By Michela Casella, Antonio Dello Russo
Interventional cardiac electrophysiology has passed through a fast improvement in process and alertness lately. New three-d ideas were proposed for catheter navigation within the center yet, an up to date X-ray advisor continues to be necessary for the right kind positioning of catheters within the diverse cardiac chambers. An Atlas of Radioscopic Catheter Placement offers basic wisdom approximately radiographic anatomy of the guts and a few advices to properly movement and rotate the catheters, in a concise and transparent demeanour.
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Additional info for An Atlas of Radioscopic Catheter Placement for the Electrophysiologist
The left coronary artery lies in the back of the main pulmonary artery. (b) Muscle band under the main pulmonary artery (white arrow). 2 Right Ventricular Wall and Surgical Approaches Right Ventricular Wall and Surgical Approaches As the most anterior part of the heart, the anterior wall of the RV is easily exposed. Therefore, it is the first choice for making the right ventricular incision; however, to avoid injury to the anterior papillary muscle and the moderator band, the cardiac surgeon must be certain of the structure of RV before cutting it open.
The white arrow indicates the atrioventricular muscular septum. 3 Triangle of Koch The triangle of Koch (also called the Koch triangle and triangle of the atrioventricular node) is composed of the Todaro tendon, the septal leaflet of the TV, and the orifice of the coronary sinus (Figs. 24). It can be considered the RA side portion of the atrioventricular muscular septum. It is The Right Atrium an important area and has special functions. Most importantly, the atrioventricular node is located in this triangle (see Fig.
The inferior border of the ring is contiguous with the valve of the IVC (also called the eustachian valve) (Fig. 17), so it is sometimes called the papillary muscle of this valve. The valve of the IVC extends forward and forms the Todaro tendon (Fig. 18). The anterior border of the atrial septum is very close to the aortic sinus; hence, the aorta may be injured during an atrial septum puncture procedure (Fig. 19) a RVOT FO TV LV RV b FO Fig. 13 Atrial septum. The atrial septum is indicated by the white dash line.
An Atlas of Radioscopic Catheter Placement for the Electrophysiologist by Michela Casella, Antonio Dello Russo