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Exam (elaborations)

Cardiac catheterization 100% Accurate Review Solution 2024

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Cardiac catheterization 100% Accurate Review Solution 2024 Cath is a - Answer->specialized study of the heart in which a catheter is inserted into an artery and or vein in the patients arm neck or groin. The left heart cath is approached via - Answer->percutaneous femoral artery with a pigtail catheter the Right heart cath is approached via - Answer->percutaneous femoral vein with a swan ganz catheter Transeptal procedure - Answer->right heart catheter can travel from the rt atrium through the IAS to the left atrium. Indications for a cath include - Answer->CAD Eval LV function Eval heart disease Assess myocardial disease biopsy CMO Myocardial biopsy support non invasive data Fluoroscopy is essential for - Answer->proper placement of the catheter Cath procedures include - Answer->collect blood samples to measure oxy sat Detect a shunt calculate the CO Endomyocardial biopsy pulmonary embolism and measure right heart pressure Acquire the left atrial pressure during the right heart cath via - Answer->the pulmonary capillary wedge pressure or the transeptal approach CABG - Answer->coronary artery bypass grafting PTCA - Answer->angioplasty; Percutaneous Transluminal Coronary Angioplasty Atherectomy is used to - Answer->open a partially blocked coronary artery by means of a catherter equipped with a cutting device, whirling blade, or laser beam that is used to remove the plaque. IVUS - Answer->intravascular ultrasonography. performed with a coronary artery catheter that is equipped with a miniature ultrasound transducer. During the left heart cath what two things are acquired - Answer->pressure tracing of the left ventricle and aorta Bernoulli equation (modified) - Answer->PG=4(V)squared The chamber proximal to the stenotic valve experiences - Answer->an increase in pressure while the chamver distal to the stenotic valve decreases in pressure. The more severe the stenosis the - Answer->greater the PG across the valve. Valvuloplasty can treate - Answer->some cases of valvular stenosis. Cath contradictions - Answer->bleeding at the entry site

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