How to plan and perform a diagnostic catheterisation in adult patients with congenital heart disease

被引:4
作者
Steinberg, Zachary L. [1 ]
Singh, Harsimran S. [2 ]
机构
[1] Univ Washington, Dept Med, Seattle, WA USA
[2] Weill Cornell Med Coll, Dept Internal Med, New York, NY USA
关键词
cardiac catheterization; coronary angiography; heart defects; congenital; congenital abnormalities; PREVALENCE; ACCESS;
D O I
10.1136/heartjnl-2022-321005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Adults with CHD are a growing population who require an outsized proportion of lifelong medical care. In additional to non-invasive imaging, diagnostic cardiac catheterisation is an essential tool for making important management decisions for CHD patients. A comprehensive diagnostic cardiac catheterisation in CHD patients aims to clarify both anatomy and physiology through oximetry, pressure measurements and angiography. Accomplishing these tasks requires an in-depth knowledge of an individual’s medical and surgical history, aided by any available prior studies including echocardiography, CT or MRI. Physicians caring for CHD patients with high anatomic or physiological complexity should strongly consider referring their patients to specialised CHD centres for all invasive diagnostics given the higher risks of intraprocedural complications in these patients. © 2022 BMJ Publishing Group. All rights reserved.
引用
收藏
页码:151 / 157
页数:7
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