septostomy การใช้
- This is when a blade atrial septostomy is performed.
- He is best known for the balloon septostomy procedure.
- Rashkind introduced his balloon septostomy procedure in 1966.
- Atrial septostomy allows more of the oxygen-rich blood to circulate throughout the body.
- Only five minutes old, Sydney was on life support, a catheter jammed into her and a procedure called an atrial balloon septostomy under way.
- A recent review found that laser coagulation resulted in fewer fetal and perinatal deaths than amnioreduction and septostomy, and recommended its use for all states of TTTS.
- Sometimes the initial surgery is not entirely successful, or there are other factors that make a simple balloon atrial septostomy impossible, such as an older patient whose foramen ovale has already closed.
- The Rashkind balloon atrial septostomy is performed during cardiac catheterization ( heart cath ), in which a balloon catheter is used to enlarge a William Miller at the Children's Hospital of Philadelphia.
- Once the catheter is in place, it can be used to perform a number of procedures including angioplasty, PCI ( percutaneous coronary intervention ) angiography, balloon septostomy, and an Electrophysiology study or Catheter ablation.
- This is also the procedure used in balloon septostomy, which is the widening of a foramen ovale, patent foramen ovale ( " PFO " ), or atrial septal defect ( " ASD " ) using a balloon catheter.
- In 1966, American surgeons William Rashkind and William Miller transformed the palliation of d-TGA patients with the innovative " Rashkind balloon atrial septostomy ", which, unlike the thoracotomy required by a septectomy, is performed through the minimally invasive surgical technique of cardiac catheterization.
- A balloon atrial septostomy is performed with a balloon catheter, which is inserted into a patent foramen ovale ( PFO ), or atrial septal defect ( ASD ) and inflated to enlarge the opening in the atrial septum; this creates a shunt which allows a larger amount of oxygenated ( " red " ) blood to enter the systemic circulation.
- The HLM is turned off and the aortic and atrial cannula are removed, then an incision is made in the right atrium, through which the congenital or palliative atrial septal defect ( "'ASD "') is repaired; where a Rashkind balloon atrial septostomy was used, the ASD should be able to be closed with sutures, but cases involving large congenital ASDs or Blalock-Hanlon atrial septectomy, a pericardial, xenograft, or Dacron patch may be necessary.