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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Cardiac Catheterization III: Left Heart Catheterization01:24

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Assessment of apical pulse01:17

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Assessing the Apical Pulse
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Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Imaging Studies for Cardiovascular System V: CT01:28

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Related Experiment Video

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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Lead Extraction Considerations for the Referring Cardiologist.

Ayman A Hussein1, Bruce L Wilkoff

  • 1From the Cleveland Clinic; Sydell and Arnold Miller Family Heart & Vascular Institute, Robert & Suzanne Tomsich Department of Cardiovascular Medicine, Section of Cardiac Pacing and Electrophysiology, Cleveland, OH.

Cardiology in Review
|December 7, 2016
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Summary
This summary is machine-generated.

The number of patients with cardiac implantable electronic devices (CIEDs) is increasing. This rise necessitates more CIED and lead extractions for system upgrades, revisions, infections, and lead issues.

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Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Device Technology

Background:

  • The patient population with cardiac implantable electronic devices (CIEDs) is expanding.
  • Increasing indications and advancements in cardiac care contribute to this growth.

Purpose of the Study:

  • To address the growing need for cardiac device and lead extractions.
  • To understand the drivers behind increased CIED system revisions and upgrades.

Main Methods:

  • Analysis of trends in CIED implantation and extraction procedures.
  • Review of reasons for CIED system revision (e.g., complications, infection, lead advisories).

Main Results:

  • A significant increase in the need for CIED and lead extractions is observed.
  • Complications, infections, and lead advisory alerts are key factors driving extractions.

Conclusions:

  • The growing CIED population directly correlates with an increased demand for device and lead extraction services.
  • Proactive management of CIED complications and lead integrity is crucial.