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  • Right Heart Catheterization

    […] for structural intervention from an upper extremity. 6 References Lo TS, Buch AN, Hall IR, Hildick-Smith DJ, Nolan J.[cathlabdigest.com] MRI using gadolinium-filled balloons was at least as successful as X-ray in all procedure steps, more successful than MRI using air-filled balloons, and better than both in[ncbi.nlm.nih.gov] A right heart catheterization was done, which confirmed elevated right-sided pressures and high cardiac output.[ncbi.nlm.nih.gov] OBJECTIVES: The objective of this study was to correlate tissue Doppler imaging of the right ventricle (RV) with pulmonary hemodynamics in patients referred for right heart[ncbi.nlm.nih.gov] METHODS: One hundred two consecutive patients underwent CMR fluoroscopy guided right heart catheterization (RHC) with simultaneous measurement of pressure, cardiac output[ncbi.nlm.nih.gov] In addition, there were no episodes of right heart failure after pulmonary angiography, which may have been because all centers used selective injections of low-osmolar nonionic[onlinejacc.org] PURPOSE: To compare the utility of phase contrast MR imaging (PC-MRI) for assessment of pulmonary flow and pressure estimation with that of right heart catheterization and[ncbi.nlm.nih.gov] INTRODUCTION: Right heart catheterization (RHC) remains the gold standard for hemodynamic assessment of the right heart and pulmonary artery.[ncbi.nlm.nih.gov] For patients at risk, use of low-osmolar or iso-osmolar contrast, and infusion of normal saline IV for 4 to 6 h before angiography and 6 to 12 h afterward reduces this risk[merckmanuals.com] The latter two terms describe the use of contrast material to take x-ray pictures of the heart.[heartsite.com]

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  • Coronary Angiography

    The patient underwent a successful palliative left upper lobe lung resection.[ncbi.nlm.nih.gov] Several percutaneous retrieval techniques using either homolateral radial access or femoral access have been described previously.[ncbi.nlm.nih.gov] PURPOSE: Recently, ultra-high-resolution computed tomography (U-HRCT) with a 0.25 mm   128-row detector was introduced.[ncbi.nlm.nih.gov] We present a case of a 41-year-old apparently healthy woman with a giant right CAA.[ncbi.nlm.nih.gov] We herein report extreme slender "needle size" (19-G) coronary diagnostic catheterization using a new 3-Fr diagnostic catheter by sheathless method.[ncbi.nlm.nih.gov] Access using femoral pulse palpation alone was preferred by 60% of operators, fluoroscopy guidance by 11%, and a combination of palpation, fluoroscopy, or ultrasound by 27%[ncbi.nlm.nih.gov] The objective of our meta-analysis was to compare the clinical safety of iso-osmolar contrast medium iodixanol to low-osmolar contrast medium iopromide in patients with renal[ncbi.nlm.nih.gov] AIMS: The most prominent procedure-related and thus modifiable risk factor for contrast-induced acute kidney injury is contrast media (CM) volume.[ncbi.nlm.nih.gov] BACKGROUND: We aimed to examine the association of serum high mobility group box 1 (HMGB1) level with cardiovascular risk in patients undergoing coronary angiography with[ncbi.nlm.nih.gov] Abstract Critical hand ischemia is an extremely rare and serious complication of transradial coronary angiography.[ncbi.nlm.nih.gov]

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  • Pulmonary Embolism

    This report describes a novel approach of accessing the superficial veins of the upper extremity for the treatment of pulmonary emboli (PE) with an ultrasound enhanced thrombolytic[ncbi.nlm.nih.gov] […] was used to treat the pulmonary embolism.[ncbi.nlm.nih.gov] However, the ability of multiple tests to safely rule out PE in high PTP patients is not known.[ncbi.nlm.nih.gov] This study analyzed the regional pattern of right ventricular (RV) dysfunction on transthoracic echocardiograms in patients with and without acute pulmonary embolism.[ncbi.nlm.nih.gov] A fluoroscopy was performed, which confirmed the presence of cement within the right heart, with great mobility in each cardiac cycle.[ncbi.nlm.nih.gov] Through a 6F femoral venous sheath, a 6F angled pigtail catheter is advanced into each main pulmonary artery, followed by injection of low-osmolar or isosmolar contrast (30[doi.org] We present two cases of patients with undifferentiated acute illness who had undergone non-contrast CT (computed tomography) scanning and subsequently had central pulmonary[ncbi.nlm.nih.gov] Clot attenuation at CTPA may be a potential imaging biomarker for predicting pulmonary artery pressure improvement after CDT.[ncbi.nlm.nih.gov] Abstract A young man presented with the severe right upper limb swelling following a heavy weight lifting that was thought to be caused by a biceps tendon rupture.[ncbi.nlm.nih.gov] All rights reserved.[ncbi.nlm.nih.gov]

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  • Cerebral Angiography

    […] contrast media Iomeprol on the Cornu ammonis - field 1 neurons cannot be firmly ruled out.We describe the case of a 54-year-old woman admitted to our department for left upper[ncbi.nlm.nih.gov] For permission to use (where not already granted under a licence) please go to .[ncbi.nlm.nih.gov] High-risk patients were identified as those with pre-procedural estimated glomerular filtration rate RESULTS: One hundred eighty-five high-risk patients undergoing conventional[ncbi.nlm.nih.gov] On MRI, infarct lesion was found in the right white matter.[ncbi.nlm.nih.gov] Mortality in this series was extremely high and in excess of that usually found either with an aneurysmal re-bleed or an intracerebral haematoma or both.[ncbi.nlm.nih.gov] CONCLUSIONS: Replacing femoral arterial access evaluations by DSA with fluoroscopy, utilizing lower pulse rates during fluoroscopy and roadmap guidance, and choosing variable[ncbi.nlm.nih.gov] We report the use of gadodiamide, a low-osmolar nonionic gadolinium chelate, for selective angiography in a patient with known sensitivity to iodinated contrast medium.[ncbi.nlm.nih.gov] DSA using Gadolinium was useful in a patient with an anaphylactic reaction to iodinated contrast media.[ncbi.nlm.nih.gov] RESULTS: A total of 24 RAHs were recognised in 20 patients: 7 arose from the A1, 5 from the anterior cerebral artery (ACA)-anterior communicating artery (Acom), 11 from the[ncbi.nlm.nih.gov] However, some people can have a major bruise involving most of the upper thigh and the groin. This may take a few days or, in extreme cases, several weeks to disappear.[patient.info]

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  • Pulmonary Hypertension

    […] pulmonary hypertension (PH) may include: Shortness of breath during routine activity, such as climbing two flights of stairs Tiredness Chest pain A racing heartbeat Pain on the upper[web.archive.org] Despite these observations, reports on the use of steroids to treat pulmonary hypertension in humans are absent from the literature.[ncbi.nlm.nih.gov] Be cautious about air travel or high-altitude locales. You may need to travel with extra oxygen.[heart.org] Abstract Purpose To measure right ventricular (RV) trabecular complexity by its fractal dimension (FD) in healthy subjects and patients with pulmonary hypertension (PH) and[ncbi.nlm.nih.gov] BACKGROUND: Arteriovenous (AV) fistulae is an extremely rare disease of vascular malformation that involves fistulae formation between the systemic and pulmonary AV systems[ncbi.nlm.nih.gov] MRI fluoroscopy shows pictures of the heart so that doctors can watch while they work. Using the guidewire during MRI may improve the procedure of heart catheterization.[nhlbi.nih.gov] This problem is less commonly seen with the selective use of small amounts of low-osmolar nonionic contrast material.[emedicine.com] -6-51-S2.ogv 16 s, 640 480; 1,21 MB Riproduci file multimediale The-usefulness-of-contrast-during-exercise-echocardiography-for-the-assessment-of-systolic-1476-7120-6-51-S3[commons.wikimedia.org] […] the pulmonary artery.[web.archive.org] Each side of your heart has an upper and lower chamber.[web.archive.org]

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  • Paradoxical Embolism

    […] limb Occlusion of distal artery of right upper limb Right arm distal artery occlusion Thrombosis of artery of bilateral upper limbs Thrombosis of artery of left upper limb[icd10data.com] The second, on contrast echocardiography, explores the use of echo-enhancement during transesophageal imaging.[books.google.com] With a high prevalence of clinically silent septal defects and widespread use of thrombolysis, recognition of the risks, clinical signs and symptoms is important.[ncbi.nlm.nih.gov] The aim of this study was to verify whether patients with APS and stroke present a right-to-left shunt (RLS) with greater frequency than patients with APS but without stroke[ncbi.nlm.nih.gov] CASE REPORT: An 11-year-old girl falling off the bed suffered pain from left lower extremity.[ncbi.nlm.nih.gov] The patient underwent fluoroscopy-guided intralesional foam sclerotherapy with sodium tetradecyl sulfate and air under general anaesthesia.[ncbi.nlm.nih.gov] The calculated osmolarity of 396.8 mOsm and intensity of the hyperglycemia evoked mixed features of hyperglycemic hyperosmolar state (HHS).[dovepress.com] Pulmonary embolization was clinically silent and diagnosed incidentally, and systemic embolization was isolated but extensive to the subclavian artery.[ncbi.nlm.nih.gov] Permanent right-to-left shunt is the key factor in managing patent foramen ovale . J Am Coll Cardiol 2011 ; 58 : 2257 – 2261 .[dx.doi.org] The mean duration of the fluoroscopy time was 19.3 minutes (range, 10.0-35.6 minutes). In all the patients, the PFO was closed completely ( Fig. 2A ).[synapse.koreamed.org]

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  • Cardiogenic Shock

    […] minimally-invasive off-pump LVAD was established by draining from the left ventricle and returning to the right axillary artery with distal arterial banding to prevent right upper[ncbi.nlm.nih.gov] , the balloon pump can be used.[resus.com.au] Expert Commentary: Percutaneous coronary interventions in high rsk settings have always been challenging for a physician.[ncbi.nlm.nih.gov] […] occlusion of a dominant right coronary artery.[link.springer.com] BACKGROUND: Thyroid storm (also known as thyroid or thyrotoxic crisis) is part of the spectrum of thyrotoxicosis and represents the extreme end of that spectrum.[ncbi.nlm.nih.gov] The surgical procedure guided by fluoroscopy and transesophageal echocardiography was uncomplicated.[ncbi.nlm.nih.gov] […] respirations; pulmonary crackles; venous oxygen saturation (SvO2) less than 60%; cyanosis; urine output less than 20 mL/hour; decreased urinary sodium; increased urinary osmolarity[medical-dictionary.thefreedictionary.com] Coronary angiography revealed a single proximally occluded right coronary artery and an anomalous left main coronary artery (originating from the proximal right coronary artery[ncbi.nlm.nih.gov] Upper Saddle River, NJ: Prentice-Hall, 2003. Hollenberg SM, Kavinsky CJ, Parrillo JE. Cardiogenic shock. Ann Intern Med 131(1):47–59, 6 Jul 1999.[emsworld.com] Stent deployment for extremely angulated coronary artery was required multiple combination techniques to facilitate the final success.[ncbi.nlm.nih.gov]

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  • Compartment Syndrome

    BACKGROUND: Compartment syndrome of the upper extremity is a surgical emergency that, when left untreated, can have dire consequences.[ncbi.nlm.nih.gov] BACKGROUND: The use of intraoperative neurophysiologic monitoring (IOM) has become commonplace in many neurosurgical procedures as a tool to reduce the risk of complications[ncbi.nlm.nih.gov] The typical high risk scenario for ACS is a male patient younger than 35 years of age, involved in a high energy sport or roadway collision, resulting in a tibial shaft fracture[ncbi.nlm.nih.gov] She developed a haematoma in the right arm at the site of a previous arterial line insertion.[ncbi.nlm.nih.gov] extremity pain, numbness, and weakness. 2016.[ncbi.nlm.nih.gov] With the vessel loop closure performed, the external fixator bars and clamps are applied and the knee is reduced under fluoroscopy.[journals.lww.com] […] biochemical measurements, we will analyze samples of the interstitial fluid removed by CSUF for levels of creatine phosphokinase (CPK), lactic acid, lactate dehydrogenase (LDH), osmolarity[clinicaltrials.gov] In contrast to the current literature in favour of urgent treatment, this case would appear to cast some doubt over the concept of 'always' treating orbital compartment syndrome[ncbi.nlm.nih.gov] He was also noted to have discrete ipsilateral popliteal and dorsalis pedis artery aneurysms.[ncbi.nlm.nih.gov] In this case, Doppler US was useful for both diagnosis and assessment of treatment effects in liver compartment syndrome.[ncbi.nlm.nih.gov]

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  • Phlegmasia Cerulea Dolens

    PCD of the upper extremity is associated with substantial morbidity and mortality.[ncbi.nlm.nih.gov] The use of a multimodality approach, both chemical and mechanical, was successful in removing the venous occlusion, thereby preventing further complications, such as circulatory[ncbi.nlm.nih.gov] Abstract Phlegmasia cerulea dolens (PCDs) is a rare and serious complication of massive deep venous thrombosis of the lower extremities, which has a high mortality rate.[ncbi.nlm.nih.gov] We report a rare case of post-traumatic PCD after ligation of the iliac vein with successful treatment by right-to-left femoral vein to femoral vein bypass using left great[ncbi.nlm.nih.gov] Fluoroscopy revealed that the clot had extended into the left iliac vein and lower inferior vena cava. Filter placement was successful.[doi.org] Approximately a quarter of all patients may not be adequately tested with contrast venography because of technical difficulties.[symptoma.com] The patient's condition was successfully treated using combined ultrasound-assisted intra-arterial and intravenous catheter-directed thrombolysis.[ncbi.nlm.nih.gov] The direct thrombin inhibitor argatroban was used in place of heparin for concurrent anticoagulation.[ncbi.nlm.nih.gov] Phlegmasia cerulea dolens is an unusual and severe complication of deep venous thrombosis of the lower limbs, which has a high mortality rate.[ncbi.nlm.nih.gov] CASE REPORT: We report a case of a healthy 7-year-old girl who presented with right leg pain and fever, found to have a thrombus involving her inferior vena cava and right[ncbi.nlm.nih.gov]

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  • Right to Left Shunt

    There was also abnormal uptake of tracer in the brain (upper right panel, posterior projection) and kidneys (arrowheads in upper left panel), indicating a substantial right-to-left[nejm.org] METHODS: We used c-TCD to detect RLS in patients with suspected ischemic stroke.[ncbi.nlm.nih.gov] Recently, a high prevalence of right-to-left shunt (RLS) due to patent foramen ovale has been reported in subjects with migraine.[ncbi.nlm.nih.gov] Several congenital heart diseases induce right to left shunting of blood, during which deoxygenated blood from the right heart gains entry straight into the left heart.[symptoma.com] On examination she had asymmetric hypoxia of the upper extremities on finger pulse oxymetry.[ncbi.nlm.nih.gov] […] proposed for percutaneous closure of the ostium secundum ASD, which was carried out with a 24 mm Figula device (the ASD diameter obtained by balloon measuring either by fluoroscopy[omicsonline.org] We compared two contrast agents, agitated saline and agitated saline with blood, with respect to their efficacy in the diagnosis of right-to-left shunt with contrast-enhanced[ncbi.nlm.nih.gov] Monitoring the middle cerebral artery (MCA) is an optimal choice, yet for patients with insufficient temporal bone windows or severe stenosis of carotid arteries, an alternative[ncbi.nlm.nih.gov] CONCLUSION: Transthoracic echocardiogram has a low sensitivity and extremely high specificity, making it a poor rule out test but an excellent rule in test for the detection[ncbi.nlm.nih.gov] This condition is extremely uncommon and can be easily overlooked if not specifically searched for.[ghrnet.org]

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