Transthoracic access for cardiac catheterization

Kevin O. Maher, Kenneth A Murdison, William I. Norwood, John D. Murphy

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Patients who have undergone Fontan palliation for congenital heart disease have limited access to the pulmonary venous atrium. We describe a transthoracic approach to the pulmonary venous atrium for diagnostic and therapeutic cardiac catheterization. A total of 22 patients ranging in age from 14 months to 25 years and weighing 7-68 kg underwent transthoracic catheterization. With the aid of fluoroscopic and angiographic markers, a 20 gauge needle was inserted into the pulmonary venous atrium. A floppy-tipped wire was inserted, and a 4 Fr sheath was placed, upsized as needed. Access to the pulmonary venous atrium was obtained for all patients. Therapeutic procedures were completed for all patients. Transthoracic access to the pulmonary venous atrium in patients who have undergone a Fontan operation is a reliable and rapid mode of access, allowing for complex therapeutic procedures to be performed in the catheterization laboratory, obviating the need for additional open heart surgery.

Original languageEnglish (US)
Pages (from-to)72-77
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Volume63
Issue number1
DOIs
StatePublished - Sep 1 2004
Externally publishedYes

Keywords

  • Congenital
  • Left atrium
  • Vascular

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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