Tetralogy of fallot cardiac catheterization: Difference between revisions
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===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]=== | |||
# Catheterization of adults with tetralogy of Fallot should be performed in regional centers with expertise in ACHD. (Level of Evidence: C) | |||
# Coronary artery delineation should be performed before any intervention for the RVOT. (Level of Evidence: C) | |||
# Interventional catheterization in an ACHD center is indicated for patients with previously repaired tetralogy of Fallot with the following indications: | |||
a. To eliminate residual native or palliative systemic – pulmonary artery shunts. (Level of Evidence:B) | |||
b. To manage coronary artery disease. (Level of Evidence:B) | |||
'''Class IIb''' | '''Class IIb''' | ||
Revision as of 14:47, 1 October 2012
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Tetralogy of fallot Microchapters |
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Diagnosis |
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Treatment |
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Tetralogy of fallot cardiac catheterization On the Web |
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American Roentgen Ray Society Images of Tetralogy of fallot cardiac catheterization |
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Risk calculators and risk factors for Tetralogy of fallot cardiac catheterization |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2], Keri Shafer, M.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Overview
Cardiac catheterization can be performed if the anatomy cannot be evaluated on echocardiography. Although echocardiography is the imaging modality of choice, cardiac catheterization allows confirms the diagnosis and permits collection of additional anatomical and hemodynamic data, including the location and magnitude of right to left shunting, the level and severity of right ventricular outflow obstruction, the anatomical features of the right ventricular outflow tract as well as the main pulmonary artery and its branches. Repair of reidual defects following a repair of Tetralogy (leaking VSD, or residual pulmonic narrowing) can also be undertaken percutaneously in exprerienced centers.
The(ACC/AHA) recommendations for interventional catheterization in patients with previously repaired Tetralogy of Fallot [1](DONOT EDIT)
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Class I 1. Interventional catheterization in an ACHD center is indicated for patients with previously repaired tetralogy of Fallot with the following indications:
Class IIa 1. Interventional catheterization in an ACHD center is reasonable in patients with repaired tetralogy of Fallot to eliminate a residual ASD or VSD with a left-to-right shunt greater than 1.5:1 if it is in an appropriate anatomic location. (Level of Evidence: C) |
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The(ACC/AHA) recommendations for diagnostic and interventional catheterization for adults With Tetralogy of Fallot [1](DONOT EDIT)
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Class I
a. To eliminate residual native or palliative systemic – pulmonary artery shunts. (Level of Evidence:B) b. To manage coronary artery disease. (Level of Evidence:B) Class IIb 1. In adults with repaired tetralogy of Fallot, catheterization may be considered to better define potentially treatable causes of otherwise unexplained left ventricle (LV) or right ventricle (RV) dysfunction, fluid retention, chest pain, or cyanosis. In these circumstances, transcatheter interventions may include:
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For ACC/AHA Level of evidence and classes click:ACC AHA Guidelines Classification Scheme
References
- ↑ 1.0 1.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.
See also
External links
- Information by University of Michigan Health System
- Diagram of the condition
- Information for adults with ToF from the Adult Congenital Heart Association
de:Fallot-Tetralogie it:Tetralogia di Fallot nl:Tetralogie van Fallot nn:Fallots tetrade uk:Тетрада Фалло