Left heart catheterization by direct ventricular puncture: Withstanding the test of time
✍ Scribed by Morgan, J. M. ;Gray, H. H. ;Gelder, C. ;Miller, G. A. H.
- Publisher
- John Wiley and Sons
- Year
- 1989
- Tongue
- English
- Weight
- 330 KB
- Volume
- 16
- Category
- Article
- ISSN
- 0098-6569
No coin nor oath required. For personal study only.
✦ Synopsis
If retrograde arterial catheterization of the left ventricle fails because of a stenosed native or tissue valve or is contraindicated because of the presence of a mechanical aortlc prosthesls, then alternative routes of access to the left ventricle are either trans-septa1 or direct (transaplcal) left ventricular puncture. The transseptal approach is contraindicated In the presence of a mechanical mitral valve prosthesls. Under these circumstances we have used direct transapical left ventricular puncture in the treatment of 112 patients and have found this technique to be successful wlth little associated risk. A major complication occurred In 3% of the patients, but the study provided the required data in 95%, and these figures compare favorably with the reported results of transsep tal catheterlzation.