocardiology and International Congress on Cardiac Pacing and Electrophysiology, ... to sudden cardiac death (SCD) is between 28% and 68% SCD is most often due to ventricular tachycardia (VT) or ventricular fibrillation (VF) To alleviate SCD by VT and VF, one effective and common ... decrease battery weight and size and to extend battery life time which required for portable and modern wireless equipment  Hamming network did not need to have a training system and the reference...

Ngày tải lên: 27/06/2014, 18:20

... 22136011, and 21500420 for Scientific Research from the Ministry of Education, Culture, Sports, Science, and Technology of Japan (to T.A.), and by NIH grants R01 HL082729 and R01 HL103428 and NSF ... defibrillators are installed in cardiac clinics, and a growing number of automatic external defibrillators are being used in public places and in households The increasingly large and diverse populations ... has proved to be efficient and reliable in preventing sudden cardiac death, defibrillation is a traumatic experience The therapy is painful and could be detrimental to cardiac function Furthermore,...

Ngày tải lên: 27/06/2014, 19:20

... analysed for complete blood count (CBC) and cardiac- specific Troponin I (cTnI) were collected and radiography and/ or ultrasonography of the abdomen was performed, and dogs diagnosed with pyometra were ... of cTnI in dogs with pyometra and relate these to the severity of systemic inflam- http://www.actavetscand.com/content/50/1/35 mation and other clinical variables and 2) to evaluate the change ... 38.1°C; and 4) total white blood cell count (WBC) above 16 × 109 or below × 109 cells per l blood or more than 3% band neutrophils [6] Sample handling Blood samples for hematological and biochemical...

Ngày tải lên: 12/08/2014, 18:22

... conceived and designed the study, reviewed all necessary material, and wrote the initial and successive drafts JL-H conceived, designed and coordinated the study, analyzed the data, and critically ... performed the CPR maneuvers and procedures, the first documented electrocardiogram rhythm, the number and doses of electric shock, and the total duration of CPR), and outcome-related variables ... the drafts CG collected and analyzed the patient data PD and AC participated in the design of the study and critically reviewed the drafts JMB assisted in the study design and performed the statistical...

Ngày tải lên: 13/08/2014, 02:24

... Report and Recommendations Edmonton: The Canadian Council for Donation and Transplantation; 2005 Boglione MM, Morandini MA, Barrenechea ME, Rubio RA, Aguilar D: Pre-arrest heparinization and ventilation ... of justice, and the fact that these organs are a scarce resource To conclude, we believe that starting certain medications and interventions such as inotropes, vasopressors, heparin and phentolamine ... patients with a low risk for side effects and that informed consent is provided Con: The intended unintended and the principle of double effect David A Zygun and Christopher J Doig The ethical principle...

Ngày tải lên: 13/08/2014, 03:20

... intravascular and body surface cooling techniques may both be effective and safe Well known side effects of therapeutic hypothermia, like hypokalaemia, hypomagnesaemia and bacteraemia may occur, and it ... out-ofhospital cardiac arrest with induced hypothermia N Engl J Med 2002, 346:557-563 Hypothermia after Cardiac Arrest Study Group: Mild therapeutic hypothermia to improve the neurologic outcome after cardiac ... Tisherman SA, Stezoski SW, Alexander H: Delay in cooling negates the beneficial effect of mild resuscitative cerebral hypothermia after cardiac arrest in dogs: a prospective, randomized study Crit Care...

Ngày tải lên: 13/08/2014, 08:20

... group with the detail of cardiac and trauma patients in all patients by group with the detail of cardiac and trauma patients (8.6 mmol/L), and lowest in SAH (6.2 mmol/L) and decreasing significantly ... collected and did not differ between groups Biological variables Trace elements and glutathione peroxidase Analysis was done in cardiac surgery and trauma patients Mean selenium, zinc, and GPX ... resting energy from the Harris and Benedict equation in cardiac surgery and SAH patients and as 30 kcal per kg body weight in trauma patients EN was considered first, and PN was used only when EN...

Ngày tải lên: 13/08/2014, 11:22

... analyses and drafted the manuscript SH carried out cardiomyocyte studies, SR preparation and phosphatase activity studies DM performed isolated heart studies and drafted the manuscript SL and RN ... manuscript SL and RN conceived of the study, and participated in its design and coordination and helped to draft the manuscript All authors read and approved the final manuscript 13 14 15 16 ... chamber and field-stimulated with pulses of ms duration at a frequency of 0.5 and Hz As an index of acceleration of relaxation, we calculated time constant of relaxation (tau, τ) at 0.5 Hz and Hz...

Ngày tải lên: 13/08/2014, 15:21

... of this comment, and will not be described proved useful in improving global hemodynamic measurements [13] The study by Joulin and colleagues is certainly thought provoking, and will hopefully ... cardiomyocyte shortening) and frequency-dependent acceleration of relaxation are physiological phenomena that ensure maintenance of cardiac output with the decreased ejection and filling times that ... Mebazaa A: Levosimendan restores both systolic and diastolic cardiac performance in lipopolysaccharide-treated rabbits: Comparison with dobutamine and milrinone Crit Care Med 2007, 35:1376-1382...

Ngày tải lên: 13/08/2014, 16:20

... percentages and means ± standard deviations In the analysis of patient characteristics and comparison of the STEMI and no STEMI groups, a t-test was used for continuous variables and Fisher’s ... Kim et al Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2011, 19:50 http://www.sjtrem.com/content/19/1/50 ECGs, cardiac biomarker results, and serial ST-segment ... STEMI and of which patients had left bundle branch block Of these 105 patients, refused emergency coronary angiography due to old age Kim et al Scandinavian Journal of Trauma, Resuscitation and...

Ngày tải lên: 13/08/2014, 23:20