Transthoracic access for cardiac catheterization

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Kevin O MaherJohn D Murphy

Abstract

Patients who have undergone Fontan palliation for congenital heart disease have limited access to the pulmonary venous atrium. We describe a transthoracic approach to the pulmonary venous atrium for diagnostic and therapeutic cardiac catheterization. A total of 22 patients ranging in age from 14 months to 25 years and weighing 7-68 kg underwent transthoracic catheterization. With the aid of fluoroscopic and angiographic markers, a 20 gauge needle was inserted into the pulmonary venous atrium. A floppy-tipped wire was inserted, and a 4 Fr sheath was placed, upsized as needed. Access to the pulmonary venous atrium was obtained for all patients. Therapeutic procedures were completed for all patients. Transthoracic access to the pulmonary venous atrium in patients who have undergone a Fontan operation is a reliable and rapid mode of access, allowing for complex therapeutic procedures to be performed in the catheterization laboratory, obviating the need for additional open heart surgery.

References

May 1, 1953·Circulation·P R ALLISON, R J LINDEN

❮ Previous
Next ❯

Citations

Dec 7, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·F J Hildner
Aug 22, 2002·Journal of Biomechanical Engineering·Blayne A RoederFarshid Sadeghi
Aug 30, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jennifer J DavenportEvan M Zahn
Jan 10, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Rodrigo A NehgmeJohn D Murphy
May 5, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert L PetersenSaadeh Jureidini
Sep 3, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Thomas M Bashore
Feb 6, 2010·Circulation. Arrhythmia and Electrophysiology·Calvin H C HsiehDavid L Ross
Apr 3, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·D Scott LimJohn M Dent
May 4, 2005·Pediatric Cardiology·W A K Radtke

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.