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Cardiac Catheterization: Objectives, Diseases, and Procedures, Exams of Medicine

The objectives of Cardiac Catheterization, focusing on vascular access, right and left heart catheterization, and related procedures. It covers normal and abnormal hemodynamics, disease states, and measurements. Skills include vascular access, right and left heart catheterization, left ventriculography, coronary angiography, aortography, and intra-aortic balloon pump placement. References are provided for further study.

Typology: Exams

2021/2022

Uploaded on 09/12/2022

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Download Cardiac Catheterization: Objectives, Diseases, and Procedures and more Exams Medicine in PDF only on Docsity! Cardiac Catheterization Objectives: Knowledge Vascular Access: • Basic understanding of access site anatomy, including femoral artery and vein, internal jugular vein, and brachial artery • Basic Understanding of disease conditions (and surgical correction) involving these anatomic structures • Appreciate atherosclerotic disease of the ileo-femoral system and knowledge of surgical revascularization anatomy, including Aorto-bifemoral graft, Fem-fem bypass, and Fem-pop bypass Right Heart Catheterrization (Hemodynamics): Basic understanding of normal and abnormal right heart hemodynamics with specific attention to the following disease states. • Congenital ASD • Congenital VSD • 1° Pulomonary Hypertension • Congestive Heart Failure • Constrictive physiology • Cardiac Tamponade Left Heart Catheterization (Hemodynamic): Basic understanding of normal and abnormal left heart hemodynamics with specific attention to the following disease states. • Aortic Insufficiency • Aortic Stenosis • Gorlin Equation • Hypertrophic Cardiomyopathy • Mitral Insufficiency • Mitral Stenosis • Gorlin Equation • Cardiomyopathy • Constrictive physiology • Cardiac Tamponade • Measurements of Cardiac Output: Fick, Thermodilution Left Ventriculography: Basic understanding of normal and abnormal left ventricular function with specific attention to the following disease states: • Coronary Artery Disease • Mitral Insufficiency • Hypertrophic Cardiomyopathy • Estimation of Ejection Fraction Coronary Angiography: Basic understanding of normal anatomy, pathologic impact on anatomy and surgical impact. with specific attention on the following: • Normal Coronary Anatomy • Common Congenital Abnormalities • Anomalous Origins of the major Coronary Arteries • Coronary Artery Disease • Saphenous Vein Grafts • Internal Mammary Arteries Aortography & Ileo-femoral angiography: Basic understanding of normal anatomy, pathologic impact on anatomy and surgical impact. with specific attention on the following: • Aortic Insufficiency • Aneurysm • Ascending Aorta • Descending Aorta • Abdominal Aorta • Aortic Dissection • Surgical Repair of Aortic Dissection Right Ventricular Biopsy: Basic understanding of cardiomyopathic conditions in which right ventricular biopsy plays a role in diagnosis and/or management: • Allograft Rejection • Infiltrative Cardiomyopathy • Anthracycline Cardiomyopathy Intra-aortic Balloon Pump: Basic understanding of the indications, contraindications, insertion techniques, and troubleshooting. Cardiac Catheterization Laboratory Equipment: Basic understanding of the equipment and devices used in the Catheterization Laboratory • x-ray/fluoroscopic equipment • Pressure Manometers • Digital Storage System