Cardiac disease in pregnancy catheterization: Difference between revisions
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{{Cardiac disease in pregnancy}} | {{Cardiac disease in pregnancy}} | ||
{{CMG}}; {{AOEIC}} {{CZ}} | {{CMG}}; {{AOEIC}} {{CZ}}; {{LG}} | ||
==Pulmonary artery | ==Pulmonary artery Catheterization== | ||
Hemodynamic monitoring can be of great help in managing high-risk patients during pregnancy, labor, delivery, and the postpartum period. The pulmonary artery line should be placed without fluoroscopic guidance. Insertion is recommended throughout labor and delivery for any patient with symptomatic cardiac disease during pregnancy or with the potential for deterioration due to [[valvular heart disease]], myocardial, or [[ischemic heart disease]]. Hemodynamic monitoring should be continued for at least several hours after delivery to ensure stability. | Hemodynamic monitoring can be of great help in managing high-risk patients during pregnancy, labor, delivery, and the postpartum period. | ||
The pulmonary artery line should be placed without fluoroscopic guidance. Insertion is recommended throughout labor and delivery for any patient with symptomatic cardiac disease during pregnancy or with the potential for deterioration due to [[valvular heart disease]], [[MI|myocardial]], or [[ischemic heart disease]]. Hemodynamic monitoring should be continued for at least several hours after delivery to ensure stability. | |||
==Cardiac catheterization== | ==Cardiac catheterization== | ||
*Catheter ablation is indicated only in rare cases of '''''intractable arrhythmia causing cardiac decompensation'''''. This is because of the high radiation dose involved with catheterization ('''1.5 mGy'''). | |||
*To minimize radiation to the pelvic and abdominal areas, the following steps may be considered: | |||
::*[[brachial artery|Radial approach]] rather than the [[femoral artery|femoral approach]] is preferred. | |||
::*Shielding the gravid uterus. | |||
::*Short fluoroscopic time. | |||
==References== | ==References== | ||
Revision as of 16:46, 18 April 2012
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Cardiac disease in pregnancy Microchapters |
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Diagnosis |
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Catheterization: |
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Treatment |
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Special Scenarios:
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Cardiac disease in pregnancy catheterization On the Web |
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American Roentgen Ray Society Images of Cardiac disease in pregnancy catheterization |
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Directions to Hospitals Treating Cardiac disease in pregnancy |
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Risk calculators and risk factors for Cardiac disease in pregnancy catheterization |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]
Pulmonary artery Catheterization
Hemodynamic monitoring can be of great help in managing high-risk patients during pregnancy, labor, delivery, and the postpartum period.
The pulmonary artery line should be placed without fluoroscopic guidance. Insertion is recommended throughout labor and delivery for any patient with symptomatic cardiac disease during pregnancy or with the potential for deterioration due to valvular heart disease, myocardial, or ischemic heart disease. Hemodynamic monitoring should be continued for at least several hours after delivery to ensure stability.
Cardiac catheterization
- Catheter ablation is indicated only in rare cases of intractable arrhythmia causing cardiac decompensation. This is because of the high radiation dose involved with catheterization (1.5 mGy).
- To minimize radiation to the pelvic and abdominal areas, the following steps may be considered:
- Radial approach rather than the femoral approach is preferred.
- Shielding the gravid uterus.
- Short fluoroscopic time.