By Michela Casella, Antonio Dello Russo
Interventional cardiac electrophysiology has gone through a quick improvement in process and alertness in recent times. New three-d concepts were proposed for catheter navigation within the middle yet, an updated X-ray consultant remains to be fundamental for the proper positioning of catheters within the assorted cardiac chambers. An Atlas of Radioscopic Catheter Placement offers basic wisdom approximately radiographic anatomy of the center and a few advices to properly stream and rotate the catheters, in a concise and transparent demeanour.
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Extra resources for An Atlas of Radioscopic Catheter Placement for the Electrophysiologist
Bei Verwendung der gleichen Rezidivdefinition (d. h. Verlust von mindestens der Halfte des ursprtinglichen Gewinns oder Wiederzunahme urn mindestens 30 % im Vergleich zur Situation unmittelbar nach dem Eingriff) konnten wir bei Kontrollangiographien von 333 Patienten (N achangiographierate 94 %) mit einem mittleren ~ei~li chen Abstand zur Dilatation von 5,6 Monaten ledlghch eine Rezidivrate von 17 % nachweisen . Ein erhOhtes Rezidivrisiko ergab sich mit 33 % ftir Patienten mit erfolgreicher zweiter Angioplastik (Rezidivdilatationen), Dilatation einer Bypass-Stenose (45 % ; vgl.
Mit einer kritischen Stenose kann in ca. 80 % durch Angioplastik ein guter Langzeiterfolg erzielt werden Angioplastik Eingriffe Akuterfolge Notoperation 100 20 (n. 1. ) 4 (n. 2. ) 1 (n. 3. ) 87 18 3 5 1 6 124 graphischen Kontrollen am Tag nach Koronarangiopiastik in der GroBenordnung von 10 % . 1m Langzeitverlauf sind kiinische Rezidive spater als 4 Monate nach dem Eingriff in aller Regel die Folge einer Progression der Grundkrankheit (Abb. 3) Bei kritischer Indikation und hohem Standard der technischen DurchfUhrung des Eingriffs kann demnach durch Ballondilatation in einem hohen Prozentsatz der Patienten eine bleibende Stenosenerweiterung erzielt werden.
Circulation 74, Suppl II, 1822 (abstr) 1986 11. Savage R, Hollman J, Griintzig A , King SB III, Douglas J, Tankersley R: Can percutaneous transluminal coronary angioplasty be performed in patients with total occlusions? Circulation 66 , Suppl II , 330 (abstr) 1982 12. Schoop W: Die Ultra schall-Doppler-Methode in der Diagnostik der arteriellen und venosen StOrungen in den Extremitaten. Internist 17, 580, 1976 13. Thulesius 0 , Gjores JE: Use of doppler shift detection for determining peripheral arterial blood pressure .
An Atlas of Radioscopic Catheter Placement for the Electrophysiologist by Michela Casella, Antonio Dello Russo