Access

Feb 4, 2021 by in CARDIOLOGY Comments Off on Access

4.1 Choosing access site Obtaining arterial access is required for performing diagnostic coronary angiography and percutaneous coronary intervention (PCI). There is continued controversy about optimal access site selection. Radial (proximal…

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Coronary and graft engagement

Feb 4, 2021 by in CARDIOLOGY Comments Off on Coronary and graft engagement

In Chapter 4 , Access, we discussed about how to obtain arterial access. In this chapter we describe the steps involved in advancing a catheter over a guidewire from the…

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Wiring

Feb 4, 2021 by in CARDIOLOGY Comments Off on Wiring

Goal : To advance a guidewire through and distal to the target coronary lesion in the most efficient way and without causing a complication and to provide an adequate platform…

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Coronary angiography

Feb 4, 2021 by in CARDIOLOGY Comments Off on Coronary angiography

Although adjunctive modalities (stress testing, noninvasive imaging including coronary computed angiography, coronary physiology, and intracoronary imaging) can help evaluate coronary anatomy, coronary angiography remains the most commonly used technique for…

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Selecting target lesion(s)

Feb 4, 2021 by in CARDIOLOGY Comments Off on Selecting target lesion(s)

The following decisions need to be made after coronary angiography is performed. 1. Is coronary revascularization needed? Like every other procedure, coronary revascularization should be done when the anticipated benefits…

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Medications

Feb 4, 2021 by in CARDIOLOGY Comments Off on Medications

In this chapter we discuss the following classes of medications that are commonly used in the cardiac catheterization laboratory: 1. Sedatives and analgesics 2. Vasodilators 3. Contrast media 4. Anticoagulants…

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Planning

Feb 4, 2021 by in CARDIOLOGY Comments Off on Planning

If you fail to plan you are planning to fail. Benjamin Franklin. Planning is essential for every procedure, including percutaneous coronary intervention (PCI). Thoughtful planning and appropriate preparation before performing…

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Monitoring

Feb 4, 2021 by in CARDIOLOGY Comments Off on Monitoring

Monitoring the patient should be continually performed from the beginning to the end of the case, so that potential complications are promptly identified and corrected. The following parameters are assessed…

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