By Michela Casella, Antonio Dello Russo
Interventional cardiac electrophysiology has passed through a quick improvement in procedure and alertness lately. New three-d recommendations were proposed for catheter navigation within the center yet, an updated X-ray consultant continues to be crucial for the proper positioning of catheters within the varied cardiac chambers. An Atlas of Radioscopic Catheter Placement offers basic wisdom approximately radiographic anatomy of the center and a few advices to properly circulation and rotate the catheters, in a concise and transparent demeanour.
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Additional info for An Atlas of Radioscopic Catheter Placement for the Electrophysiologist
Prevention of Radial Spasm Prevention is inestimably better than cure. The observation that incidence of RS decreases with operator experience underlines the importance of clean arterial puncture and the minimal necessary catheter manipulation. 1. It is therefore necessary to know the medical history and examination findings in order to decide the appropriate access site. 4 Preventing and Treating Radial Spasm Fig. 2 Barbeau test: the above is an illustration of the morphology of the plethysmography tracing and the ability to obtain an Sp02 reading before, immediately after, and 2 min after radial occlusion.
Aortofemoral bypass grafts: safety of percutaneous puncture. J Vasc Surg. 1984;1:642–5. 11. Eisenberg RL, Mani RL, McDonald EJ. The complication rate of catheter angiography by direct puncture through aorto-femoral bypass grafts. AJR Am J Roentgenol. 1976;126:814–6. 12. Sherev DA, Shaw RE, Brent BN. Angiographic predictors of femoral access site complications: implication for planned percutaneous coronary intervention. Catheter Cardiovasc Interv. 2005;65:196–202. 13. Garrett PD, Eckart RE, Bauch TD, Thompson CM, Stajduhar KC.
Invasive coronary angiography remains the gold standard for the anatomical evaluation of coronary artery disease; accurate assessment requires selective cannulation of the right and left coronary arteries, sufficient opacification with contrast, and acquisition of images in several projections. Although there are many preformed diagnostic and guide catheters available on the market, designed to facilitate selective coronary angiography (Fig. 1), it can sometimes be challenging to selectively engage the coronary arteries.
An Atlas of Radioscopic Catheter Placement for the Electrophysiologist by Michela Casella, Antonio Dello Russo
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