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Right ventricular access is direct, while left ventricular access is conferred via the coronary sinus (CS). CRT defibrillators ( CRT-D ) also incorporate the additional function of an implantable cardioverter-defibrillator (ICD), to quickly terminate an abnormally fast, life-threatening heart rhythm.
The Rastelli procedure is an open heart surgical procedure developed by Italian physician and cardiac surgery researcher, Giancarlo Rastelli, in 1967 at the Mayo Clinic, and involves using a pulmonary or aortic homograft conduit to relieve pulmonary obstruction in double outlet right ventricle with pulmonary stenosis. [1]
Tears or ruptures of the right ventricular outflow tract may occur during the procedure, especially if the tract is already heavily calcified. [4] This is reported to occur in up to 9% of procedures. [4] Most cases are manageable by using a covered stent and do not lead to severe bleeding. [4] Infective endocarditis occurs at a rate of about 1% ...
Left ventricular end diastolic pressure is measured using a different procedure, with a catheter that has directly crossed the aortic valve and is well positioned in the left ventricle. LV edp reflects fluid status of the individual in addition to heart health. See also pulmonary wedge pressure and ventricular pressure.
If the rate in the atria is faster than or equal to the rate in the ventricles, then the rhythm is most likely not ventricular in origin, and is usually more benign. If this is the case, the ICD does not provide any therapy, or withholds it for a programmable length of time. Rhythm discrimination will see how regular a ventricular tachycardia ...
The HeartWare HVAD could be implanted through limited access without sternotomy, however in 2021 Medtronic discontinued the device. [47] [44] In a small number of cases left ventricular assist devices, combined with drug therapy, have enabled the heart to recover sufficiently for the device to be able to be removed (explanted).
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