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Hofmann Luke J - - 2010
Arterial line catheterization in the critically ill patient is often an arduous task. Here we identify risk factors in the critical care patient that may predict a more difficult arterial catheter insertion. We also describe our ultrasound technique and review of the literature with regard to location of access, complications, ...
Nossaman Bobby D - - 2010
The development of right heart catheterization has provided the clinician the ability to diagnose patients with congenital and acquired right heart disease, and to monitor patients in the intensive care unit with significant cardiovascular illnesses. The development of bedside pulmonary artery catheterization has become a standard of care for the ...
Tiroch Klaus A KA Department of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. - - 2010
We evaluated the exact quantitative long-term impact of repeated catheterizations, vascular closure devices, and cardiovascular risk factors on the femoral artery after cardiac catheterization. A total of 2,102 available femoral angiograms from 827 consecutive patients were analyzed using caliper-based quantitative vascular analysis. These patients underwent coronary interventions between January 2005 ...
Ropers Dieter - - 2009
We compared the measurements of the aortic valve area (AVA) using dual-source computed tomography (DSCT) in patients with mid to severe aortic stenosis to measurements using transthoracic echocardiography (TTE) and invasive hemodynamic assessment. A total of 50 patients (mean age 73 +/- 10 years) with suspected aortic stenosis were included. ...
Powers Ciaran J - - 2011
Inadvertent catheterization of brachiocephalic arteries (carotid artery, subclavian artery, or vertebral artery) during attempted placement of a central venous catheter can have potentially disastrous complications. While removal of the catheter in the operating room is almost always an option, there are circumstances in which a less invasive approach may be ...
Heiss Christian C Medizinische Klinik B, Heinrich-Heine University, Düsseldorf, - - 2009
The aim of this study was to investigate the effect of diagnostic transradial catheterization on vascular function of upstream brachial artery (BA). The transradial access has recently become an alternative to transfemoral cardiac catheterization. A potential caveat of this approach lies in possible sustained physical radial artery (RA) damage. We ...
Shiloh Ariel L - - 2010
Arterial catheterization is the second most common invasive procedure performed in the intensive care unit. Despite the ubiquity of the procedure, complications including failure to place the catheter occur. While many clinicians are familiar with the use of ultrasound (US) guidance to decrease complication rates of central venous catheter insertion, ...
Kaur Navkiran - - 2009
Femoral vein catheterization can be undertaken easily and quickly by inexperienced physicians. However, accurate vein puncture is critical to reducing complications that include pseudoaneurysm and arteriovenous fistulae formation.
Castillo-Sang Mario - - 2010
BACKGROUND: Femoral artery complications after cardiac catheterization range from simple events to severe complications requiring invasive techniques or surgery with significant economic costs. This study evaluated early femoral arterial complications from percutaneous arterial access during diagnostic and interventional cardiac catheterizations in an era of widespread use of closure devices and ...
Kim Young Hwan - - 2010
The purpose of this study was to evaluate the angiographic and histopathologic changes in the superficial femoral artery (SFA) in heparinized sheep shortly after catheterization with an 8-Fr sheath and manual compression hemostasis either with standard manual compression (SMC) or with the use of a procoagulant chitosan-based HemCon Bandage. The ...
Koch Beate - - 2009
Arteriovenous fistula is a possible complication of diagnostic procedures requiring arterial femoral catheterization. Late onset manifestation is reported rarely. An impressive case of severe pulmonary arterial hypertension and consecutive right heart failure caused by an arteriovenous fistula between the common iliac artery and the distal inferior caval vein manifesting four ...
Mourot Joshua M - - 2009
A retrospective analysis of all pediatric patients admitted for acute burn treatment during a 7-year period was conducted to examine patients who underwent femoral artery catheterization and discuss the associated complications and treatment options. The total number of femoral artery catheterizations performed, nature of vascular complications, treatment rendered, and patient ...
Liu Qiong - - 2009
BACKGROUND: Femoral artery thrombosis is one of the most common complications of catheterizations in infants and young children. This study was conducted to investigate the feasibility and effectiveness of thrombolytic therapy for femoral artery thrombosis after left cardiac catheterization in children. METHODS: Thrombolytic therapy with urokinase was carried out in ...
Beitzke Albrecht - - 2009
We present a simple method to gain femoral vein access for cardiac catheterization in newborns and infants. After contrast injection into a short saphenous vein the femoral vein can be easily punctured under fluoroscopy of the groin. Compared to the landmark-guided technique of palpation of the femoral artery, this method ...
Lin Samuel J - - 2009
In the neonatal intensive care unit, the use of umbilical artery catheters (UAC) is established. Methods to perform uninterrupted arterial blood gas and pressure monitoring, access for the delivery of fluids and medication, exchange transfusion, cardiac catheterization, and angiography using umbilical artery catheters are used in the care of critically ...
Pearce Frank Bennett - - 2008
OBJECTIVE: The objective of this study was to examine the patency and utility for subsequent vascular access of the internal jugular vein following use in short-term extracorporeal membrane oxygenation. DESIGN: Retrospective review. SETTING: Pediatric cardiac intensive care unit, pediatric cardiac catheterization laboratory, and pediatric cardiac clinic. PATIENTS: Four children, ages ...
Bandarupalli Naveen - - 2008
We report an adult with a discrete subaortic membrane in whom two-dimensional transthoracic Doppler echocardiography demonstrated peak and mean gradients of 64 and 33 mmHg, respectively in the left ventricular outflow tract (LVOT) and a calculated orifice area by continuity equation of 1.14 cm(2) consistent with significant obstruction. However, by ...
Davenport Jennifer J - - 2008
OBJECTIVE: The objective of this study is to examine the safety/efficacy of alternative routes of vascular access (ARVA) for successful performance of interventions. BACKGROUND: Complex interventional catheterizations may be required in children with limited vascular access, vascular constraints relative to size, and hemodynamic instability. Our approach has been to utilize ...
Wong Lai-Sze Grace - - 2008
The aim of the study was to compare the standard technique of cardiac output determination by pulmonary artery catheter thermodilution (PAC-TD) with a noninvasive ultrasound Doppler monitor (USCOM Pty., Ltd., Coffs Harbour, Australia) in surgery for liver transplantation. We wished to determine if the degree of accuracy would allow the ...
Afzelius Pia - - 2008
PURPOSE: We present an unusual case of extra cardiac activity of 99mTc-MIBI in the left part of thorax and left upper extremity in a patient admitted for myocardial perfusion scintigraphy. METHODS: A standard 2-day protocol of 99mTc-MIBI perfusion scintigraphies starting day 1 with stress (dipyridamol) imaging and followed by rest ...
Khavandi Ali - - 2008
A 25-year-old man who had recurrent sore throats presented with sharp central chest pain 5 hours after starting penicillin for tonsillitis. Electrocardiogram (ECG) revealed ST-segment elevation in leads I and aVL with reciprocal ST depression in lead III (Fig. 1). Troponin I was measured as 33 microg/L (normal range, b0.1 ...
Applegate Robert J RJ Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1045, USA. - - 2008
This study sought to evaluate trends in vascular complications after diagnostic cardiac catheterization (CATH) and percutaneous coronary intervention (PCI) from the femoral artery from 1998 to 2007. Vascular complications have been recognized as an important factor in morbidity after CATH and PCI. Whether strategies to reduce vascular complications performed from ...
Thomas Anil A - - 2008
Scrotal hematoma is a rare and unusual complication of transfemoral cardiac catheterization. We describe the case of a 43-year-old man who presented with a delayed retroperitoneal hemorrhage and massive scrotal hematoma following cardiac catheterization. Emergent groin exploration was performed with ligation of the inferior epigastric artery and evacuation of the ...
Durongpisitkul Kritvikrom - - 2008
BACKGROUND: Preoperative evaluation of patients with pulmonary atresia and ventricular septal defect (PA/ VSD) are generally done by echocardiogram and cardiac catheterization. The authors' objective of the present study was to compare the findings of Gadolinium (Gd) enhanced cardiac magnetic resonance angiography (MRA) with cardiac catheterization. MATERIAL AND METHOD: Patients ...
GoszczyƄska Hanna - - 2008
An indicator dilution method has been designed and applied to measure coronary flow rates in patients undergoing cardiac catheterization. It requires densitometric analysis of two particular angiographic sequences of the artery of interest, acquired digitally under specific conditions imposed on the contrast medium injections. The method was tested first on ...
Dittrich Ralf - - 2008
BACKGROUND AND PURPOSE: Microembolic signals (MESs) are detectable within the transcranial Doppler frequency spectrum downstream from vascular atherothrombotic or cardiothrombotic lesions. A frequent occurrence of MESs has also been shown during bypass surgery or after mechanical valve implantation. We sought to compile the knowledge on MES prevalence, the clinical impact ...
Mariscalco Giovanni - - 2008
Coronary artery aneurysms (CAA) are rare but potentially fatal pathologies. This case was referred to our Unit after occasional echocardiographic finding of an intracardiac mass. A new detailed transthoracic echocardiogram was decisive for a diagnosis of a large CAA of the right coronary artery, compressing and dislocating the right atrium. ...
Omura Atsushi - - 2008
A 72-year-old woman with a history of surgical treatment for pulmonary artery sarcoma was admitted with a chief complaint of progressive dyspnea. Transthoracic echocardiography, computed tomography, magnetic resonance imaging, and right cardiac catheterization demonstrated that the tumor had recurred in the right ventricular outflow tract (RVOT) with severe stenosis. Palliative ...
Esaki T - - 2007
Two patients with glossopharyngeal neuralgia associated with cardiac syncope were treated with temporary cardiac pacemakers for cardiac syncope and then microvascular decompression. The offending arteries were the posterior inferior cerebellar artery in one patient and the anterior inferior cerebellar artery in the other. The offending arteries were attached to the ...
Miraldi Fabio - - 2007
We describe a unique case of a patient with a 'pigmented' cardiac paraganglioma in a multiple paraganglioma syndrome. She was symptomatic for arrhythmias, hypertensive crises and dyspnoea due to a cardiac tumour, which was richly vascularised from the right coronary artery and was partially obstructing the right atrioventricular inflow. She ...
Cardoso Cristiano de Oliveira - - 2008
Pulmonary embolism (PE) is life-threatening disease, and sometimes clinical symptoms may be unspecific. We report a case of a previously healthy 70-year-old woman who presented syncope, chest pain, left bundle branch block on ECG and cardiogenic shock requiring vasopressor. Patient underwent cardiac catheterization for suspected acute coronary syndrome, however exam ...
Chakravarthy Murali - - 2007
We prospectively compared four techniques of cardiac output measurement: bolus thermodilution cardiac output (TDCO), continuous cardiac output (CCO), pulse contour cardiac output (PiCCO), and Flowtrac (FCCO), simultaneously in fifteen patients undergoing off-pump coronary artery bypass grafting (OPCAB). All the patients received pulmonary artery catheter (capable of measuring both bolus thermodilution ...
Eisen Lewis A - - 2007
We examined risk factors associated with failure of arterial catheterization in the medical intensive care unit of a large urban teaching hospital. We analyzed 92 consecutive arterial catheterizations by internal medicine house staff and critical care fellows. Of the 92 attempts, 26.1% were done on femoral arteries, and 73.9% were ...
Baek Jee Hyun - - 2007
OBJECTIVE: We wanted to introduce a new technique for superselective catheterization of arteries with preshaping of a micro-guide wire into a shepherd's hook form, and this is useful for superselection of small arteries branching at an acute angle from a large parent artery for the treatment of tumors and hemorrhages. ...
Killu Keith - - 2007
OBJECTIVE: The aim of this study was to determine whether lower limb (calf) sequential compression devices (SCDs) have a significant effect on thermodilution cardiac output measurements using a pulmonary artery catheter. DESIGN: Prospective clinical investigation. SETTING: Surgical and neurosurgical intensive care units in a university hospital. PATIENTS: A total of ...
Mattei Peter - - 2007
Urachal remnants are uncommon congenital anomalies of the bladder that can be injured during attempted catheterization of an umbilical artery or vein. We present the case of a newborn boy who developed urinary ascites after undergoing an attempted umbilical vein catheterization. He subsequently underwent successful surgical repair of a perforated ...
Applegate Robert J - - 2007
OBJECTIVES: To evaluate the adjusted risk of vascular complications after thrombin hemostasis patch-facilitated manual compression (THP-MC) for femoral artery access site management. BACKGROUND: Thrombin hemostatic patches shorten time to hemostasis after cardiac procedures involving femoral artery access, but whether these patches are as safe as manual compression remains uncertain. METHODS: ...
Tarolli Karen A - - 2007
The catheterization laboratory is no longer limited to coronary arterial interventions. Physicians have been striving to make more interventions less invasive that now can include carotid, renal, and peripheral arterial stenting, as well as less invasive repair of atrial septal abnormalities. Even cardiac assist devices can be implanted percutaneously to ...
Masuda Ryota - - 2007
A 30-year-old man fell from the fourth floor of a building and suffered a chest injury. He was transported to our hospital within 50 minutes. Chest roentgenography showed left hemopneumothorax and a shift of the mediastinal shadow to the right. Furthermore, most of the left upper lobe did not appear ...
McGee William T - - 2007
The present study compared measurements of cardiac output by an arterial pressure-based cardiac output (APCO) analysis method with measurement by intermittent thermodilution cardiac output (ICO) via pulmonary artery catheter in a clinical setting. The multicenter, prospective clinical investigation enrolled patients with a clinical indication for cardiac output monitoring requiring pulmonary ...
Bhatia Vineet - - 2007
With the availability of better hardware and refinements in catheterization techniques, perforation of cardiac structures at cardiac catheterization is a rare event. We report, a 54-year old male who developed LV rupture during a pre-aortic valve replacement catheterization with ensuing tamponade, after several attempts were made to cross a heavily ...
Ling Jennifer C - - 2007
Hyper IgE recurrent infection syndrome (HIES, or Job's syndrome) is a primary immunodeficiency characterized by recurrent skin and lung infections, eczema, elevated serum immunoglobulin E (IgE) levels, and various connective tissue and skeletal system abnormalities including characteristic facies, scoliosis, joint hyperextensibility, retained primary dentition, craniosynostosis, osteopenia, and pathologic fractures. We ...
Czekajska-Chehab Elzbieta - - 2006
Papillary fibroelastomas represent less than 10% of all primary cardiac tumours. They are usually incidental autopsy or surgical findings, or detected during echocardiography or catheterization. The case of a 58-year-old man with typical exertional chest pain hospitalized for an elective multislice computed tomography (MSCT) scan of the coronary arteries is ...
McGee William T - - 2006
Pulmonary artery catheterization has been a routine part of care for critically ill patients over the past 25 years. Primary hemodynamic data regarding cardiac output and pulmonary pressures can be utilized to make diagnoses and guide therapy. Tissue oxygen delivery and utilization allow inferences about the efficiency of the cardiopulmonary ...
Kalapatapu Venkat R - - 2006
According to data reported by the American Heart Association, more than 5 million diagnostic and therapeutic catheterizations are performed each year in the United States. The number of catheterizations has tripled since 1979. It has been estimated that complications related to the access site result in more than 75,000 surgical ...
Gueret G - - 2006
BACKGROUND: The aim of this prospective study was to compare continuous cardiac output measurements of the non-invasive cardiac output system (NICO) with the pulmonary artery catheter during off-pump coronary bypass surgery. METHODS: Twenty-two patients enrolled for off-pump coronary surgery received both a pulmonary artery catheter and a non-invasive cardiac output ...
Zhang Shaoxiong - - 2006
PURPOSE: To test the hypothesis that cardiac and coronary catheterization can be successfully performed under real-time MR guidance using a conventional x-ray angiographic catheter. MATERIALS AND METHODS: Cardiac and coronary catheterization was conducted on eight farm pigs using a real-time True FISP sequence. A pigtail catheter was used for both ...
Kulkarni Snehal - - 2006
Vascular occlusion is the major complication of percutaneous cardiac catheterization in children. This is a prospective study to evaluate post catheterization vascular complications in 120 consecutive children with the help of vascular ultrasound and Doppler imaging. Ultrasound imaging of both iliac and femoral veins and arteries was done one hour ...
Kawamura Akio - - 2006
Laceration of the inferior epigastric artery during cardiac catheterization is under-reported in the literature, but it is a serious complication leading to retroperitoneal hemorrhage and even death. We report on two cases of retroperitoneal bleeding from unintentional puncture of the inferior epigastric artery during cardiac catheterization. Femoral angiography is a ...
Mulaik Melody W - - 2006
Before you purchase new equipment to perform this service make sure you have all the facts regarding reimbursement for your payor population to ensure correct financial calculations. There is not much argument that CTA of the coronary arteries holds the future and will replace many traditional diagnostic cardiac catheterization procedures. ...
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