The surgical cutting of a bone. (Dorland, 28th ed)
Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
An order of BIRDS comprising the waterfowl, particularly DUCKS; GEESE; swans; and screamers.
Passage of a CATHETER into the URINARY BLADDER or kidney.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.
Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein.
Insertion of a catheter into the urethra to drain the urine from the bladder at intervals as needed.
Placement of a balloon-tipped catheter into the pulmonary artery through the antecubital, subclavian, and sometimes the femoral vein. It is used to measure pulmonary artery pressure and pulmonary artery wedge pressure which reflects left atrial pressure and left ventricular end-diastolic pressure. The catheter is threaded into the right atrium, the balloon is inflated and the catheter follows the blood flow through the tricuspid valve into the right ventricle and out into the pulmonary artery.
The transitional period before and after MENOPAUSE. Perimenopausal symptoms are associated with irregular MENSTRUAL CYCLE and widely fluctuated hormone levels. They may appear 6 years before menopause and subside 2 to 5 years after menopause.
Catheters designed to be left within an organ or passage for an extended period of time.
A plant family of the order Najadales, subclass Alismatidae, class Liliopsida (monocotyledons).
Inability to empty the URINARY BLADDER with voiding (URINATION).
Infection of domestic and wild fowl and other BIRDS with INFLUENZA A VIRUS. Avian influenza usually does not sicken birds, but can be highly pathogenic and fatal in domestic POULTRY.
The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein.
A family of blood flukes of the class Trematoda which is found in animals and man. It Includes the genera Heterobilharzia, Schistosomatium, Schistosoma, Ornithobilharzia, Bilharziella, Trichobilharzia, Pseudobilharzia, and Austrobilharzia.
Diseases of birds not considered poultry, therefore usually found in zoos, parks, and the wild. The concept is differentiated from POULTRY DISEASES which is for birds raised as a source of meat or eggs for human consumption, and usually found in barnyards, hatcheries, etc.
The concept covering the physical and mental conditions of women.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
A subtype of INFLUENZA A VIRUS comprised of the surface proteins hemagglutinin 5 and neuraminidase 1. The H5N1 subtype, frequently referred to as the bird flu virus, is endemic in wild birds and very contagious among both domestic (POULTRY) and wild birds. It does not usually infect humans, but some cases have been reported.
A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity.
The blood pressure as recorded after wedging a CATHETER in a small PULMONARY ARTERY; believed to reflect the PRESSURE in the pulmonary CAPILLARIES.
Dysfunction of the URINARY BLADDER due to disease of the central or peripheral nervous system pathways involved in the control of URINATION. This is often associated with SPINAL CORD DISEASES, but may also be caused by BRAIN DISEASES or PERIPHERAL NERVE DISEASES.
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.
Special Administrative Region of the People's Republic of China since December 20, 1999 with its own constitution. The island of Macau and adjacent islands are located off the southeast coast of China.
An order of heteroxenous protozoa in which the macrogamete and microgamont develop independently. A conoid is usually absent.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
Techniques for controlling bleeding.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A daidzein derivative occurring naturally in forage crops which has some estrogenic activity.
The last menstrual period. Permanent cessation of menses (MENSTRUATION) is usually defined after 6 to 12 months of AMENORRHEA in a woman over 45 years of age. In the United States, menopause generally occurs in women between 48 and 55 years of age.
Radiography of the vascular system of the heart muscle after injection of a contrast medium.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.
An island republic of the West Indies. Its capital is Roseau. It was discovered in 1493 by Columbus and held at different times by the French and the British in the 18th century. A member of the West Indies Federation, it achieved internal self-government in 1967 but became independent in 1978. It was named by Columbus who discovered it on Sunday, Domingo in Spanish, from the Latin Dominica dies, the Lord's Day. (From Webster's New Geographical Dictionary, 1988, p338 & Room, Brewer's Dictionary of Names, 1992, p151)
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
The main artery of the thigh, a continuation of the external iliac artery.
Inflammation of a vein, often a vein in the leg. Phlebitis associated with a blood clot is called (THROMBOPHLEBITIS).
Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.
Physiologic period, characterized by endocrine, somatic, and psychic changes with the termination of ovarian function in the female. It may also accompany the normal diminution of sexual activity in the male.
Methods of creating machines and devices.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein.
Animals considered to be wild or feral or not adapted for domestic use. It does not include wild animals in zoos for which ANIMALS, ZOO is available.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Elements of limited time intervals, contributing to particular results or situations.
Radiography of the heart and great vessels after injection of a contrast medium.
The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.
Inflammatory responses of the epithelium of the URINARY TRACT to microbial invasions. They are often bacterial infections with associated BACTERIURIA and PYURIA.
Periodic movements of animals in response to seasonal changes or reproductive instinct. Hormonal changes are the trigger in at least some animals. Most migrations are made for reasons of climatic change, feeding, or breeding.
Motion pictures of the passage of contrast medium through blood vessels.
Production of an image when x-rays strike a fluorescent screen.
Surgical creation of an opening (stoma) in the URINARY BLADDER for drainage.
Developmental abnormalities in any portion of the VENTRICULAR SEPTUM resulting in abnormal communications between the two lower chambers of the heart. Classification of ventricular septal defects is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect.
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
A geographic area of east and southeast Asia encompassing CHINA; HONG KONG; JAPAN; KOREA; MACAO; MONGOLIA; and TAIWAN.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The pathologic narrowing of the orifice of the PULMONARY VALVE. This lesion restricts blood outflow from the RIGHT VENTRICLE to the PULMONARY ARTERY. When the trileaflet valve is fused into an imperforate membrane, the blockage is complete.
Radiography of blood vessels after injection of a contrast medium.
This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.
Warm-blooded VERTEBRATES possessing FEATHERS and belonging to the class Aves.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.
Developmental abnormalities in any portion of the ATRIAL SEPTUM resulting in abnormal communications between the two upper chambers of the heart. Classification of atrial septal defects is based on location of the communication and types of incomplete fusion of atrial septa with the ENDOCARDIAL CUSHIONS in the fetal heart. They include ostium primum, ostium secundum, sinus venosus, and coronary sinus defects.
Cytochromes of the b group that have alpha-band absorption of 563-564 nm. They occur as subunits in MITOCHONDRIAL ELECTRON TRANSPORT COMPLEX III.
Inflammation of the PERICARDIUM that is characterized by the fibrous scarring and adhesion of both serous layers, the VISCERAL PERICARDIUM and the PARIETAL PERICARDIUM leading to the loss of pericardial cavity. The thickened pericardium severely restricts cardiac filling. Clinical signs include FATIGUE, muscle wasting, and WEIGHT LOSS.
Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.
The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).
A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Pathological processes involving the URETHRA.
The circulation of the BLOOD through the LUNGS.
The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.
Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.
An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.
Flat keratinous structures found on the skin surface of birds. Feathers are made partly of a hollow shaft fringed with barbs. They constitute the plumage.
The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance.
The pressure within a CARDIAC VENTRICLE. Ventricular pressure waveforms can be measured in the beating heart by catheterization or estimated using imaging techniques (e.g., DOPPLER ECHOCARDIOGRAPHY). The information is useful in evaluating the function of the MYOCARDIUM; CARDIAC VALVES; and PERICARDIUM, particularly with simultaneous measurement of other (e.g., aortic or atrial) pressures.
Catheters inserted into the URINARY BLADDER or kidney for therapeutic or diagnostic purposes.
A sudden, temporary sensation of heat predominantly experienced by some women during MENOPAUSE. (Random House Unabridged Dictionary, 2d ed)
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
Pathological conditions involving the HEART including its structural and functional abnormalities.
Surgery performed on the heart.
The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.
The expelling of virus particles from the body. Important routes include the respiratory tract, genital tract, and intestinal tract. Virus shedding is an important means of vertical transmission (INFECTIOUS DISEASE TRANSMISSION, VERTICAL).
The study of the heart, its physiology, and its functions.
An infant during the first month after birth.
Institutions specializing in the care of patients with heart disorders.
The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT.
Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Radiography of the uterus and fallopian tubes after the injection of a contrast medium.
The restoration of blood supply to the myocardium. (From Dorland, 28th ed)
Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.
A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
The thin membrane-like muscular structure separating the right and the left upper chambers (HEART ATRIA) of a heart.
Substances used to allow enhanced visualization of tissues.
Hemorrhage within the pleural cavity.
Narrowing of the passage through the MITRAL VALVE due to FIBROSIS, and CALCINOSIS in the leaflets and chordal areas. This elevates the left atrial pressure which, in turn, raises pulmonary venous and capillary pressure leading to bouts of DYSPNEA and TACHYCARDIA during physical exertion. RHEUMATIC FEVER is its primary cause.
The venous trunk which returns blood from the head, neck, upper extremities and chest.
Diversion of the flow of blood from the entrance to the right atrium directly to the pulmonary arteries, avoiding the right atrium and right ventricle (Dorland, 28th ed). This a permanent procedure often performed to bypass a congenitally deformed right atrium or right ventricle.
A certificate issued by a governmental body to an individual or organization proposing to construct or modify a health facility, or to offer a new or different service. The process of issuing the certificate is also included.
Individuals whose ancestral origins are in the continent of Europe.
Subspecialty of radiology that combines organ system radiography, catheter techniques and sectional imaging.
The veins that return the oxygenated blood from the lungs to the left atrium of the heart.
INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs.
Blocking of a blood vessel by CHOLESTEROL-rich atheromatous deposits, generally occurring in the flow from a large artery to small arterial branches. It is also called arterial-arterial embolization or atheroembolism which may be spontaneous or iatrogenic. Patients with spontaneous atheroembolism often have painful, cyanotic digits of acute onset.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
Pathological processes of the URINARY BLADDER.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Persons living in the United States having origins in any of the black groups of Africa.
The valve between the left atrium and left ventricle of the heart.
A procedure in which total right atrial or total caval blood flow is channeled directly into the pulmonary artery or into a small right ventricle that serves only as a conduit. The principal congenital malformations for which this operation is useful are TRICUSPID ATRESIA and single ventricle with pulmonary stenosis.
The veins and arteries of the HEART.
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
Bleeding or escape of blood from a vessel.
The circulation of blood through the CORONARY VESSELS of the HEART.
Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.
An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.
The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
A congenital heart defect characterized by the narrowing or complete absence of the opening between the RIGHT VENTRICLE and the PULMONARY ARTERY. Lacking a normal PULMONARY VALVE, unoxygenated blood in the right ventricle can not be effectively pumped into the lung for oxygenation. Clinical features include rapid breathing, CYANOSIS, right ventricle atrophy, and abnormal heart sounds (HEART MURMURS).
Domesticated birds raised for food. It typically includes CHICKENS; TURKEYS, DUCKS; GEESE; and others.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Malformations of CORONARY VESSELS, either arteries or veins. Included are anomalous origins of coronary arteries; ARTERIOVENOUS FISTULA; CORONARY ANEURYSM; MYOCARDIAL BRIDGING; and others.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
A congenital heart defect characterized by the persistent opening of fetal DUCTUS ARTERIOSUS that connects the PULMONARY ARTERY to the descending aorta (AORTA, DESCENDING) allowing unoxygenated blood to bypass the lung and flow to the PLACENTA. Normally, the ductus is closed shortly after birth.
Persons living in the United States having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
The chambers of the heart, to which the BLOOD returns from the circulation.
Infections resulting from the use of catheters. Proper aseptic technique, site of catheter placement, material composition, and virulence of the organism are all factors that can influence possible infection.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
The hollow, muscular organ that maintains the circulation of the blood.
A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.
A form of CARDIAC MUSCLE disease in which the ventricular walls are excessively rigid, impeding ventricular filling. It is marked by reduced diastolic volume of either or both ventricles but normal or nearly normal systolic function. It may be idiopathic or associated with other diseases (ENDOMYOCARDIAL FIBROSIS or AMYLOIDOSIS) causing interstitial fibrosis.
Sudden ISCHEMIA in the RETINA due to blocked blood flow through the CENTRAL RETINAL ARTERY or its branches leading to sudden complete or partial loss of vision, respectively, in the eye.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
Veins which drain the liver.
A province of western Canada, lying between the provinces of British Columbia and Saskatchewan. Its capital is Edmonton. It was named in honor of Princess Louise Caroline Alberta, the fourth daughter of Queen Victoria. (From Webster's New Geographical Dictionary, 1988, p26 & Room, Brewer's Dictionary of Names, 1992, p12)
A topical anti-infective agent effective against gram-negative and gram-positive bacteria. It is used for superficial WOUNDS AND INJURIES and skin infections. Nitrofurazone has also been administered orally in the treatment of TRYPANOSOMIASIS.
Abnormalities in the process of URINE voiding, including bladder control, frequency of URINATION, as well as the volume and composition of URINE.
A combination of congenital heart defects consisting of four key features including VENTRICULAR SEPTAL DEFECTS; PULMONARY STENOSIS; RIGHT VENTRICULAR HYPERTROPHY; and a dextro-positioned AORTA. In this condition, blood from both ventricles (oxygen-rich and oxygen-poor) is pumped into the body often causing CYANOSIS.
The vessels carrying blood away from the capillary beds.
Formation and development of a thrombus or blood clot in the blood vessel.
Post-systolic relaxation of the HEART, especially the HEART VENTRICLES.
A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.
Infections by bacteria, general or unspecified.
The hemodynamic and electrophysiological action of the right HEART VENTRICLE.
The mechanical laws of fluid dynamics as they apply to urine transport.
Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.
Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE).
A form of CARDIAC MUSCLE disease, characterized by left and/or right ventricular hypertrophy (HYPERTROPHY, LEFT VENTRICULAR; HYPERTROPHY, RIGHT VENTRICULAR), frequent asymmetrical involvement of the HEART SEPTUM, and normal or reduced left ventricular volume. Risk factors include HYPERTENSION; AORTIC STENOSIS; and gene MUTATION; (FAMILIAL HYPERTROPHIC CARDIOMYOPATHY).
A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.
The time required by whole blood to produce a visible clot.
Discharge of URINE, liquid waste processed by the KIDNEY, from the body.
A bluish or purplish discoloration of the skin and mucous membranes due to an increase in the amount of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.
A condition that is caused by recurring atheroembolism in the lower extremities. It is characterized by cyanotic discoloration of the toes, usually the first, fourth, and fifth toes. Discoloration may extend to the lateral aspect of the foot. Despite the gangrene-like appearance, blue toes may respond to conservative therapy without amputation.
Single-chain polypeptides of about 65 amino acids (7 kDa) from LEECHES that have a neutral hydrophobic N terminus, an acidic hydrophilic C terminus, and a compact, hydrophobic core region. Recombinant hirudins lack tyr-63 sulfation and are referred to as 'desulfato-hirudins'. They form a stable non-covalent complex with ALPHA-THROMBIN, thereby abolishing its ability to cleave FIBRINOGEN.
An abnormal anatomical passage that connects the VAGINA to other organs, such as the bladder (VESICOVAGINAL FISTULA) or the rectum (RECTOVAGINAL FISTULA).
A valve situated at the entrance to the pulmonary trunk from the right ventricle.
Extravasation of blood into the skin, resulting in a nonelevated, rounded or irregular, blue or purplish patch, larger than a petechia.
Drugs used to cause dilation of the blood vessels.
The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.
Blocking of a blood vessel in the SKULL by an EMBOLUS which can be a blood clot (THROMBUS) or other undissolved material in the blood stream. Most emboli are of cardiac origin and are associated with HEART DISEASES. Other non-cardiac sources of emboli are usually associated with VASCULAR DISEASES.
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
The transmission of messages to staff and patients within a hospital.
Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.
Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
The condition of an anatomical structure's being constricted beyond normal dimensions.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.
Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
A condition in which the RIGHT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE or MYOCARDIAL INFARCTION, and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the right ventricular wall.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Partial or complete blockage in any part of the URETHRA that can lead to difficulty or inability to empty the URINARY BLADDER. It is characterized by an enlarged, often damaged, bladder with frequent urges to void.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Computer systems capable of assembling, storing, manipulating, and displaying geographically referenced information, i.e. data identified according to their locations.
The presence of bacteria in the urine which is normally bacteria-free. These bacteria are from the URINARY TRACT and are not contaminants of the surrounding tissues. Bacteriuria can be symptomatic or asymptomatic. Significant bacteriuria is an indicator of urinary tract infection.
Pathological process resulting in the fibrous obstruction of the small- and medium-sized PULMONARY VEINS and PULMONARY HYPERTENSION. Veno-occlusion can arise from fibrous proliferation of the VASCULAR INTIMA and VASCULAR MEDIA; THROMBOSIS; or a combination of both.
A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts.
Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS.
Endoscopes for viewing the embryo, fetus and amniotic cavity.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)

Estimating venous admixture using a physiological simulator. (1/146)

Estimation of venous admixture in patients with impaired gas exchange allows monitoring of disease progression, efficacy of interventions and assessment of the optimal inspired oxygen fraction. A pulmonary artery catheter allows accurate measurement, although the associated risks preclude its use solely for estimation of venous admixture. Non-invasive methods require assumed values for physiological variables. Many of the required data (e.g. haemoglobin concentration (Hb), base excess, inspired oxygen fraction, arterial oxygen (PaO2) and carbon dioxide (PaCO2) tensions, temperature) are available routinely in the intensive therapy unit. We have compared a typical iso-shunt-style estimation of venous admixture (assuming Hb, base excess, PaCO2 and temperature), and estimation using the Nottingham physiology simulator (NPS), with measured data. When the arteriovenous oxygen content difference (CaO2-CvO2) was assumed to be 50 ml litre-1, the 95% limits of agreement (LA95%) for venous admixture using the NPS were -3.9 +/- 8.5% and using an iso-shunt-style calculation, -6.4 +/- 10.6%. CaO2-CvO2 was 41.1 ml litre-1 in the patients studied, consistent with previous studies in the critically ill. When CaO2-CvO2 was assumed to be 40 ml litre-1, LA95% values were 0.5 +/- 8.2% and -2.1 +/- 10.1%, respectively.  (+info)

Time-dependent pressure distortion in a catheter-transducer system: correction by fast flush. (2/146)

BACKGROUND: Distortion of the pressure wave by a liquid-filled catheter-transducer system leads most often to an overestimation in systolic arterial blood pressure in pulmonary and systemic circulations. The pressure distortion depends on the catheter-transducer frequency response. Many monitoring systems use either mechanical or electronic filters to reduce this distortion. Such filters assume, however, that the catheter-transducer frequency response does not change over time. The current study aimed to study the changes with time of the catheter-transducer frequency response and design a flush procedure to reverse these changes back to baseline. METHODS: An in vitro setup was devised to assess the catheter-transducer frequency response in conditions approximating some of those met in a clinical environment (slow flushing, 37 degrees C, 48-h test). Several flush protocols were assessed. RESULTS: Within 48 h, catheter-transducer natural frequency decreased from 17.89 +/- 0.36 (mean +/- SD) to 7.35 +/- 0.25 Hz, and the catheter-transducer damping coefficient increased from 0.234 +/- 0.004 to 0.356 +/- 0.010. Slow and rapid flushing by the flush device built into the pressure transducer did not correct these changes, which were reversed only by manual fast flush of the transducer and of the catheter. These changes and parallel changes in catheter-transducer compliance may be explained by bubbles inside the catheter-transducer. CONCLUSIONS: Catheter-transducer-induced blood pressure distortion changes with time. This change may be reversed by a manual fast flush or "rocket flush" procedure, allowing a con. stant correction by a filter.  (+info)

Effect of the mechanical ventilatory cycle on thermodilution right ventricular volumes and cardiac output. (3/146)

The purpose of this study was to evaluate right ventricular (RV) loading and cardiac output changes, by using the thermodilution technique, during the mechanical ventilatory cycle. Fifteen critically ill patients on mechanical ventilation, with 5 cmH(2)O of positive end-expiratory pressure, mean respiratory frequency of 18 breaths/min, and mean tidal volume of 708 ml, were studied with help of a rapid-response thermistor RV ejection fraction pulmonary artery catheter, allowing 5-ml room-temperature 5% isotonic dextrose thermodilution measurements of cardiac index (CI), stroke volume (SV) index, RV ejection fraction (RVEF), RV end-diastolic volume (RVEDV), and RV end-systolic volume (RVESV) indexes at 10% intervals of the mechanical ventilatory cycle. The ventilatory modulation of CI and RV volumes varied from patient to patient, and the interindividual variability was greater for the latter variables. Within patients also, RV volumes were modulated more by the ventilatory cycle than CI and SV index. Around a mean value of 3.95 +/- 1.18 l. min(-1). m(-2) (= 100%), CI varied from 87.3 +/- 5.2 (minimum) to 114.3 +/- 5.1% (maximum), and RVESV index varied between 61.5 +/- 17.8 and 149.3 +/- 34.1% of mean 55.1 +/- 17.9 ml/m(2) during the ventilatory cycle. The variations in the cycle exceeded the measurement error even though the latter was greater for RVEF and volumes than for CI and SV index. For mean values, there was an inspiratory decrease in RVEF and increase in RVESV, whereas a rise in RVEDV largely prevented a fall in SV index. We conclude that cyclic RV afterloading necessitates multiple thermodilution measurements equally spaced in the ventilatory cycle for reliable assessment of RV performance during mechanical ventilation of patients.  (+info)

Exercise hemodynamic findings in patients with exertional dyspnea. (4/146)

To determine whether upright bicycle exercise could provide useful information about disabling exertional dyspnea in the absence of severe abnormalities (as shown by traditional testing methods), we evaluated 13 such patients. There were 3 men and 10 women with a mean age of 49+/-15 (SD) years. We used pulmonary artery catheterization at rest and during upright bicycle exercise to evaluate these patients. All patients had normal left ventricular function except for 1, who had an ejection fraction of 45%. The mean duration to peak exercise was 9+/-6 minutes. Normal systolic pulmonary artery pressure was defined as 25+/-5 mmHg. Four patients had normal systolic pulmonary pressure, and 9 exhibited pulmonary hypertension with exercise. In those 9, the mean mixed pulmonary venous oxygen saturation at rest was 61%+/-9% and fell to 32%+/-9% at peak exercise. Six of the 9 patients also had some degree of resting pulmonary hypertension that worsened with exercise: their mean pulmonary artery systolic pressure at rest was 47+/-14 mmHg and rose to 75+/-25 mmHg at peak exertion (P = 0.01). The other 3 patients showed no pulmonary hypertension at rest; their mean pulmonary artery systolic pressure was 27+/-6 mmHg. However, this level rose to 53+/-4 mmHg at peak exertion (P = 0.04). In this pilot study of patients with dyspnea, 9 of 13 (69%) displayed marked pulmonary hypertension with exercise. The resting hemodynamic levels were normal in 3 (33%) of those with exercise pulmonary hypertension. We conclude that hemodynamic data from bicycle exercise tests can provide additional information regarding the mechanisms of exertional dyspnea.  (+info)

Relationships between volume and pressure measurements and stroke volume in critically ill patients. (5/146)

OBJECTIVE: To evaluate the relationships between the changes in stroke volume index (SVI), measured in both the aorta and the pulmonary artery, and the changes in intrathoracic blood volume index (ITBVI), as well as the relationship between changes in aortic SVI and changes in the pulmonary artery wedge pressure (PAWP). DESIGN: Prospective study with measurements at predetermined intervals. SETTING: Medical intensive care unit of a university hospital. PATIENTS AND METHODS: One hundred and fifty-four measurements were taken in 45 critically ill patients with varying underlying disorders. Aortic SVI and pulmonary arterial SVI were determined with thermodilution. PAWP was measured using a pulmonary artery catheter. ITBVI was determined with thermal-dye dilution, using a commercially available computer system. RESULTS: A good correlation was found between changes in ITBVI and changes in aortic SVI. However, this correlation weakened when changes in ITBVI were plotted against changes in pulmonary arterial SVI, which was in part probably due to mathematical coupling between ITBVI and aortic SVI. A good correlation between changes in ITBVI and changes in aortic SVI could also be established in most of the individual patients. No correlation was found between changes in PAWP and changes in aortic SVI. CONCLUSION: ITBVI seems to be a better predictor of SVI than PAWP. ITBVI may be more suitable than PAWP for assessing cardiac filling in clinical practice.  (+info)

Pulmonary artery catheterization and mortality in critically ill patients. (6/146)

Pulmonary artery catheters are widely used in intensive care, but evidence to support their widespread use in sparse. Some published data suggest that greater mortality is associated with use of these catheters. The largest study to date looked at > 5500 patients in several centres in America and found a greater 30 day mortality in those patients receiving a pulmonary artery catheter. We tested the hypothesis that, on our intensive care unit, mortality was greater for those patients receiving a pulmonary artery catheter. Using a propensity score to account for severity of illness, the odds ratio for mortality in those patients receiving a pulmonary artery catheter was 1.08 (95% confidence interval 0.87-1.33). We believe that continued use of the pulmonary artery catheter is safe; a large randomized controlled trial examining outcome is unlikely to provide an adequate answer.  (+info)

Percutaneous removal of a knotted pulmonary artery catheter using a tracheostomy dilator. (7/146)

STATEMENT OF FINDINGS: This case report describes removal of a knotted, subclavian, pulmonary artery catheter using a tracheostomy dilator. With this simple method an invasive procedure might be averted.  (+info)

Effects of high-dose glucose-insulin-potassium on myocardial metabolism after coronary surgery in patients with Type II diabetes. (8/146)

The effects of glucose-insulin-potassium (GIK) on cardiac metabolism have been studied previously in non-diabetic patients after cardiac surgery. Although patients with diabetes mellitus can be expected to benefit most from such treatment, the impact of GIK in diabetic patients undergoing cardiac surgery remains unexplored. Therefore the present study investigates the effects of high-dose GIK on myocardial substrate utilization after coronary surgery in patients with Type II diabetes. A total of 20 patients with Type II diabetes undergoing elective coronary surgery were randomly allocated to either post-operative high-dose GIK or standard post-operative care, including insulin infusion if necessary to keep blood glucose below 10 mmol/l. Myocardial substrate utilization was studied using the coronary sinus catheter technique. Haemodynamic state was assessed with the aid of Swan-Ganz catheters. High-dose GIK caused a shift towards carbohydrate utilization, with significant lactate uptake throughout the study period and significant uptake of glucose after 4 h. Arterial levels of non-esterified fatty acids and beta-hydroxybutyric acid decreased, and after 1 h no significant uptake of these substrates was found. Increases in the cardiac index and stroke volume index were found in patients treated with high-dose GIK. A decrease in systemic vascular resistance was found both in the control group and in the high-dose GIK group. We conclude that high-dose GIK can be used in diabetic patients after cardiac surgery to promote carbohydrate uptake at the expense of non-esterified fatty acids and beta-hydroxybutyric acid. This could have implications for treatment of the diabetic heart in association with surgery and ischaemia.  (+info)

Pulmonary artery catheterization is associated with numerous complications, including serious arrhythmias. We report a case where ventricular tachycardia occurred repeatedly during attempted pulmonary artery catheterization, precluding successful catheterization. Transesophageal echocardiography was used to image the tricuspid valve and right ventricle and revealed a Sinus of Valsalva aneurysm protruding significantly into the right ventricle and obstructing advancement of the pulmonary artery catheter. Our case reveals another identifiable cause of serious arrhythmia during pulmonary artery catheterization and highlights how transesophageal echocardiography can be useful in unanticipated ways during cardiac anesthesia and surgery. ...
BACKGROUND:. Congestive heart failure constitutes one of the major categories of morbidity, particularly in the elderly, and is responsible for the utilization of significant resources, including a large number of hospitalizations (estimated at 800,000 to 2.3 million per year) and related health care costs. In 1993, 4.7 million Americans carried the diagnosis of CHF, and about 400,000 new cases are diagnosed every year. It is estimated that there are 800,000 to 1.2 million CHF patients with NYHA class III-IV symptoms. The diagnosis and treatment of CHF and its episodes of decompensation can be facilitated by pulmonary artery catheter use, but its efficacy is highly dependent on the physicians experience in the treatment of such patients. Recently, concern has been raised about the benefits of PAC, also known as Swan-Ganz catheterization.. In response to concerns about the benefits and safety of PAC, the NHLBI and the Food and Drug Administration (FDA) co-sponsored a workshop in August 1997 ...
Catheterization - Incorrect Placement of Swan-Ganz Catheter with Subsequent Embolism and Stroke. This medical exhibit features multiple images describing correct vs. incorrect placement of a Swan-Ganz catheter into the right jugular region. The medical illustrations picture the catheter inserted through the jugular vein into the adjacent carotid artery. Over time a thrombus developed at the catheter tip, which eventually broke free resulting in a clot to the brain and subsequent brain injury.
Catheterization - Incorrect Placement of Swan-Ganz Catheter with Subsequent Embolism and Stroke. This medical exhibit features multiple images describing correct vs. incorrect placement of a Swan-Ganz catheter into the right jugular region. The medical illustrations picture the catheter inserted through the jugular vein into the adjacent carotid artery. Over time a thrombus developed at the catheter tip, which eventually broke free resulting in a clot to the brain and subsequent brain injury.
Description of disease Swan-Ganz - right heart catheterization. Treatment Swan-Ganz - right heart catheterization. Symptoms and causes Swan-Ganz - right heart catheterization Prophylaxis Swan-Ganz - right heart catheterization
Pulmonary artery catheterization is when a long, thin tube called a catheter is inserted into a pulmonary artery. It can help diagnose and manage a wide variety of health problems.
This year marked the announcement of several landmark clinical studies using hemodynamic assessment to guide clinical management of patients with acute and chronic HF. First, results from the Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE) have recently been published (21). In the ESCAPE trial, 433 subjects admitted with acute decompensated HF were randomized to receive either pulmonary artery catheter (PAC)-guided therapy or usual care. The patient population had rather advanced HF (mean left ventricular ejection fraction [LVEF] 19%, serum creatinine 1.5 mg/dl, 6-min walk ∼400 feet). At the end of six months, the primary end point of total number of days patients are well did not show any differences between the two groups (21). Overall mortality at six months was similar at 19%. This prospective, randomized controlled trial may have laid to rest concerns that use of PAC in patients with advanced HF is associated with increased death ...
Swan-Ganz pulmonary artery catheter (PAC) delivers a comprehensive hemodynamic profile to help assess cardiovascular function and guide treatment decisions.
BACKGROUND: The pulmonary artery catheter (PAC) has been used in a wide-range of critically ill patients. It is not indicated for routine care of heart failure (HF) but its role in cardiogenic shock (CS) has not been clarified. METHODS AND RESULTS: We conducted a retrospective cohort study using the National Inpatient Sample and identified a total of 9,431,944 adult patients between 2004 and 2014 admitted with the primary diagnosis of HF (n=8,516,528) or who developed CS (n= 915,416) during the index hospitalization. Overall, patients with PAC had increased hospital costs, length of stay and mechanical circulatory support use. In patients with HF, PAC use was associated with higher mortality (9.9% vs. 3.3% OR 3.96 p|0.001) but the excess mortality declined over time. In those with CS, PAC was associated with lower mortality (35.1% vs. 39.2% OR 0.91 p|0.001) and in-hospital cardiac arrest (14.9% vs 18.3% OR 0.77 p|0.001); this paradox persisted after propensity score matching. CONCLUSION: The use of PAC
TY - JOUR. T1 - Usage of Swan-Ganz catheterization during the past 2 decades in United States. AU - Seifi, Ali. AU - Elliott, Ross Jordon S. AU - Elsehety, Marwah A.. PY - 2016. Y1 - 2016. UR - UR - U2 - 10.1016/j.jcrc.2016.05.024. DO - 10.1016/j.jcrc.2016.05.024. M3 - Article. AN - SCOPUS:84977553159. JO - Journal of Critical Care. JF - Journal of Critical Care. SN - 0883-9441. ER - ...
TY - JOUR. T1 - Pulmonary artery rupture induced by a pulmonary artery catheter. T2 - A case report and review of the literature. AU - Abreu, Alexandre. AU - Campos, Michael A. AU - Krieger, Bruce P.. PY - 2004/9/1. Y1 - 2004/9/1. N2 - Placement and use of pulmonary artery catheters (PACs) carry potential risks. The authors describe a case of a patient who developed massive hemoptysis after placement of a PAC that caused a rupture of the pulmonary artery with pseudoaneurysm formation. Treatment was successfully achieved with transcatheter coil embolization. Pulmonary artery rupture and pseudoaneurysm formation are among the most serious complications of PAC use because of the associated risk of mortality. Patients with this complication may be asymptomatic or may present with variable amounts of hemoptysis immediately or days after using a PAC. The gold standard diagnostic test is pulmonary angiography, and the treatment of choice for most patients is transcatheter embolization. Physicians and ...
The clinical use of a flow-directed balloon-tipped catheter to measure intracardiac filling pressures was first published by Swan et al in 1970. Careful hemodyn
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Pulmonary-artery definition. noun, Anatomy. 1. an artery conveying venous blood from the right ventricle of the heart to the lungs. noun 1. either of the two arteries that convey oxyge
The diagnosis of pulmonary hypertension (PH) requires right heart catheterization (RHC), thus this diagnostic procedure becomes the gateway through which patients enter into management of PH, regardless of the etiology.
BACKGROUND: Since pulmonary artery balloon flotation catheterization was first introduced in 1970, by HJ Swan and W Ganz, it has been widely disseminated as a diagnostic tool without rigorous evaluation of its clinical utility and effectiveness in critically ill patients. A pulmonary artery catheter (PAC) is inserted through a central venous access into the right side of the heart and floated into the pulmonary artery. PAC is used to measure stroke volume, cardiac output, mixed venous oxygen saturation and intracardiac pressures with a variety of additional calculated variables to guide diagnosis and treatment. Complications of the procedure are mainly related to line insertion. Relatively uncommon complications include cardiac arrhythmias, pulmonary haemorrhage and infarct, and associated mortality from balloon tip rupture.. OBJECTIVES: To provide an up-to-date assessment of the effectiveness of a PAC on mortality, length of stay (LOS) in intensive care unit (ICU) and hospital and cost of care ...
Acute lung injury (ALI) is a prevalent and devastating condition in the intensive care unit. Although pulmonary artery catheters (PAC) provide clinicians with important data about a patients haemodynamic status, doubts about their clinical benefit and worries about safety have raised questions about their usefulness. This study was designed to address this issue, with 1000 patients recruited in 20 North American centres. Patients were recruited after being diagnosed with ALI and were managed haemodynamically according to a standardised management protocol. 513 patients were randomised to have a PAC and 487 to have a standard central venous catheter (CVC).. Both the PAC and CVC groups had similar rates of death during the first 60 days (27.4% and 26.3% respectively, p = 0.69). Mean (SE) ventilator-free days were also similar (13.2 (0.5) and 13.5 (0.5), p = 0.58), as were the number of days not spent in the intensive care unit up to day 28 (12.0 (0.4) and 12.5 (0.5), p = 0.40). Using a PAC did ...
William E. Johnston, Roger L. Royster, Jakob Vinten-Johansen, Glenn P. Gravlee, George Howard, Stephen A. Mills, William Y. Tucker; Influence of Balloon Inflation and Deflation on Location of Pulmonary Artery Catheter Tip. Anesthesiology 1987;67(1):110-115. Download citation file:. ...
(Medical Xpress) -- A new Australian study has confirmed the accuracy of a modern non-invasive cardiac output monitor that can replace a 40-year-old standard in this field.
The complete Swan-Ganz. Lalli, Susan M. // RN;Sep78, Vol. 41 Issue 9, p64 Provides insights into the effectiveness of the use of Swan-Ganz catheter in patients with heart ailment. Role of the catheter as an aid in monitoring and treating critically ill patients; Possible risks of using the catheter; Processes involved in the use of the catheter. ...
ARDS was first described in 1967 in patients with refractory cyanosis due to respiratory failure that necessitated mechanical ventilation. However, the criteria for defining the syndrome were not generally agreed until the American-European Consensus Conference (AECC) in 1994. This definition specified an acute onset, refractory hypoxaemia and radiographic evidence of bilateral pulmonary shadowing due to increased permeability of the alveolar-capillary membrane, with the exclusion of left ventricular failure as the cause (table 1). A cardiogenic cause of pulmonary oedema was to be excluded by pulmonary artery catheterisation showing a pulmonary artery occlusion pressure (PAOP) of less than 18 mmHg or by clinical evidence of left atrial hypertension as a sign of left heart failure. The severity of the condition was defined by the ratio of the arterial oxygen tension (PaO2 measured in mmHg) to the inspiratory oxygen fraction (FIO2; where room air is 0.21 and pure oxygen is 1.0).. This definition ...
Fluid optimization in the resuscitation of shock became the mainstay of treatment following the advent of Early Goal-Directed Therapy (EGDT) by Rivers et al. in 2001 [1]. Patients presenting in shock require prompt optimization of volume status and cardiac out- put to ensure adequate perfusion. Poor optimization may be associated with prolonged hospital and intensive care unit stays. The prior gold standard, pulmonary artery catheterization, is rarely available in the emergency department setting and its invasive nature has led to recent re-evaluation of its clinical utility. However, there are new monitoring technologies that are being studied in the intensive care unit setting that may soon be available in emergency departments to aid in nursing and physician decision making to improve acute resuscitation.
Discrepancies are frequently noted between the degree of lung involvement as shown by the roentgenogram and the severity of subjective symptoms of the patient. With the advent of pulmonary functional studies, such as bronchospirometry and pulmonary artery catheterization, discrepancies were still observed between the degree of functional impairment and the degree of involvement on the roentgen-ray picture. It is also well known that there is often very little correlation between cardiorespiratory insufficiency that is observed in silicotics and the degree of pulmonary involvement as seen both on roentgenographic picture and at postmortem examination. Reisner,1 in a review of sarcoidosis, stated ...
OBJECTIVE: To compare non-invasive hemodynamic measurements obtained in pregnant and postpartum women using two automated cardiac output monitors against those obtained by two-dimensional (2D) transthoracic echocardiography (TTE). METHODS: This was a cross-comparison study into which we recruited 114 healthy women, either with normal singleton pregnancy (across all three trimesters) or within 72 hours following delivery. Cardiac output estimations were obtained non-invasively using two different monitors, Ultrasound Cardiac Output Monitor (USCOM®, which uses continuous-wave Doppler analysis of transaortic blood flow) and Non-Invasive Cardiac Output Monitor (NICOM®, which uses thoracic bioreactance), and 2D-TTE ...
TY - JOUR. T1 - Technique for conversion of a retrograde into an antegrade femoral artery catheterization. AU - Kadir, S.. AU - Baassiri, A.. AU - Barth, K. H.. PY - 1981/1/1. Y1 - 1981/1/1. UR - UR - U2 - 10.2214/ajr.136.2.430. DO - 10.2214/ajr.136.2.430. M3 - Article. C2 - 6781275. AN - SCOPUS:0019512639. VL - 136. SP - 430. EP - 431. JO - American Journal of Roentgenology. JF - American Journal of Roentgenology. SN - 0361-803X. IS - 2. ER - ...
DPJ-009 Assessment of Left Ventricular Stroke Volume Using Real-Time 3D Transesophageal Echocardiography During Cardiac Surgery : Direct Comparison Against Swan-Ganz Catheter(DPJ02,Cardiovascular Surgery/CABG (IHD),Digital Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society) (2009 ...
Szabo Z, Arnqvist H, Hakanson E, Jorfeldt L, Svedjeholm R: Effects of high-dose glucose-insulin-potassium on myocardial metabolism after coronary surgery in patients with type II diabetes. Clin Sci 101:37-43, 2001. Findings. Szabo et al. investigated the use of a glucose-insulin-potassium infusion (GIK) on myocardial substrate utilization after coronary surgery in 20 patients with type 2 diabetes. Patients were randomly allocated to either postoperative high-dose GIK or standard postoperative care, including insulin infusion, if necessary, to keep blood glucose ,10 mmol/l. Myocardial substrate utilization and hemodynamic status were studied using coronary sinus catheters and Swan-Ganz catheters, respectively. Infusion of GIK caused a shift toward carbohydrate utilization, with significant lactate uptake throughout the study period and significant uptake of glucose after 4 h. Arterial levels of nonesterified fatty acids and β-hydroxybutyric acid decreased, and after 1 h no significant uptake of ...
Pantin E, MD, Kraidin J, MD, Ginsberg S, MD, Denny J, MD, and Solina A, MD: Cannulation of the Middle Cardiac Vein during MICS, Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, Vol 7.Pantin E, Kraidin J, Ginsberg S, Denny J, Anderson M, Solina A: The Swan-Ganz Catheter as a Teaching Tool for the Anesthesiologist Learning Minimally Invasive Cardiac Surgery, accepted for publication in Technology and Techniques in Cardiothoracic and Vascular Surgery, 7(3), p204-207, ...
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Migration of a polyethylene catheter to the pulmonary artery has occurred on three occasions within a period of 9 months. Nonsurgical removal was accomplished in all cases with a snare device constructed of ordinary materials available in most hospitals equipped to perform cardiac catheterizations. Emphasis is on careful insertion and removal of the percutaneous polyethylene devices and the avoidance of entry sites of flexibility that allow shearing movement to occur. ...
With the team effort described in this article, the nurses were successful in providing safe and quality care to patients with advanced heart failure.Traditiona
Uscom announced the publication of a study demonstrating excellent correlation and agreement (96% and 95%) of the USCOM 1A with echocardiography, the current gold standard, for measurement of heart function. The USCOM 1A also identified the need for fluid with excellent sensitivity and specificity (95%) in the prospective, observational, multi-centre trial of 121 ICU patients.. Fluid is the most common critical care and peri-operative intervention in critically ill neonates, children and adults, with more than 50% of all fluids currently used being unnecessary or harmful. Fluid management remains one of the great clinical challenges in medicine, with particular relevance in paediatrics, anaesthesia, critical care and sepsis. An accurate and widely adopted solution to this problem has potentially enormous cost effectiveness benefits for medicine worldwide. This study demonstrates the USCOM 1A to be a cost effective solution to this problem.. A recent study of fluid administration in 655,426 ...
Uscom announced the publication of a study demonstrating excellent correlation and agreement (96% and 95%) of the USCOM 1A with echocardiography, the current gold standard, for measurement of heart function. The USCOM 1A also identified the need for fluid with excellent sensitivity and specificity (95%) in the prospective, observational, multi-centre trial of 121 ICU patients.. Fluid is the most common critical care and peri-operative intervention in critically ill neonates, children and adults, with more than 50% of all fluids currently used being unnecessary or harmful. Fluid management remains one of the great clinical challenges in medicine, with particular relevance in paediatrics, anaesthesia, critical care and sepsis. An accurate and widely adopted solution to this problem has potentially enormous cost effectiveness benefits for medicine worldwide. This study demonstrates the USCOM 1A to be a cost effective solution to this problem.. A recent study of fluid administration in 655,426 ...
A body-bias voltage source having an output monitor, charge pump, and shunt. A shunt circuit having on/off control is coupled to the output monitor and to the output of the charge pump. Upon sensing that the output voltage of the charge pump is above a desired value, the output monitor may disable the charge pump circuit and may enable the shunt circuit to reduce the voltage at the output of the charge pump. When the voltage output of the charge pump is below the desired value, the output monitor may disable the shunt circuit and may enable the charge pump circuit. A shunt circuit having proportional control may be substituted for the shunt circuit with on/off control.
Hi, Medicare has a LCD for the 93503 Swan-Ganz to be payable with only certain diagnosis codes. The LCD includes this for open heart as well as heart
Th17Global is a division of Asian Phytoceuticals Public Company Limited (APCO : that oversees the distribution of APCO products in providing national cancer care globally.
Comparison of cardiac output using invasive (Pulmonary Artery catheter Continuous cardiac Output), less invasive (FloTrac) and non invasive (Pulse Wave Transit Time) methods in patients undergoing off pump coronary artery bypass grafting-IJCA-Print ISSN No:-2394-4781 Online ISSN No:-2394-4994Article DOI No:-10.18231/j.
Anesthesiology 10 2016, Vol.125, 716-723. Authors: Yoshinobu Nakayama, M.D., Ph.D. et al. Background: The main cause of unsuccessful peripheral radial artery catheterization using traditional palpation is imprecisely locating the arterial center. The authors evaluated factors causing disparities between the arterial centers determined by palpation versusultrasound. The authors applied them to create and test a novel catheterization training program.. Methods: The arterial central axis was determined by ultrasound and palpation in 350 adults. Potential independent predictors of disparity included sex, body mass index, pulse pressure, transverse arterial diameter, subcutaneous arterial depth, chronic hypertension, and experience as an anesthesiologist (less than 3 vs.greater than or equal to 3 yr). Using the results, the authors developed a radial artery catheterization training program. It was tested by enrolling 20 first-year interns, randomized to a training or control group. The time to ...
The last decades less invasive monitoring and analytical tools have been developed for the evaluation of myocardial mechanics in clinical praxis. In critical care, these are longed-for complements to pulmonary artery catheter monitoring, additionally offering previously inaccessible information. This work is aimed, during fluid-replacement and oxygen therapy, to determine the physiological interface of ventricular and vascular mechanical properties, which result in the transfer of blood from the heart to appropriate circulatory beds. In prospective clinical studies we investigated previously cardiovascular healthy adults during hyperoxemia, and during preoperative acute normovolemic hemodilution or early fluid resuscitation of severe burn victims. Echocardiography was used in all studies, transthoracic for healthy volunteers and transesophageal for patients. For vascular parameters and for control purposes pulmonary artery Swan-Ganz catheter, calibrated external pulse recordings, whole body ...
Learn about the radial artery and its location at wrist. Radial artery catheterization pros and cons. Why doctors prefer radial artery over femoral artery.
The present invention is an organizational kit designed to help anesthesiologists when providing anesthesia during major surgery such as heart, thoracic, major vascular, and/or major abdominal. The invention helps the anesthesiologist organize the different intravenous and arterial lines, catheters, monitoring cables, pressure transducers and other devices coming from or going to the patient. It also serves as an educational tool for new anesthesia students, residents, fellows and new graduate anesthesiologists to help them understand how to connect the different ports coming out from the distal end of a Swan-Ganz catheter to their matching cables, monitor lines and transducers. The invention may serve as a reference for the doses and methods of administering common drugs used by the anesthesiologist intraoperatively. The invention also helps the practitioner set up the different modes of a pacemaker machine. The invention is designed to travel with the patient from the operating room to the recovery
Cardiac surgery patients are different from many other patients for a number of reasons when it comes to resuscitation post arrest. arterial line, Swan-ganz catheter (generally), and cardiac monitor; thus allowing for very early defibrillation without the use of external cardiac massage (ECM). ECM should be avoided if at all possible due to risk of […]. ...
Guy A Richards. It should be remembered that hemodynamic monitoring is not itself diagnostic of an underlying disease process unless the patient is merely hypovolemic. The following discussion does not therefore consider what further might be wrong with this patient, but this obviously warrants further attention. It is, however, necessary to support the patient until the primary disease responds and invasive monitoring would be useful to guide the use of vasoactive agents and fluid replacement. Clinical parameters alone are relatively inaccurate with regard to hemodynamic status in critically ill patients [11].. Parameters that are of particular value are cardiac output, pulmonary artery occlusion pressure, mixed venous oxygen saturation, right ventricular end diastolic volume, and systemic vascular resistance. Whereas some parameters may be obtainable with less invasive techniques, such as Doppler esophageal monitoring, only the PAC can easily and continuously or repetitively monitor them all. ...
Culture of Pulmonary Arterial Endothelial Cells from Pulmonary Artery Catheter Balloon Tips: Considerations for Use in Pulmonary Vascular Disease The authors cultured pulmonary artery endothelial cells (PAECs) from pulmonary artery catheter balloons used during right heart catheterization, to characterize successful culture attempts and to describe PAEC behavior. [Eur Respir J] Abstract Lymphatic Endothelial Cells Prime Naïve CD8+ T Cells into Memory Cells under Steady-State Conditions Researchers showed that while many proliferating lymphatic endothelial cell-educated T cells entered early apoptosis, the remainders comprised a long-lived memory subset, with transcriptional, metabolic, and phenotypic features of central memory and stem cell-like memory T cells. [Nat Commun] Full Article Endothelial ZEB1 Promotes Angiogenesis-Dependent Bone Formation and Reverses Osteoporosis Investigators showed that the zinc-finger transcription factor ZEB1 was predominantly expressed in CD31hiendomucinhi ...
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Jugular vein and carotid artery cannulations are among the most widely used surgeries in research labs around the world. These cannulations are extremely important for confirmed intravenous delivery
직장암으로 진단받은 55세 여자가 수술 절제술 후 화학요법을 위하여 외부 병원에서 케모포트 삽입술을 받았다. 이후 일상생활에 불편함 없이 지내오던 중 시술 10일 후 비교적 갑자기 발생한 1시간 동안의 일시적인 우측 다리 위약감과 구음장애가 발생하여 본원 응급실로 내원하였다. 내원 후 시행한 신체검사 및 신경학적 진찰에서는 특이 소견이 없었으나 확산강조영상(diffusion-weighted image)에서 우측 내측 측두엽(medial temporal lobe), 시상(thalamus) 및 우측 소뇌에 급성 뇌경색을 시사하는 다발성 고신호 강도 병변이 확인되었다(Fig. A-C). 대동맥 상방 전산화단층혈관조영술(supra-aortic computed tomography angiography)에서 우측 쇄골하동맥으로 케모포트 도관이 잘못 삽입되어 있는 것이 확인되었고(Fig. D) 그 주변으로 혈관내 혈전으로 의심되는 이상 음영이 확인되었다(Fig. ...
EDUBRIEFS in CCTC Question: I think that the tip of my pulmonary artery catheter is displaying a Right Ventricular waveform. What clues would help validate a right ventricular tracing?
Central venous cannulation, with or without a flow-directed pulmonary artery catheter, is commonly performed in patients undergoing cardiac surgery to measure central filling pressure and cardiac output, and to administer medications and fluids. The
To inflate the balloon element on the distal end of a pulmonary artery catheter an improved gas syringe is provided which is both volume and pressure-limited so that the syringe is capable of discharg
Whole body O2 consumption is calculated by collecting expired gas in a spirometer and determining its O2 content, which is then subtracted from the calculated O2 content of inspired gas. The arterial O2 content can be measured in an arterial sample and the mixed venous blood O2 content is obtained from a pulmonary artery catheter. In the indicator dilution method, a known amount of a substance is injected into a vein and the concentration of the indicator in serial samples of arterial blood is determined. The output of the heart is equal to the amount of indicator injected divided by its average concentration in arterial blood after a single circulation through the heart. The cardiac output for that period is calculated and then converted to output per minute. ...
Reviewers: Amy Caron, MD and Michael Y. Woo, MD. Gunst M, Ghaemmaghami V, Sperry J, et al. Accuracy of cardiac function and volume status estimates using the bedside echocardiographic assessment in trauma/critical care. J Trauma. 2008 Sep;65(3):509-16.. Methods: The purpose of this study was to develop and evaluate a tool for non-cardiologists to use for echocardiographic assessment of cardiac function and intravascular volume status in critically ill patients. The group named their assessment the BEAT examination (Bedside Echocardiographic Assessment in Trauma/Critical Care), proposing that this is a tool potentially on par with the Focused Assessment with Sonography in Trauma (FAST) exam.. The study was a prospective observational cohort analysis of consecutively admitted surgical ICU patients at a Level I adult trauma center over a 6 month period. In order to be included in the study, patients had to have had a pulmonary artery catheter (PAC) placed in order to guide resuscitation of shock; ...
To compare the efficacy of low dose thrombolytics administered intravenously or via pulmonary artery catheter to usual care (including heparins) on segemental
Edwards has been advancing the care of the acutely ill for more than 40 years. Starting with the development of Swan-Ganz advanced hemodynamic monitoring devices for measuring cardiovascular performance in high-risk surgical and critically ill patients, Edwards continues to evolve to less-invasive and noninvasive devices to provide valuable hemodynamic insight for an expanded patient population. Edwards has continued to advance hemodynamic monitoring platforms to enable proactive clinical decisions for surgical, anesthesia and critical care clinicians. Edwards is focused on helping clinicians enhance knowledge and standardize practice to improve the quality and efficiency of care. Edwards provides evidence-based programs such as Enhanced Surgical Recovery Program that support the implementation and compliance to protocolized care pathways in the OR and ICU.. Our vascular therapies products, including genuine Fogarty catheters, continue this high standard. Developed and refined in close ...
A CRNA completes 4 years of undergrad, specializing as an RN. The last 2 years are spent specializing in nursing practice and doing actual patient care at the bedside under supervision. A far cry from emptying bedpans, this includes insertion of oral gastric tubes, IVs, drawing arterial blood gases, inserting foley and rectal catheters, reading cardiac monitors, learning to regulate IV medications...many of which are potent, and so forth. Upon graduation the RN is required to spend a determined amount of time working as a critical care nurse before they can even apply for a CRNA program. In the ICU the RN becomes skilled at patient assessment, IV monitoring, use of ventilators, reading and determining meanings of Swan-Ganz readings (inserted into the hear), titrating potent drips, etc. As yes, the RN will empty bedpans because we are not above taking personal care of a patient. Most CRNA programs require that a CRNA applicant be a certified critical care RN (CCRN) before they will even ...
Objectives: To evaluate the effectiveness of pharyngeal intraluminal pressure reeording in the seIection of patients for polysomnography among those having snoring eomplaints. Patients and Methods: The study included nine patients with snoring eomplaints alone, nine patients who experienced snoring and more lhan five apnea attaeks per hour, and 10 healthy volunteers without snoring eomplaints. With the use of Swan-Ganz eatheters, intraluminal pressures were reeorded at the levels of nasopharynx, hypopharynx, and oropharynx in the supine pasition both at rest and following the induetion of negative pressure. Results: No significant differenees were found between patient groups and eontrols in the intraluminal pressures obtained at the level of nasopharynx. However, the results obtained at the levels of hypopharynx and oropharynx differed signifieantly between patients with snoring and apnea attaeks ( ...
... catheterization, swan-ganz MeSH E02.148.442.110 - catheter ablation MeSH E02.148.442.165 - catheterization, swan-ganz MeSH ...
Swan, HJ; Ganz, W; Forrester, J; Marcus, H; et al. (August 1970). "Catheterization of the heart in man with use of a flow- ... The pulmonary artery catheter is frequently referred to as a Swan-Ganz catheter, in honor of its inventors Jeremy Swan and ... After Swan developed the initial balloon tip, Ganz used Fronek's idea and added a small thermistor (temperature probe) about 3 ... Pulmonary artery catheterization (PAC), or right heart catheterization, is the insertion of a catheter into a pulmonary artery ...
Ganz W, Buchbinder N, Marcus H, Mondkar A, Maddahi J, Charuzi Y, O'Connor L, Shell W, Fishbein MC, Kass R, Miyamoto A, Swan HJ ... Cardiac catheterization was first performed when Werner Forssmann, in 1929, created an incision in one of his left antecubital ... The history of invasive cardiology begins with the development of cardiac catheterization in 1711, when Stephen Hales placed ... For their work in the discovery of cardiac catheterization and hemodynamic measurements, Cournand, Forssmann, and Richards ...
Treatment Swan-Ganz - right heart catheterization. Symptoms and causes Swan-Ganz - right heart catheterization Prophylaxis Swan ... Description of disease Swan-Ganz - right heart catheterization. ... Swan-Ganz catheterization is the passing of a thin tube ( ... Swan-Ganz catheterization can also be used to see abnormal blood flow between two usually unconnected areas. ... Conditions that can also be diagnosed or evaluated with Swan-Ganz catheterization include pulmonary hypertension, cardiac ...
incorrect placement of a Swan-Ganz catheter into the right jugular region. The medical illustrations picture the catheter ... Incorrect Placement of Swan-Ganz Catheter with Subsequent Embolism and Stroke. This medical exhibit features multiple images ... Catheterization - Incorrect Placement of Swan-Ganz Catheter with Subsequent Embolism and Stroke. This medical exhibit features ... incorrect placement of a Swan-Ganz catheter into the right jugular region. The medical illustrations picture the catheter ...
Usage of Swan-Ganz catheterization during the past 2 decades in United States. / Seifi, Ali; Elliott, Ross Jordon S; Elsehety, ... Seifi, A, Elliott, RJS & Elsehety, MA 2016, Usage of Swan-Ganz catheterization during the past 2 decades in United States, ... Seifi, A., Elliott, R. J. S., & Elsehety, M. A. (Accepted/In press). Usage of Swan-Ganz catheterization during the past 2 ... Seifi, Ali ; Elliott, Ross Jordon S ; Elsehety, Marwah A. / Usage of Swan-Ganz catheterization during the past 2 decades in ...
Recently, concern has been raised about the benefits of PAC, also known as Swan-Ganz catheterization. ... Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE). The safety and ... To compare the efficacy of Pulmonary Artery Catheterization (PAC)-directed treatment strategy to a non-invasive treatment ... Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. JAMA. 2005 ...
... requires right heart catheterization (RHC), thus this diagnostic procedure becomes the gateway through which patients enter ... The diagnosis of pulmonary hypertension (PH) requires right heart catheterization (RHC), thus this diagnostic procedure becomes ... If so, what else could be learned about the distal microvasculature of a PAH patient from a Swan-Ganz catheter that would ... Looking forward, it is important to remember that the regions of the pulmonary artery contacted by the Swan-Ganz catheter ...
BACKGROUND: Since pulmonary artery balloon flotation catheterization was first introduced in 1970, by HJ Swan and W Ganz, it ...
Right heart catheterization involves the passage of a catheter (a thin flexible tube) into the right side of the heart to ... Right heart catheterization involves the passage of a catheter (a thin flexible tube) into the right side of the heart to ...
Swan-Ganz catheterization is the passing of a thin tube (catheter) into the right side of the heart and the arteries leading to ... Swan-Ganz catheterization is the passing of a thin tube (catheter) into the right side of the heart and the arteries leading to ... Swan-Ganz catheterization can also be used to detect abnormal blood flow between two areas of the heart that are not normally ... Hermann J. Cardiac catheterization. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwalds Heart ...
Our cardiologist performed a Right Heart Catheterization with insertion and placement of Swan-Ganz for monitoring... ... Can we code for both the Right Heart Cath (93501) & Swan-Ganz placement (93503)? Reimbursement for placing the Swan-Ganz is ... Our cardiologist performed a Right Heart Catheterization with insertion and placement of Swan-Ganz for monitoring purposes. ... swan ganz) for the purpose of hemodynamic monitoring when performed during cardiac catheterization). there have been so many ...
What is Swan-Ganz catheterization? Meaning of Swan-Ganz catheterization medical term. What does Swan-Ganz catheterization mean? ... Looking for online definition of Swan-Ganz catheterization in the Medical Dictionary? Swan-Ganz catheterization explanation ... Swan-Ganz catheterization. Swan-Ganz catheterization. Interventional cardiology Insertion of a SG catheter into the pulmonary ...,Swan-Ganz catheterization,/a,. *Facebook ...
1996) on the impact of Swan-Ganz catheterization on ... 1996) on the impact of Swan-Ganz catheterization on mortality ... Treatment Effect Bounds: An Application to Swan-Ganz Catheterization. Jay Bhattacharya, Azeem Shaikh (. ) and Edward Vytlacil ( ... Journal Article: Treatment effect bounds: An application to Swan-Ganz catheterization (2012) This item may be available ... "Treatment Effect Bounds under Monotonicity Assumptions: An Application to Swan-Ganz Catheterization." American Economic Review ...
Indications for Swan-Ganz catheterization. Together they form a unique fingerprint. * Swan-Ganz Catheterization Medicine & ... title = "Indications for Swan-Ganz catheterization",. abstract = "The Swan-Ganz catheter provides a relatively easy means of ... Indications for Swan-Ganz catheterization. / Hebert, K. A.; Glancy, D. L.. In: Heart Disease and Stroke, Vol. 3, No. 4, 01.01. ... Hebert, K. A. ; Glancy, D. L. / Indications for Swan-Ganz catheterization. In: Heart Disease and Stroke. 1994 ; Vol. 3, No. 4. ...
"Pulmonary Artery (Swan-Ganz) Catheterization." Reichmans Emergency Medicine Procedures, 3e Reichman EF. Reichman E.F. Ed. Eric ... Neuman J, Mann J. Neuman J, Mann J Neuman, J. Elizabeth, and Jessica Mann.Pulmonary Artery (Swan-Ganz) Catheterization. In: ... After that time, various devices and techniques evolved until Swan and Ganz developed the balloon-tipped pulmonary artery ... "Swan-Ganz catheter" has been used almost exclusively in the intensive care setting ever since, with an estimated 1 million PACs ...
Swan-Ganz Catheterization. Before or after insertion of the Swan-Ganz catheter, the system must be zeroed after positioning the ... Always deflate the balloon before withdrawing the Swan-Ganz catheter. The waveforms help to indicate the position of the ...
Swan-Ganz catheterization. In highly selected cases, a Swan-Ganz catheter may be useful in managing the fluid status of the ...
Do your physicians document right heart catheterizations when they actually performed a Swan-Ganz catheterization? How to avoid ... Lets first look at what a Swan-Ganz catheterization is and how the procedure is performed. The Swan-Ganz catheter is ... What is the difference between a diagnostic right heart catheterization (RHC) and a Swan-Ganz procedure? Since the Swan-Ganz ... page 39 addresses the coding of Swan-Ganz catheterization. Only the code for placement of the Swan-Ganz device is coded. Unless ...
Learn more about pulmonary hypertension diagnosis and how Swan Ganz catheterization can help with getting an accurate and ... Tagged diagnosis, PH, Pulmonary hypertension (PH), Swan Ganz Catheterization.. Post navigation. Previous: 2nd Annual ... Also discussed is the Swan Ganz catheterization - how it works and how it can help with getting an accurate and faster ...
Indications for Swan-Ganz Catheterization. Swan-Ganz catheterization may be indicated in the following situations:. 1. Acute ... Limitations for Swan-Ganz Catheterization. This procedure is usually performed at the bedside in the critical care unit or ... Swan-Ganz catheterization with hemodynamic measurements done at the same time as these other procedures will still have to be ... Swan-Ganz catheterization includes the insertion of a central venous line when performed via the same introducer or catheter. ...
DefinitionSwan-Ganz catheterization is the passing of a thin tube (catheter) into the right side of the heart and the arteries ... Swan-Ganz catheterization is the passing of a thin tube (catheter) into the right side of the heart and the arteries leading to ... Swan-Ganz catheterization can also be used to detect abnormal blood flow between two areas of the heart that are not normally ... Right heart catheterization; Catheterization - right heart. How the Test is Performed. The test can be done while you are in ...
Catheterization and Hemodynamic Parameters answers are found in the Pocket ICU Management powered by Unbound Medicine. ... Catheterization_and_Hemodynamic_Parameters. Pulmonary Artery (Swan-Ganz) Catheterization and Hemodynamic Parameters. Pocket ICU ... Catheterization_and_Hemodynamic_Parameters. Accessed January 28, 2020.. Pulmonary Artery (Swan-Ganz) Catheterization and ... Catheterization_and_Hemodynamic_Parameters. Pulmonary Artery (Swan-Ganz) Catheterization and Hemodynamic Parameters [Internet ...
... right heart catheterizationSwan-Ganz - right heart catheterization: Research Studies. Swan-Ganz - right heart catheterization: ...
Particular attention has been paid to current problems in catheterization and the prevention of transmission of communicable ... This introduces a comprehensive, uniform and universal approach to catheterization. Discriminatory methods of treatment using ... A system and method of catheterization, includes a needle, a Y chamber, a syringe or other chamber, a dilator, a sheath, a ... A valve, grommet or other self-sealing device 102 is shown through which a tool (e.g., Swan Ganz catheter) may be passed into ...
Right Heart Catheterization (Swan-Ganz). *Stress Echocardiogram. *Supraventricular Tachycardia. *Syncope. *Syncope, Familial ...
Right Heart Catheterization (Swan-Ganz). *Stress Test. *Thoracentesis. Background Check. Malpractice Claims not available. What ...
Catheterization, Swan-Ganz* * Health Knowledge, Attitudes, Practice* * Physicians / statistics & numerical data* * Pilot ...
Swan-Ganz catheterization.. Syncope.. Syphilis.. Syphilis tests.. Syringe and needle.. Tai chi.. Taste.. Technetium heart scan ... Catheterization, female.. Catheterization, male.. Cell division.. Cell membranes.. Cellular functions.. Centers for Medicare ... Cardiac catheterization.. Cardiac cycle.. Cardiac marker tests.. Cardiac monitor.. Cardiac rehabilitation.. Cardiac technology. ...
Pulmonary artery catheterization is the insertion of a catheter into a pulmonary artery its a diagnostic procedure in which a ... Pulmonary Artery Swan Ganz Catheter. 06:15 , 6892 views Watch VIDEO. 4716 views ... Catheterization of the Pulmonary Artery Pulmonary artery catheterization is the insertion of a catheter into a pulmonary artery ... Tags: Catheterization of the Pulmonary Artery Uploaded by: benchwork ( Send Message ) on 30-11-2011. Dnatube suggest users to ...
Swan Ganz, Transseptal, Techniques.- Optimal Coronary, Ventricular, and Atrial Angiography, QCA.- Diagnostic Intravascular ... CABG.- Catheterization Laboratory Environment.- Patient Preparation/Setup/Sedation/Preventive and Prophylactic Measures.- ... Craig A. Thompson previously served as Director of Cardiovascular Catheterization and Intervention with Yale New Haven Hospital ... Foreward.- Introduction.- DIAGNOSTIC CARDIAC CATHETERIZATION.- General Hemodynamic Assessment.- Cardiomyopathy.- Valvular ...
Treatment Effect Bounds: An Application to Swan-Ganz Catheterization. with Azeem Shaikh, Edward Vytlacil: w11263. Published:. * ... "Treatment Effect Bounds under Monotonicity Assumptions: An Application to Swan-Ganz Catheterization." American Economic Review ... "Treatment effect bounds: An application to Swanâ Ganz catheterization," Journal of Econometrics, Elsevier, vol. 168(2), pages ...
"Complications of swan ganz catheterization". 12:15 p.m.. Pituitary Conference, Building 1 C.R., 1N48, Jacobi ...
32 The development and application of coaxial microcatheter systems allows more selective catheterisation and embolisation of ...
Catheterization, Swan-ganz. Placement of a balloon-tipped catheter into the pulmonary artery through the antecubital, ... Methods: We included 18 hypertensive patients (HT) scheduled for elective cardiac catheterization after heart transplantation ...
  • This medical exhibit features multiple images describing correct vs. incorrect placement of a Swan-Ganz catheter into the right jugular region. (
  • Since pulmonary artery balloon flotation catheterization was first introduced in 1970, by HJ Swan and W Ganz, it has been widely disseminated as a diagnostic tool without rigorous evaluation of its clinical utility and effectiveness in critically ill patients. (
  • To compare the efficacy of Pulmonary Artery Catheterization (PAC)-directed treatment strategy to a non-invasive treatment strategy on morbidity and mortality in patients with severe, class IV New York Heart Association (NYHA) congestive heart failure. (
  • Clinically evident heart disease carries an unfavorable prognosis, as do cardiac abnormalities detected via right heart catheterization or other invasive methods. (
  • However, pulmonary artery catheterisation is invasive and has become much less common in the USA 9 with the publication of a number of studies suggesting that routine use of pulmonary artery catheterisation for the management of critically ill patients is associated with increased complications compared with central venous catheterisation and does not improve patient outcomes 10 - 12 . (
  • The invasive nature of Swan-Ganz catheterization is a major disadvantage. (
  • The invasive right heart catheterization (RHC) is the gold standard for the diagnosis of PH, and the assessment of reversibility of PH with vasodilators, the measure of Puls by intravascular ultrasound (IVU) [ 10 - 14 ]. (
  • The gold standard for determining the aetiology of acute pulmonary oedema is measurement of the pulmonary arterial occlusion pressure by pulmonary artery catheterisation 7 , 8 . (
  • There is no additional reimbursement for a Swan-Ganz performed in conjunction with electrophysiologic tests or intervention, HIS bundle studies, pacing studies, temporary pacemaker insertion, interventional cardiac procedures or angioplasty, and endomyocardial biopsy catheterization done for reasons other than hemodynamic evaluation of active cardiac pathophysiology. (
  • A fourth year of cardiac catheterization is mandated to become certified for cardiac interventional techniques. (
  • The history of interventional cardiology: cardiac catheterization, angioplasty, and related interventions. (
  • Significant technical difficulties may be faced in accessing the right ventricle in the presence of PLSVC via left subclavian approach, during transvenous procedures, such as right heart catheterisation, pacemaker/implantable cardiovertor defibrillator (ICD) implantation or biventricular pacing. (
  • Right heart catheterisation (RHC) plays a central role in identifying pulmonary hypertension (PH) disorders, and is required to definitively diagnose pulmonary arterial hypertension (PAH). (
  • Furthermore, a recent large multicentre trial of pulmonary arterial catheterisation found that close to one-third of patients with acute lung injury had elevated pulmonary arterial wedge pressures 12 . (
  • It was named in honor of its inventors who were Jeremy Swan and William Ganz from Cedars-Sinai Medical Center in 1970. (
  • Conclusion: Percutaneous catheterization of vena jugularis interna and vena subclavia needs time and for adequate skill development practice is necessary.Placement and use of PAC carry potential risks that requires immediate management.Developing the information about their complications' treatment can prevent additional morbidity and mortality. (
  • Cardiac catheterization is usually performed in a specially designed cardiac catheterization suite in a hospital, so that any procedural complications may be handled rapidly and effectively. (
  • Swan-Ganz catheterization with hemodynamic measurements done at the same time as these other procedures will still have to be medically necessary based upon the underlying cardiovascular pathophysiology. (
  • Material and Method: During 6 years period between 2001 January and 2006 December, totally 2310 pulmonary artery catheterization(PAC) were performed in cardiovascular operation patients. (
  • For their work in the discovery of cardiac catheterization and hemodynamic measurements, Cournand, Forssmann, and Richards shared the Nobel Prize in Physiology or Medicine in 1956. (
  • The codes describing a right heart catheterization (e.g., 93501) are used only for medically necessary diagnostic procedures. (
  • A diagnostic right heart catheterization is performed for diagnostic purposes rather than exclusively for pressure monitoring and measurement purposes. (
  • Patients with a history of chronic HF due to left ventricular systolic dysfunction with moderate to severe HF symptoms (New York Heart Association functional class III or IV) who were undergoing diagnostic cardiac catheterization were included in the study if they agreed and signed a consent form approved by the ethics committee of the Los Angeles County/University of Southern California Medical Center. (
  • Pulmonary Artery Catheterization (Right Heart Catheterization or sometimes called Swan-Ganz Catheterization) is used to obtain diagnostic information about the heart. (
  • 1996) on the impact of Swan-Ganz catheterization on mortality outcomes. (
  • 1996) study assumes that there are no unobserved differences between patients who are catheterized and patients who are not catheterized and finds that catheterization increases patient mortality. (
  • Our results are further illustrated with two empirical examples: one, the Tennessee STAR experiment, with a strong instrument and the other, the Connors' (1996) Swan-Ganz catheterization dataset, with a weak instrument. (
  • Coders should only report 93503 when the Swan-Ganz is placed for monitoring purposes only. (
  • Not unlike the Swan-Ganz, the RHC also obtains pressures including recording intracardiac and intravascular pressures, blood gas testing and cardiac output measurements. (
  • Limon Lason R, Rubio Alvarez V, Bouchard F. Intracardiac catheterization. (
  • All patients received Swan-Ganz catheterization. (
  • Catheterization is also recommended for patients with suspected valvular disease, including aortic stenosis (narrowing) or regurgitation, and mitral stenosis or regurgitation. (
  • The value of Swan-Ganz catheterization and volume loading in preventing renal failure in patients undergoing abdominal aneurysmectomy. (