5- 9 In the context of hybrid palliation, bilateral pulmonary artery bandings are applied followed by stenting the arterial duct to ensure systemic circulation in congenital cardiac lesions with severe stenosis or an interrupted aorta. Since these procedures involve small shunts with diameters usually between 3.0 and 4.5 mm (which often branch off at a sharp angle from the aorta), probing can be difficult, especially when done in urgent situations. Stenting the arterial duct during hybrid palliation, interventions in the pulmonary arteries through a systemic-to-pulmonary artery shunt, or stenting the shunt itself are examples of such procedures. Radiopaque markers are a promising and refined technique to substantially facilitate target vessel access and enabling the accurate positioning of stents during postoperative percutaneous procedures.Īngiographic diagnostics and percutaneous interventions following surgery are important tools in treating patients with complex congenital heart defects.Įspecially in neonates and infants who undergo palliative or hybrid strategies as the first step to achieve weight gain or pulmonary artery growth, postoperative interventions are frequently performed to delay subsequent complex heart surgery. Surgical removal was straightforward in all patients. The markers were never lost, never migrated, and caused no local obstructive lesion. No procedural complications or unanticipated events associated with the radiopaque marker occurred. The markers' high accuracy enabled easy probing and proper stent positioning in 13 neonates with a median age and weight of 121 days (range 9–356) and 4.7 kg (1.6–9.4) at the intervention. Radiopaque markers that reveal the proximal entry of a surgical shunt or the arterial duct proved to be a feasible and beneficial approach in 25 postoperative catheterizations. Secondary endpoint was the rate of complications resulting from the surgical procedure or during catheterization. Our primary endpoint was our concept's feasibility, which we defined as a combination of surgical feasibility and the percutaneous intervention's success. MethodsĪll consecutive children with surgically placed radiopaque markers involving systemic-to-pulmonary artery connections or arterial ducts in the context of hybrid palliation and subsequent cardiac catheterization between January 2013 and March 2019 were included in this analysis. Surgically placed radiopaque markers have the potential to facilitate postoperative percutaneous interventions. They meet applicable National Patient Safety Goals of The Joint Commission and other regulatory guidelines.Aim of this study was to evaluate feasibility and benefit of self-designed, radiopaque markers as a novel technique in neonates and infants with shunt- or duct-dependent lesions. Our mammography skin markers are 100% lead-free and latex-free. Spee-D-Stretch™ Skin Markers - Flexible design with super-stretchy material to ensure precise & easy placement for larger, more prominent nipples.Easy-lift tabs provide an adhesive-free access point for comfortable removal of the marker after the procedure They feature an arrow to indicate point of entry, foreign bodies, and pain. Spee-D-Arrow™ Skin Markers are the perfect tool when a directional marker is required.Speed-D-Mark™ 3D Tomo Skin Markers are low-density markers designed to clearly identify an area of concern without obscuring critical breast tissue in 3D tomo mammograms.Speed-D-Mark™ Mammography Skin Markers feature accurate and clear nipple identification, virtually eliminating repeat mammography examinations.Take advantage of significant cost savings compared to other skin markers. The routine use of skin markers is considered a best practice for mammography as they help improve communication and reduce viewing time and potential for retakes. PDC skin markers help you to identify and record nipples, moles, scars, palpable masses, and non-palpable areas of concern without artifacts in all mammography technologies, including our new 3D breast tomo markers. Area of Concern & Palpable Mass MarkersĪccurate Imaging.ScanBand® Thermal Patient ID Wristbands.ScanBand® Soft Thermal Patient ID Wristbands.ScanBand® DR Thermal Patient ID Wristbands.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |