By Michela Casella, Antonio Dello Russo
Interventional cardiac electrophysiology has passed through a speedy improvement in strategy and alertness lately. New three-dimensional suggestions were proposed for catheter navigation within the center yet, an up to date X-ray consultant remains to be essential for the right kind positioning of catheters within the various cardiac chambers. An Atlas of Radioscopic Catheter Placement offers primary 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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Extra resources for An Atlas of Radioscopic Catheter Placement for the Electrophysiologist
The team must become familiar with the equipment, where it is located within the facility, and how the inventory is to be managed. The equipment should be stored separately from equipment for other procedures; a cart, which includes guidewires, catheters, and other accessories, is recommended for storage between cases and for use in the operating room. Before the ﬁrst case, all involved personnel should participate in a dress rehearsal and review an inventory checklist of supplies to make sure that the logistics of imaging, the injection of contrast medium, and the availability of supplies have been arranged.
Plain radiography Detection of a subtle loss of stent graft integrity or migration often is possible only with plain radiographs . Breakage of metal struts, separation of stent links, and kinks can be impossible to detect with computed tomography or US. 13). 40 Chapter 3 References 1 Golzarian J, Dussaussois L, Abada HT et al. Helical CT of aorta after endoluminal stentgraft therapy: value of biphasic acquisition. AJR Am J Roentgenol 1998; 171: 329–31. 2 Schurink GW, Aarts NJ, Wilde J et al.
IVUS provides measurements of vascular diameter and length and evaluation of vascular anatomical and pathologic features. 10 Magnetic resonance imaging of an abdominal aortic aneurysm treated with a bifurcated stent graft. (a) Gadolinium-enhanced magnetic resonance angiogram demonstrates preservation of the renal arteries and patency of the stent graft limbs. The scalloped appearance of the image is caused by metallic artifact from the stents; metallic artifact is remarkably minimal if the stents are made of nonferromagnetic alloys.