Right heart cath / Biopsy: Difference between revisions

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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
*Right heart manifold
*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

Revision as of 16:23, 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.

Biopsy schedule

Access: Right IJ unless otherwise clinically indicated

Open

  • Right Heart Pack
  • Right heart manifold
  • 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