This seventh edition of Grossman's Cardiac Catheterization, Grossman has stepped down as its coeditor. comm/environment/radprot//chancromaslodis.ml 7. The premier reference on cardiac catheterization, and appeals to seasoned Baim's Cardiac Catheterization, Angiography, and Intervention View PDF. Grossman & Baim's Cardiac Catheterization,. Angiography, and Intervention. The premier reference on cardiac catheterization, and appeals to seasoned.
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Grossman's Cardiac Catheterization, Angiography, and Intervention, 7th edn ( ). Donald S Baim, ed. Lippincott Williams & Wilkins, Philadelphia, USA. Grossman's Cardiac Catheterization, Angiography, and Intervention, 7th Edition. Pages · · (zlibraryexau2g3p_onion).pdf Start Where You Are. Free Accessarticle. Download PDF · Grossman's Cardiac Catheterization, Angiography, and Intervention, 6th ed. Originally published22 Mar.
The incidence rate of vagal reactions resulting in hypotension or bradycardia requiring atropine is 6. In another study, sinus bradycardia requiring atropine occurred in 4. In this article, we outline the resolution of bradycardia during cardiac catheterization through the transradial approach following catheter pullback in two cases. Case Report 2. Case 1 A year-old male with a history of hypertension, premature coronary artery disease in the family, and severe aortic insufficiency with left ventricular dilation presented with chest heaviness and shortness of breath.
Grossman's Cardiac Catheterization, Angiography, and Interve
He was referred for a coronary angiogram and aortogram to evaluate for coronary artery disease and severe aortic insufficiency, respectively.
A 5 Fr sheath was inserted into his right radial artery. Upon engagement of the ascending aorta with an FL 3. Despite treatment with 0. At this point, the FL 3.
The remaining procedure was continued safely without complications. Case 2 An year-old male with no significant past medical history except for dyslipidemia and hypertension underwent a coronary angiogram due to the results of his high-risk stress test. The bradycardia resolved upon removal of the catheter. The remaining procedure was continued after reinsertion of the catheter safely without any consequences.
Discussion Bradycardia is a common problem observed during the cardiac catheterization, either radial or femoral route. If it is not intervened, it may lead to asystole and hemodynamic compromise, particularly in ischemic heart disease and stenotic valvular patients.
Bradycardia as a manifestation of the vasovagal reactions induced by the contrast medium, pain, or anxiety is described before in few studies. In , Eckberg et al.
Later, it was suspected that bradycardia is related to the injection of high osmolar ionic contrast material into the right coronary artery [ 4 ].
Forceful coughing restores normal cardiac rhythm by clearing the contrast material and increasing coronary blood flow [ 4 ]. These vasovagal reactions usually occur in response to pain or anxiety associated with catheterization.
They can be prevented by sufficient preprocedural sedation and administration of a local anesthetic agent before vascular access is obtained with the catheter. Landau et al. In this study, Proper management of a vasovagal reaction involves termination of the noxious stimulus, intravenous volume replacement, the Trendelenburg position, and administration of atropine 0.
However, in our patients, though one failed to improve despite atropine administration, bradycardia in both of these cases was alleviated by removal of the catheter. To the best of our knowledge, transient bradycardia due to catheter manipulation has not been well described in the available literature.
The bradycardia and hypotension occurred before the catheter engagement of coronary arteries in our cases which suggest these consequences are unlikely due to catheter-induced coronary spasm. When we advance the Guidewire, we may encounter coiling in the blood vessels due to the tortuosity of the vasculature Figure 1.
Subsequently, during the insertion of the catheter along the Guidewire, we may run into excessive stretching of the surrounding vasculature Figure 2. Named after the two creators, it was called the Gibbon-Walsh catheter.
The Gibbon and the Walsh catheters have been described and their advantages over other catheters shown. The Walsh catheter is particularly useful after prostatectomy for it drains the bladder without infection or clot retention. The Gibbon catheter has largely obviated the necessity of performing emergency prostatectomy. It is also very useful in cases of urethral fistula.
A simple procedure such as dilatation of the urethra and passage of a Gibbon catheter often causes the fistula to close. This catheter is also of use in the treatment of urethral stricture and, as a temporary measure, in the treatment of retention of urine caused by carcinoma of the prostate. Materials[ edit ] A range of polymers are used for the construction of catheters, including silicone rubber , nylon , polyurethane , polyethylene terephthalate PET , latex , and thermoplastic elastomers.
Silicone is one of the most common choices because it is inert and unreactive to body fluids and a range of medical fluids with which it might come into contact.
On the other hand, the polymer is weak mechanically, and a number of serious fractures have occurred in catheters. Polyimides are used to manufacture vascular catheters for insertion into small vessels in the neck, head and brain.
There are many different types of catheters for bladder problems. A typical modern intermittent catheter is made from polyurethane and comes in different lengths and sizes for men, women and children.
The most advanced catheters have a thin hydrophilic surface coating. When immersed in water this coating swells to a smooth, slippery film making the catheter safer and more comfortable to insert.
Some catheters are packed in a sterile saline solution. Interventional procedures[ edit ] Various settings of a 6 French pigtail catheter with locking string, obturator also called stiffening cannula and puncture needle.
Both puncture needle and obturator engaged, allowing for direct insertion. Puncture needle retracted. Obturator engaged. Used for example in steady advancement of the catheter on a guidewire.
Both obturator and puncture needle retracted, when the catheter is in place. Locking string is pulled bottom center and then wrapped and attach to the superficial end of the catheter. Different catheter tips can be used to guide the catheter into the target vessel.
Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention
A thin, hollow tube called a catheter is inserted into a large blood vessel that leads to your heart.The doctor will gently guide a catheter a long, thin tube into your vessel through the sheath. Those who will benefit most from this publication are general cardiology residents and interventional fellows.
Lippincott Handbo Scanlon PJ.
Upon engagement of the ascending aorta with an FL 3. Fifer and William Grossman Learn how and when to remove this template message Ancient Chinese used onion stalks, the Romans, Hindus, and Greeks used tubes of wood or precious metals.
Sommer, and Michael J. Radial access allows for earlier patient ambulation and same-day hospital discharge in PCI patients and is associated with decreased cost [10,11].
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