Expanded to reflect developments in practice, this new edition also introduces a new chapter on the multidisciplinary team and their roles and responsibilities from pre- to post-procedural care and relevant training requirements.
It contains detailed instructions on how to perform a comprehensive left and right heart catheterization procedure, choosing the correct catheter for coronary and graft angiography, and how to perform a diagnostic coronary angiogram and interpret the subsequent findings. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
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Please consult the latest official manual style if you have any questions regarding the format accuracy. In , Werner Forssman, a resident surgeon at Eberswalde in Germany, inserted a urologic catheter into his right atrium from a left antecubital vein cut down he had performed on himself using a mirror. After walking downstairs to the radiology suite, the position of the catheter tip was verified by a roentgenogram. This was the beginning of cardiac catheterization: the insertion and passage of small plastic catheters into arteries, veins, the heart, and other vascular structures to obtain angiographic images of coronary arteries and cardiac chambers and to measure hemodynamic data pressure and flow in the heart.
Cardiac angiography images not only diagnose coronary artery disease CAD but are used to visualize abnormalities of the aorta as well as the pulmonary and peripheral vessels. Equally important, the modern cardiac catheterization laboratory is a therapeutic theater of operations for catheter-based interventions eg, stent implantation, atherectomy, thromboaspiration , collectively called percutaneous coronary intervention [PCI] or catheter-based treatment of structural heart disease Table 20—1.
Figure 20—1 shows a typical modern cardiac catheterization laboratory. The modern catheterization laboratory. Philadelphia: Elsevier; Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'.
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Invasive assessment of the coronary microcirculation: Superior reproducibility and less hemodynamic dependence of index of microcirculatory resistance compared with coronary flow reserve. Martinez G. The index of microcirculatory resistance in the physiologic assessment of the coronary microcirculation. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use for details see Privacy Policy and Legal Notice.
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