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Summary of the Mayo clinic experience with direct left ventricular puncture

✍ Scribed by Ommen, S. R. ;Higano, S. T. ;Nishimura, R. A. ;Holmes, D. R.

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
40 KB
Volume
44
Category
Article
ISSN
0098-6569

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✦ Synopsis

Hemodynamic assessment of patients with prosthetic valves can be challenging. Noninvasive techniques may be limited by interference from the prosthetic material, whereas access to the left ventricle for direct pressure measurements often is not possible using common methods. The technique of direct, percutaneous left ventricular puncture has been proven to be a safe method that often provides needed data to help manage difficult clinical situations. We report our 8-yr experience with this technique for assessment of patients with valvular prostheses. Direct left ventricular puncture is a safe technique in patients with prior cardiac surgery and provided significant diagnostic information in the set of patients with multiple valvular prostheses.

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Left heart catheterization by direct ventricular puncture: Withstanding the test of time
✍ Morgan, J. M. ;Gray, H. H. ;Gelder, C. ;Miller, G. A. H. πŸ“‚ Article πŸ“… 1989 πŸ› John Wiley and Sons 🌐 English βš– 330 KB πŸ‘ 1 views

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) lef