Grossman's cardiac catheterization, angiography, and intervention / editor,. Donald S. Baim. comm/environment/radprot//opvibpaberland.cf 7. Balter S. Grossman & Baim's Cardiac Catheterization,. Angiography, and Intervention. The premier reference on cardiac catheterization, and appeals to seasoned. Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention. Publication Year: Edition: 8th Ed. Authors/Editor: Moscucci, Mauro Publisher.
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Grossman's Cardiac Catheterization, Angiography, and Intervention, 7th edn ( ). Donald S Baim, ed. Lippincott Williams & Wilkins, Philadelphia, USA. Karl-Franzens-University. Graz, Austria. Cardiac Catheterization, Angiography, and Intervention,. 5th Edition. By Donald S. Baim and William Grossman. Cardiac Catheterization, Angiography, and. Intervention, 4th Edition. Edited by William Grossman and Donald S. Baim. Lea & Febiger, Philadelphia ().
The remaining procedure was continued after reinsertion of the catheter safely without any consequences. Discussion Bradycardia is a common problem observed during the cardiac catheterization, either radial or femoral route.
If it is not intervened, it may lead to asystole and hemodynamic compromise, particularly in ischemic heart disease and stenotic valvular patients.
Bradycardia as a manifestation of the vasovagal reactions induced by the contrast medium, pain, or anxiety is described before in few studies. In , Eckberg et al. Later, it was suspected that bradycardia is related to the injection of high osmolar ionic contrast material into the right coronary artery [ 4 ]. Forceful coughing restores normal cardiac rhythm by clearing the contrast material and increasing coronary blood flow [ 4 ]. These vasovagal reactions usually occur in response to pain or anxiety associated with catheterization.
They can be prevented by sufficient preprocedural sedation and administration of a local anesthetic agent before vascular access is obtained with the catheter. Landau et al. In this study, Proper management of a vasovagal reaction involves termination of the noxious stimulus, intravenous volume replacement, the Trendelenburg position, and administration of atropine 0.
However, in our patients, though one failed to improve despite atropine administration, bradycardia in both of these cases was alleviated by removal of the catheter.
To the best of our knowledge, transient bradycardia due to catheter manipulation has not been well described in the available literature.
The bradycardia and hypotension occurred before the catheter engagement of coronary arteries in our cases which suggest these consequences are unlikely due to catheter-induced coronary spasm. When we advance the Guidewire, we may encounter coiling in the blood vessels due to the tortuosity of the vasculature Figure 1.
Subsequently, during the insertion of the catheter along the Guidewire, we may run into excessive stretching of the surrounding vasculature Figure 2.
In our cases, the bradycardia and hypotension are observed at this point. With the emergence of radial artery catheterization, this may become a common problem. Further investigation may be required to understand the mechanism of transient bradycardia that resolves after removal of the catheter near the brachiocephalic trunk. Figure 1: Coiling of the Guidewire at the junction of brachiocephalic artery and aorta.
Figure 2: Advancement of the catheter along the Guidewire in the brachiocephalic artery and aorta. References D. Hildick-Smith, M. Lowe, J. Walsh et al. Kaya, and E. Eckberg, C. White, J. Kioschos, and F. All Nursing Funda All Maternity and Pre-Publication Sale. Pre Publication S All Maternal and Back to School. All Nursing Lab a All Nursing Issue All Nursing Geron Halloween Sale. Anatomical Chart Anatomical Models. All Community Hea All Nursing Drug Stedman's - The B All Nursing Diagn All Emergency Nur All Critical Care Test - Inventory.
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String "". download from another retailer. Promocode will not apply for this product. The authors offer expert overviews of the theoretical and practical aspects of clinical issues, with increased stress given to hemodynamic data and tracings and interventional procedures.
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Table of contents. Quaife and John D. Carroll 4. Complications Mauro Moscucci 5. Martinez and Mauro Moscucci 7. Radial Artery Approach Mauricio G. Cohen and Sunil V. Rao 8. Cutdown Approach: