Vieussens’ ring and retroaortic Kugel’s ring

Vieussens’ ring  and retroaortic Kugel’s ring

coronary artery angiograghic views

Rotation describes the position of the image intensifier around the longitudinal axis of the patient. LAO refers to rotating the camera to the patient's left (catheter and spine will be on the right side of the image), RAO to the patient's right (catheter and spine on the left side of the image). Angulation describes the position of the image intensifier in the short axis of the patient. Camera can pivit toward (cranial) or away (caudal) from the patient's head

Transcatheter closure of aortopulmonary window with Amplatzer duct occluder II

Transcatheter closure of aortopulmonary window with Amplatzer duct occluder II: additional size

The procedure was done under general anesthesia. All the children underwent transesophageal echocardiography (TEE) for reassessment of the defect size and surrounding margins prior to device closure. The ASO was used in all the cases. The device size was selected based on the maximum diameter of the ASD as determined on TEE at 0°, 45°, and 90°. The ASO used was either equal to or about 10% more than the maximum ASD diameter. Balloon sizing was not done in any of the patients. The length of the IAS was measured at 0° and 90° and the longer of the two measurements was used to define the length. Although the IAS length was estimated, it did not determine the maximum size of the device to be used. After obtaining the venous access, heparin was administered in the dose of 100 i.u/kg. Thereafter, 50 i.u./kg of heparin was administered every 30 min if the procedure time extended beyond 60 min. Activated clotting time was not monitored during the procedure. Intravenous (IV) antibiotic was given 1 h before and 8 and 24 h after the procedure. Postprocedure, children were observed for 24 h and were discharged on oral aspirin in the dose of 5 mg/kg/day for 6 months. All of them underwent predischarge ECG and TTE.

Radial to renal and 5x20mm NC balloon would not deflate! I pulled the balloon/guide back to the brachial and then punctured with a micropuncture needle. Problem solved!

Surgical repair of postcatheterization radial artery pseudoaneurysm

https ://doi.org/10.1002/ccr3.2643

Cast of the Right Bronchial Tree

Cast of the Right Bronchial Tree

Skip alcohol to cure atrial fibrillation
If your heart is skipping beat
Even light drinking is not good for heart
Would land you in causality

DNA copy number variations – Do these big mutations have a big effect on cardiovascular risk?

Short and long-term outcomes of coronary perforation managed by coil embolization: A single-center experience

The perforated vessel was then occluded with a 0.018 in. microcoil (Tornado, Cook, USA) delivered through a 1.8F microcatheter (Finecross MG, Terumo). Each microcoil was pushed to the distal part of the perforated vessel by an 0.014 in. soft guidewire through the microcatheter. 

every interventionalist should know when and how to deploy coils

coronary perforations are potentially lethal complications. Prevention is best. If a perforation occurs, prompt recognition and treatment is key for optimal outcomes. The first step is to inflate a balloon proximally to stop bleeding into the pericardium. For distal vessel or collateral perforations, suction through a microcatheter or over-the-wire balloon is often applied next. If the perforation fails to seal, expertly-performed coil embolization is highly efficacious. Every interventionalist should know when and how to deploy coils.

Successful percutaneous treatment of recurrent post-infarction ventricular septal rupture using an Amplatzer duct occluder

After the VSR was confirmed by left ventriculography ( Fig. 3 A), a Judkins right-4 catheter and 0.035-inch wire was used to cross the defect from the left ventricle to the right ventricle, and the wire was advanced into the pulmonary artery. Then, the wire was snared and exteriorized through the left subclavian vein. The stretch diameter of the defect was measured using a calibrated balloon ( Fig. 3 B), and was found to be 7.8 mm. According to the size of defect and geometric characteristics of the ventricular septal myocardium, ADO 12/10 was selected. A delivery sheath (AMPLATZER TorqVue Delivery System, Abbott, Abbott Park, IL, USA) was advanced from the left subclavian vein through the defect into the left ventricle using an arteriovenous wire loop. Then, the ADO was deployed after ensuring an adequate position using TEE and angiography ( Fig. 3 C), and the device was released successfully. TEE and left ventriculography showed that the device sandwiched the septum and covered the defect well