Preview

Coronary Angiography

Good Essays
Open Document
Open Document
83 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Coronary Angiography
Left heart Catheterization and Coronary angiography were performed via Judkins Technique, using the right femoral artery. Hemodynamic recordings were made in the ascending aorta at rest.
Blood samples for oximetry were obtained from the pulmonary artery and ascending aorta. Repeat hemodynamic recordings were made on pull back. The catheter was withdrawn and direct pressure was applied to the right femoral artery. Both good hemostasis and pedal pulses were obtained. The patient tolerated the procedure well, and left the laboratory in a satisfactory condition.

You May Also Find These Documents Helpful

  • Good Essays

    Mrcp2

    • 481 Words
    • 2 Pages

    week of pregnancy complaining of dyspnoea. Her symptoms had become increasingly more debilitating over a period of eight weeks. On the day of admission she felt dyspnoeic at rest, and was unable to lie flat. There was no past history of note, other than an admission for repair of a dislocated lens two years previously. This was her first pregnancy. Urine dip-stick was negative for protein. Inpatient investigation culminated in cardiac catheterisation, the data from which are shown below: Anatomical site Superior vena cava Inferior vena cava Right atrium (mean) Right ventricle Pulmonary artery Pulmonary capillary wedge pressure Left ventricle Aorta Oxygen saturation (%) 76 72 74 75 74 98 97 Pressure (mmHg) End systolic/End diastolic 9 60/8 58/26 30 150/25 150/44…

    • 481 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Peripheral vascular disease – gangrene and amputation could result due to the diminished blood supply to the legs via the iliac arteries.…

    • 595 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Imma Case Study

    • 431 Words
    • 2 Pages

    A sternal retractor was used and IMA was harvested and clamped with bulldog. The pericardium was continued to incise and pericardial edges was retracted with sutures to enhance exposure of the heart. The surgeon then identified the affected coronary artery, and coronary anastomotic site stabilizer was then used to reduce the movement of the beating heart and isolate the target coronary artery site for anastomosis (Fig.3). A fine mist of humidified CO2 gas was sprayed over the anastomotic site to clear the bleeding. Vessel loops, or silastic shunts was used to control bleeding. The distal anastomosis of the IMA with coronary artery was then performed side to side anastomoses with fine cardiovascular suture. Since IMA remained attached to the subclavian artery, no proximal aortic anastomosis required (Behny, 2006); the blood flow is restored as soon as the IMA anastomosis is established. If saphenous vein free graft was used during the off pump CABG, the distal end of the vein graft will be performed anastomosis first with the coronary artery, and then the other end of the vein graft will be sewn to the aorta either with the sutureless anastomosis device (Calafiore, et al., 2001) or hand sutured to aorta with the help of Hegar dilator loaded with the saphenous vein (Dikmengil, Ozeren, Aytacoglu, & Sucu, 2005) to minimize manipulation of the aorta . A drain will be…

    • 431 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    1. After the insertion of an arteriovenous graft (AVG) in the right forearm, a 54-year-old patient…

    • 4757 Words
    • 25 Pages
    Satisfactory Essays
  • Good Essays

    Hsc Units

    • 731 Words
    • 3 Pages

    I will also be carrying out an angiogram this will give me a chance to view Mrs Webster’s blood flow through her heart this will outline any form of blockage through the arteries.…

    • 731 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Mass Removal Report

    • 347 Words
    • 2 Pages

    Hilda placed a 22gauged IV catheter in the left cephalic vein. I helped restrain and hold of the blood vessel.…

    • 347 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Physiology Answers

    • 3429 Words
    • 15 Pages

    4. The right side of the heart pumps blood through the circulation and the left side pumps…

    • 3429 Words
    • 15 Pages
    Good Essays
  • Good Essays

    Path

    • 261 Words
    • 2 Pages

    The path blood take from the right femoral vein to lower lobe of the right lung via the pulmonary artery is as follows; we start in the right femoral vein which is located in the thigh and travel to the right external iliac vein. Blood from the femoral vein emptiness in the inferior vena cava but first must travel through the external iliac. The iliac vein joins with the inferior vena cava. The inferior vena cava takes deoxygenated blood form the lower limbs of the body to the right atrium (Thibodeau, Patton, 2008.). Following the inferior vena cava we travel in to the right atrium of the heart. The purpose of right atrium of the heart is to receive deoxygenated blood from the body through the inferior vena cava and pump it into the right ventricle (MedicineNet.com, 2012). Once we are ready to leave the right atrium we go into the right AV valve (AV is atrioventricular or cuspid, (Thibodeau, Patton, 2008.).The AV valve stops blood from flowing backwards and every time the heart beats the valve opens and closes. The AV valve allows blood to flow into the right ventricle. But before blood goes into the right ventricle it has to travel through the tricuspid valve. The tricuspid valve along with AV and SL are all structures that prevent blood from flowing backwards (Thibodeau, Patton, 2008.). So we now know that the right ventricle receives deoxygenated blood from the right atrium, but what we don’t already know is that the right ventricle sends the... [continues]…

    • 261 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Vital Signs

    • 310 Words
    • 2 Pages

    3. remittent – similar to intermittent except the temperature does not return to normal at all until the patient is well…

    • 310 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Coronary Atherosclerosis

    • 409 Words
    • 2 Pages

    CAD is thought to begin with damage or injury to the intimal layer of coronary artery, sometimes as early as childhood. The damage may be caused by various factors, including: smoking, hypertension, hypercholestromia, diabetes or insulin resistance, radiation therapy to the chest, as used for certain types of cancer, and sedentary lifestyle. Once the intimal layer of coronary artery is damaged, fatty deposits (plaques) made up of cholesterol and other cellular waste products tend to accumulate at the site of injury in a process called atherosclerosis. If the surface of these plaques breaks or ruptures, platelets will clump at the site to try to repair the artery. This clump can block the artery, leading to a heart attack. Recent research has…

    • 409 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Coronary Bypass History

    • 1906 Words
    • 8 Pages

    Several advancements in medicine occurred during the 1960s, which allowed for better treatment today. The coronary bypass had been done before the 1960s; however, with better technology it was performed more efficiently. In 1967 “Surgeon Rene Favaloro [performed] [the] first coronary bypass operation using [a] patient’s vein in Cleveland, Ohio” (Medicine and Madison Avenue). With the new efficient way of doing the coronary bypass, many lives were saved. As technology rose in efficiency, so did medical procedures. Furthermore, the first human transplants were explored. “In the early 1960s transplants of the liver and lung were performed. Although the patients died within a few weeks, the procedure raised hopes for greater success in…

    • 1906 Words
    • 8 Pages
    Good Essays
  • Satisfactory Essays

    Procedure: Informed witnessed consent was obtained from the patient and placed in chart. Patient was transferred to the angio suite table and placed in supine position. The right groin was prepped and draped in the usual sterile fashion. Local anesthetic was infiltrated at the puncture site. The right common femoral artery was punctured with a 21 gauge Micro-Stick needle following standard exchange technique a 5-French vascular sheath was left in place. A 5-French omni flush catheter was then advanced over the wire and the tip positioned at the level of the renal arteries. The CO2 abdominal aortogram was then acquired. The catheter was then repositioned at the aortic bifurcation and bilateral oblique CO2 pelvic arteriogram was acquired. The catheter was then crossed over the aortic bifurcation with a .035 inch guide wire with the tip positioned within the left external iliac artery. The left lower extremity arteriogram was then acquired…

    • 586 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    After the operation, I was admitted to the ICU for further medications and assessments. My first 24 hours was an uneasy journey because my have lost 2 litres of blood, I have no energy at that moment, I feel dizzy, I have not wee at all, bloated all over the body and my blood pressure fluctuated. The doctor takes my blood sample for further diagnosis but most of the blood was clotted. My blood vain at my hands almost collapsed due to uncounted blood taking since my early days of the second pregnancy. Due to this difficulty, they take a decision to make an arterial line. The arterial line like a water pipe, turns on the head to allows the water flow and turns it off to stop. Same principle, but it used to allow the blood flows out and turn it off went finished. In order to insert the arterial line, the doctors make a minor operation by cutting a bit of my skin at my wrist and its takes 5 minutes to complete.…

    • 521 Words
    • 3 Pages
    Good Essays
  • Better Essays

    For a postoperative patient, assessment should begin with an evaluation of the airway, breathing, and circulation (ABC) status (Smith, 2010). I assessed the airway and carried out suction, then administered oxygen, but I did not do it immediately. She had vomited three times, keeping the airway patent and administrating oxygen are very important for postoperative care (Smith, 2010). In fact, concerning treatment of hypotension in PACU, should always begin with oxygen therapy to ensure hypo-perfused organs meet the need of oxygen (Smith, 2010). The common cause of hypotension is fluid loss, IV fluid boluses will be given to normalize blood pressure (Smith, 2010), which is the reason why the doctor ordered the IV and blood transfusion. When transfusing blood or blood components, assessment is required before, during, and after the transfusion. If the client has an intravenous line in place, assess the venipuncture site for signs of infection or infiltration and patency (Jantzen & Molzahn, 2010). In fact, we did not do very well in blood transfusion and we should keep the IV line running and set up another blood transfusion line in the other…

    • 1203 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Coronary circulation

    • 2515 Words
    • 98 Pages

    Tema 16. Coronary Circulation Comisión Papanicolaou Unit 16. Coronary Circulation 1. Morfofunctional organisation 1.1 Anatomical organisation 1.2 Dominance 1.3 Functional organisation 2. Regulation 2.1 Autoregulation 2.2 Extrinsic regulation 1.…

    • 2515 Words
    • 98 Pages
    Powerful Essays