Right heart cath / Biopsy: Difference between revisions
From Bay Area Structural Heart Wiki
(Created page with "Heart transplant patients go through a rigorous post-op rejection screening process to ensure the new heart isn't being rejected. This starts with weekly Right Heart procedures and myocardial biopsies. ===Access: Right IJ=== ===Open=== *Right Heart Pack *See the [Physician Preferences] page for procedure details for each physician *Preferred biopsy device *Swan or PA catheter ===Setup=== *Scan Right IJ before prepping to ensure it is patent *Prep and drape *Flush and...") |
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Heart transplant patients go through a rigorous post-op rejection screening process to ensure the new heart isn't being rejected. This starts with weekly Right Heart procedures and myocardial biopsies. | Heart transplant patients go through a rigorous post-op rejection screening process to ensure the new heart isn't being rejected. This starts with weekly Right Heart procedures and myocardial biopsies. | ||
[[File:Biopsy Schedule.png|thumb|Biopsy schedule]] | |||
===Access: Right IJ=== | ===Access: Right IJ unless otherwise clinically indicated=== | ||
===Open=== | ===Open=== | ||
*Right Heart Pack | *Right Heart Pack | ||
*See the [Physician Preferences] page for procedure details for each physician | *See the [[Physician Preferences]] page for procedure details for each physician | ||
*Preferred biopsy device | *Preferred biopsy device | ||
*Swan or PA catheter | *Swan or PA catheter | ||
Latest revision as of 16:32, 1 May 2024
Heart transplant patients go through a rigorous post-op rejection screening process to ensure the new heart isn't being rejected. This starts with weekly Right Heart procedures and myocardial biopsies.
Access: Right IJ unless otherwise clinically indicated
Open
- Right Heart Pack
- See the Physician Preferences page for procedure details for each physician
- Preferred biopsy device
- Swan or PA catheter
Setup
- Scan Right IJ before prepping to ensure it is patent
- Prep and drape
- Flush and connect Swan to the manifold and zero
- Cut telfa pad to ~2cm x 2cm square for myocardium samples
- Put a small amount of saline in medicine cup for biopsy tome rinsing
