Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Q. Explain the procedure of Balloon Pulmonary Valvuloplasty?
Right heart study is done to measure the transvalvular gradient and exclude supravalvular and subvalvular components. A 5F sheath is placed in the right femoral artery for pressure monitoring and an 8F sheath is placed in the right femoral vein for the BPV procedure. An RV angiogram is performed in AP and lateral views to assess location of PV and for sizing of the pulmonary annulus. It is often necessary to oversize the balloon 25 to 30 per cent larger than the valve annulus diameter. In general balloon pulmonary valvuloplasty procedure is indicated if the resting peak systolic pressure exceeds 40mmHg. Lateral projection is best suited for the procedure. An end hole catheter is positioned into the left pulmonary artery. An exchange length guide wire is anchored in distal LPA. A double balloon technique is recommended if pulmonary annulus exceeds 18-19mm, or if the single balloon catheter required for the procedure is too large for introduction into the patient's femoral vein. With double balloon technique, the balloon diameter sum is 60 per cent more than the annulus diameter. The balloon valvuloplasty catheter is advanced across the valve and positioned with the valve in the midportion of the balloon. The valvuloplasty balloon or balloons are then inflated with, a mixture of saline and contrast, by hand, until the waist disappears. The procedure can be repeated if necessary for adequate pulmonary valve dilatation. The valvuloplasty catheter is removed and a wedge catheter is used to record the RV outflow tract gradient and cardiac output to document efficacy of the procedure followed by an RV angiogram. The acute and long-term results of this procedure have been very satisfying.
Pediculosis and scabies Phthirus pubis (pubic lice), which can be found on eyelashes, back, axillary and leg hairs as well as pubic areas, and Sarcoptes scabiei infestation (s
Q. What are some antibiotics used against fungi? The systemic or topical azoles (like fluconazole, itraconazole and others), amphotericin B, the echinocandins (caspofungin, mic
The cardiovascular system controls the movement of blood through thousands of miles of capillaries so that every tissue in every part of the body is perfused. Essential nutrients
Define Antioxidant Activity of manganese? As Mn is a component of mitochondrial Superoxide Dismutase (SOD), it can protect against oxidative damage. In-vitro experiments have i
Maximum and minimum range of an animal with the factors of Ph Salinity Pressure Relative human
What are the physiological changes during pregnancy
What is the cell division process directly related to the embryonic growth? The embryonic growth depends directly on mitosis. By this type of cell division the zygote separates
What are important terms in accommodation and convergence? Accommodation and Convergence In this section some important terms are included: a. How a person is able to foc
MA L THU S THEORY OF HUMAN POPULATION GROWTH - Malthus put forward in 1778. 1. Population grows in geometrical ratio, where as the means grow in arithmetical ratio.
general characteristics of cynobacteria
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +1-415-670-9521
Phone: +1-415-670-9521
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd