Cardiac Catheterization in Congenital Heart Disease: Pediatric and Adult

Dedication.

Introduction.

1 Organization of a pediatric/congenital cardiac catheterization laboratory.

2 Medications used in or in conjunction with the cardiac catheterization laboratory and patient preparation for cardiac catheterization.

3 Cardiac catheterization equipment.

4 Vascular access: needle, wire, sheath/dilator and catheter introduction.

5 Catheter manipulations.

6 Special guide and deflector wires and techniques for their use.

7 Flow directed catheters (“floating” balloon catheters).

8 Transseptal left heart catheterization.

9 Retrograde arterial cardiac catheterization.

10 Hemodynamics, data acquisition, and interpretation and presentation of data.

11 Angiographic techniques.

12 Foreign body removal.

13 Balloon atrial septostomy.

14 Blade/balloon atrial septostomy, special atrial septostomies, atrial “stent septostomy”.

15 Balloon dilation proceduresageneral.

16 Pulmonary valve balloon dilation.

17 Dilation of branch pulmonary artery stenosis.

18 Dilation of coarctation of the aortaanative and re/residual coarctation.

19 Aortic valve dilation.

20 Mitral valvuloplasty.

21 Dilation of tricuspid valve stenosis, systemic vein stenosis and miscellaneous intravascular/intracardiac stenoses.

22 Intravascular stents in congenital heart diseaseageneral considerations, equipment.

23 Intravascular stent implantapulmonary branch stenosis.

24 Intravascular stents in venous stenosis.

25 Coarctation of the aorta and miscellaneous arterial stents.

26 Occlusion of abnormal small vessels, persistent shunts, vascular fistulae including perivalvular leaks.

27 Transcatheter occlusion of the patent ductus arteriosus (PDA).

28 Transcatheter atrial septal defect (ASD) occlusion.

29 Occlusion of the patent foramen ovale (PFO), atrial baffle fenestrations and miscellaneous intracavitary communications.

30 Transcatheter closure of ventricular septal defects.

31 Purposeful perforation of atretic valves, other intravascular structures and recanalization of totally obstructed vessels.

32 Special innovative or new, therapeutic catheterization procedures and devices.

33 Endomyocardial biopsy.

34 Phlebotomy, pericardial and pleural drainage.

35 Complications of diagnostic and therapeutic cardiac catheterizations.

Index