Stents Comparison: Radial Strength vs. Comformability

(Image from Boston Scientific Express LD coronary stent brochure)

VSD types

Innominate vein tributories

Pneumopericardium vs. Pneumomediastinum

STAT Categories: Procedure-specific Mortality Risk Categories

Based on JTCVS 2009;138:1139

(Click on the image to enlarge)

Radial Artery Access - Vasodilator Cocktail

Vasodilator Cocktail for radial artery access:

Nicardipine 200 mcg in 2 ml
1% Lidocaine 1 ml
3-5K of Heparin
+ patient's blood

Infuse slowly as soon as access is obtained.

(Do some folks add Nitroglycerin to this cocktail?)

Terumo sheath - hydrophilic coating helps.
Propafol can be used as a lubricant.
Sterile mineral oil - if the pharmacy has it - can also be used as lubricant.

Radial Artery Access - Vasodilator Cocktail

Vasodilator Cocktail for radial artery access:

Nicardipine 200 mcg in 2 ml
1% Lidocaine 1 ml
3-5K of Heparin
+ patient's blood

Infuse slowly as soon as access is obtained.

(Do some folks add Nitroglycerin to this cocktail?)

Terumo sheath - hydrophilic coating helps.
Propafol can be used as a lubricant.
Sterile mineral oil - if the pharmacy has it - can also be used as lubricant.

Blalock-Hanlon Atrial Septectomy (d-Transposition of Great Arteries)

This is performed without cardiopulmonary bypass.

(Click on the image to enlarge)

From Clinical Aspects of Operable Heart Surgery 1968. Donald Kahn, Ruth Strang and William Wilson. Appleton-Century-Crofts (Meredith Corporation), New York. 1968.

Mustard Operation for d-Transposition of Great Arteries

(Click on the image to enlarge)

From Clinical Aspects of Operable Heart Surgery 1968. Donald Kahn, Ruth Strang and William Wilson. Appleton-Century-Crofts (Meredith Corporation), New York. 1968.

Pericardiocentesis - Using EKG via needle as guide

From Page 7.8 in Atlas of the Heart. Ed. J Willis Hurst, Robert H Anderson, Anton E Becker and Benson R Wilcox. Grower Medical Publishing, New York. 1988.