The Atrial Septum: Opening the Septum Transseptal Needle Perforation, Radio Frequency Perforation, and Stent Placement
|
|
|
- Cathleen Lambert
- 6 years ago
- Views:
Transcription
1 The Atrial Septum: Opening the Septum Transseptal Needle Perforation, Radio Frequency Perforation, and Stent Placement Matthew J. Gillespie MD, FSCAI The Children s Hospital of Philadelphia SCAI Fellows Course 2014 December 7, 2014
2 Presenter Disclosure Information No Relevant Disclosures
3 Goals I. Transseptal Needle puncture Common clinical scenarios Technique and case examples II. RF Perforation and stent placement Common clinical scenarios (HLHS with IAS) Techniques and case examples
4 Transseptal Needle Puncture History 1950 s Ross, Braunwald and Morrow (NIH) 1960 s Brockenbrough technique Further refinement and catheter set development by Mullins
5 Transseptal Needle Puncture Heart 2009;95:85-92
6 Transseptal Needle Puncture JACC 2008;51:
7 Transseptal Needle Puncture Common Clinical Scenarios (in CHD) 1. Diagnostic Left atrial pressure Access to LV for angiography EP procedure 2. Interventions EP ablations Mitral interventions (valvuloplasty, etc) LAA occlusion 3. Palliative LA decompression +/- mechanical support Acute heart failure (myocarditis, postop LV and RV dysfunction)
8 Transseptal Needle Puncture Heart 2009;95:85-92
9 Transseptal Needle Puncture: anatomic considerations
10 Transseptal Needle Puncture JACC 2008;51:
11 Transseptal Needle Puncture: anatomic considerations Once in position, Stain the septum with contrast
12 Transseptal Needle: Case example 16-month-old male s/p OHT Recurrent pulmonary vein stenosis
13 Transseptal Needle: Case example 1 16-month-old male s/p OHT Recurrent pulmonary vein stenosis
14 Transseptal Needle Case 2 14 year old Previously healthy male fulminant myocarditis TANDEM HEART INSERTION
15 Transseptal Needle: Case example 2 14 year old Previously healthy Presents with fulminant myocarditis
16 Transseptal Needle: Case example 2 14 year old Previously healthy Presents with fulminant myocarditis stiff wire in LUPV
17 Transseptal Needle: Case example 2 14 year old Previously healthy Presents with fulminant myocarditis stiff wire in LUPV
18 Transseptal Needle: Case example 2 TANDEM HEART Insertion
19 Transseptal Needle: Case example 2 TANDEM HEART in LA
20 Transseptal Needle: Case example 2 AP Aortagram post TANDEM HEART
21 Transseptal Needle: Case example 2 AP Aortagram post TANDEM HEART
22 Acute failue Case 3
23 Transseptal Case 3: Static Balloon dilation 18 month old Acute right heart failure postop OHT Transeptal to augment cardiac output
24 Transseptal Case 3: Static Balloon dilation Acute right heart failure postop OHT
25 Transseptal Case 3: Static Balloon dilation Acute right heart failure postop OHT
26
27 Goals I. Transseptal Needle puncture Common clinical scenarios Technique and case examples II. RF Perforation and stent placement Common clinical scenarios (HLHS with IAS) Techniques and case examples
28 RF Perforation and Stent Placement Usual scenarios HLHS with Intact atrial septum Critically ill, usually immediately postpartum HLHS s/p hybrid stage 1 with restriction at atrial septum Hopefully not a critical situation
29 Case example: RF Perforation and Stent Placement Case Example 2.7 kg FT newborn Prenatal diagnosis HLHS IAS Planned delivery with immediate intervention IMPACT procedure (CHOP) ABG 6.96 / 90 / 62 / 20 / -14
30 Case example: RF Perforation and Stent Placement
31 Supplies for RFP and Atrial septal stent for HLHS and IAS Access supplies needle (21 gauge) +/- ultrasound, micropuncture wire 5Fr vascular sheath Bayliss RF machine, wire and coaxial catheter 4-5Fr (0.038 ) endhole catheter (JR2; MPA1) extra support wire Mullins sheath (5-6Fr usually) Coronary balloon (3mm x 2cm) Premounted stent (Genesis; Palmaz Blue; 7-8mm diameter) TEE guidance (ICE catheter)
32 ICE probe for TEE RF wire tip Guide catheter ABG 6.96 / 90 / 62 / 20 / -14
33 Baseline TEE LA RA
34 Targeting with TEE LA RA
35 RF perforation 10 Watts; 3-5 seconds RF wire tip ABG 6.96 / 90 / 62 / 20 / -14
36 RF perforation 10 Watts; 3-5 seconds
37 TEE: Wire across IAS LA RA
38 Coaxial catheter wire in LAA Guide catheter Mullins Sheath ABG 6.96 / 90 / 62 / 20 / -14
39 0.014 wire in LAA 3mm coronary balloon Mullins Sheath ABG 6.96 / 90 / 62 / 20 / -14
40 LA angiogram via 5Fr sheath Mean LA pressure = 30 mmhg ABG 6.96 / 90 / 62 / 20 / -14
41 LA angiogram via 5Fr sheath
42 Stent Deployment ABG 6.96 / 90 / 62 / 20 / -14
43 TEE: Stent deployment
44 LA angiogram post stent Mean LA pressure = 7 mmhg ABG BETTER
45 LA angiogram post stent
46 TEE post stent
47 TEE post stent color
48 RFP and IAS stent placement: Case 2 = HLHS s/p hybrid
49 RFP and IAS stent placement: Case 2 = HLHS s/p hybrid
50 RFP and IAS stent placement: Case 2 = HLHS s/p hybrid
51 RFP and IAS stent placement: Case 2 = HLHS s/p hybrid
52 Summary Transseptal Needle puncture of atrial septum established procedure with long history Diagnostic procedure EP procedures MV interventions LA decompression, LV mechanical support, RV failure RF perforation and Stent placement In CHD patients, largely performed in critical situations such as HLHS
53 Thank You
Atrial Septostomy in HLHS and ECMO: Indications, Technique and Outcome
Atrial Septostomy in HLHS and ECMO: Indications, Technique and Outcome Dr Damien Kenny, MB, MD Assistant Professor of Pediatrics Director of the Cardiac Catheterization Hybrid Suite Co-Director of the
Trans-septal Catheterization. December 8, Jonathan Tobis, MD Professor of Medicine Interventional Cardiology, UCLA
Trans-septal Catheterization December 8, 2015 Jonathan Tobis, MD Professor of Medicine Interventional Cardiology, UCLA No conflicts of interest for this talk BRK = Brockenbrough needle BRK may be easier
IMAGES. in PAEDIATRIC CARDIOLOGY
IMAGES in PAEDIATRIC CARDIOLOGY Images Paediatr Cardiol. 2005 Jan-Mar; 7(1): 12 17. PMCID: PMC3232568 Stent implantation for coarctation facilitated by the anterograde trans-septal approach N Sreeram and
Balloon Valvuloplasty and RF Perforation for PA-IVS and Critical Pulmonary Stenosis
Balloon Valvuloplasty and RF Perforation for PA-IVS and Critical Pulmonary Stenosis Daniel Levi, MD, FSCAI Associate Professor of Pediatrics UCLA Biomedical Engineering Mattel Children s Hospital at UCLA,
A challenging case of successful ASD closure without echocardiographic guidance in an 86-year old with severe kyphoscoliosis and platypnoeaorthodeoxia
A challenging case of successful ASD closure without echocardiographic guidance in an 86-year old with severe kyphoscoliosis and platypnoeaorthodeoxia syndrome. Dr Anvesha Singh, Dr James Ogle, Dr Derek
How Does Imaging Inform Fetal Cardiovascular Treatment?
How Does Imaging Inform Fetal Cardiovascular Treatment? Edgar Jaeggi, MD Head, Fetal Cardiac Program Labatt Family Heart Center Department of Pediatrics The Hospital for Sick Children University of Toronto
Routine MitraClip. Image Guidance Step by Step
Routine MitraClip Image Guidance Step by Step Douglas C. Shook, MD, FASE Director, Cardiothoracic Anesthesia Fellowship Director, Cardiac Interventional Anesthesia Department of Anesthesiology BRIGHAM
Hybrid Muscular VSD Closure in Small Weight Children
Hybrid Muscular VSD Closure in Small Weight Children Shakeel A Qureshi, on behalf of: John P. Cheatham, MD George H. Dunlap Endowed Chair in Interventional Cardiology Director Cardiac Catheterization &
INTEGRATING ECHOCARDIOGRAPHY WITH CATHETER INTERVENTIONS FOR CONGENITAL HEART DISEASE. Krishna Kumar SevenHills Hospital, Mumbai, India
INTEGRATING ECHOCARDIOGRAPHY WITH CATHETER INTERVENTIONS FOR CONGENITAL HEART DISEASE Krishna Kumar SevenHills Hospital, Mumbai, India Why talk about it? What is the big deal? Are we not stating the obvious?
Case Report Hemostasis of Left Atrial Appendage Bleed With Lariat Device
273 Case Report Hemostasis of Left Atrial Appendage Bleed With Lariat Device Amena Hussain MD, Muhamed Saric MD, Scott Bernstein MD, Douglas Holmes MD, Larry Chinitz MD NYU Langone Medical Center, United
Intracardiac EchoCardiography (ICE) Common Views
Intracardiac EchoCardiography (ICE) Common Views Introduction What is ICE? Catheter with microscopic ultrasound transducer tip and doppler capabilities inserted into the heart via the IVC (typically) or
Transcather Pulmonary Valve Replacement Using The Melody Valve: Indications, Techniques, Outcomes
Transcather Pulmonary Valve Replacement Using The Melody Valve: Indications, Techniques, Outcomes Matthew J. Gillespie MD The Children s Hospital of Philadelphia SCAI Fall Fellows Course 2014 December
Hypoplastic Left Heart Syndrome: Echocardiographic Assessment
Hypoplastic Left Heart Syndrome: Echocardiographic Assessment Craig E Fleishman, MD, FACC, FASE Director, Non-invasive Cardiac Imaging The Hear Center at Arnold Palmer Hospital for Children, Orlando SCAI
AC Financial Services Reference Guide For Services referred to: Cardio Vascular Lab
All superscript numbers (Example: Description 1 ) correspond to important notes at the bottom of this page. DIAGNOSTIC CATH/PROCEDURES CARDIAC CATHS RT Heart Cath 93451 RT Heart Cath/Coro Art Cath/Coro
Branch Pulmonary Artery Stenosis Long-term Outcomes of Endovascular Stenting
Branch Pulmonary Artery Stenosis Long-term Outcomes of Endovascular Stenting Lee Benson MD Professor Pediatrics (Cardiology) Director, Cardiac Diagnostic & Interventional Unit The Hospital for Sick Children
Optimal Techniques for Obtaining Large Caliber Arterial Access
Optimal Techniques for Obtaining Large Caliber Arterial Access Gerald Yong MBBS (Hons) FRACP FSCAI Interventional Cardiologist Royal Perth Hospital Western Australia APCASH 11 October 2014 Disclosure Statement
Bioprosthetic Mitral Valve Dysfunction: Innovation and Evolution of a New Therapeutic Technique
Bioprosthetic Mitral Valve Dysfunction: Innovation and Evolution of a New Therapeutic Technique Charanjit S. Rihal MD MBA Professor and Chair Division of Cardiovascular Diseases Mayo Clinic DISCLOSURES
National Imaging Associates, Inc. Clinical guidelines CARDIAC CATHETERIZATION -LEFT HEART CATHETERIZATION. Original Date: October 2015 Page 1 of 5
National Imaging Associates, Inc. Clinical guidelines CARDIAC CATHETERIZATION -LEFT HEART CATHETERIZATION CPT Codes: 93451, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461 LCD ID Number:
Transseptal catheterization is an established
Site-Specific Transseptal Puncture for Emerging Structural Heart Interventions Imaging-assisted techniques for accurate access. By Michael J. Rinaldi, MD, FACC, FSCAI; Markus Scherer, MD, FACC, FSCCT;
How to manage device embolization?
How to manage device embolization? Swiss Fellow Course Interventional Cardiology Amir-Ali Fassa Hôpital de La Tour Meyrin, Geneva Coronary interventions: Definitions Stent loss: stent dislodgment from
Transcatheter Pulmonary Valve Replacement Update on progress and outcomes
Transcatheter Pulmonary Valve Replacement Update on progress and outcomes Barry Love, MD Director, Congenital Cardiac Catheterization Laboratory Mount Sinai Medical Center New York, New York Transcatheter
Chapter 34 Creating an Interatrial Communication
Chapter 34 Creating an Interatrial Communication Derize E. Boshoff and Marc H. Gewillig The presence of an interatrial shunt may be important to augment cardiac output in obstructive lesions of the right
Interventional Fellowship in Structural and Congenital Heart Disease for Adults
JACC: CARDIOVASCULAR INTERVENTIONS VOL. 3, NO. 9, 2010 2010 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 1936-8798/$36.00 PUBLISHED BY ELSEVIER INC. DOI: 10.1016/j.jcin.2010.08.010 SCAI EXPERT
evicore cardiology procedures and services requiring prior authorization
evicore cardiology procedures and services requiring prior authorization Moda Health Commercial Group and Individual Members* *Check EBT to verify member enrollment in evicore program Radiology Advanced
Imaging Assessment of the Pulmonary Valve in Stenosis/Atresia and Regurgitation
Imaging Assessment of the Pulmonary Valve in Stenosis/Atresia and Regurgitation Craig E Fleishman, MD FACC FASE The Heart Center at Arnold Palmer Hospital for Children SCAI Fall Fellows Course 2014 Las
Epicardial VT Ablation The Cleveland Clinic Experience
Epicardial VT Ablation The Cleveland Clinic Experience Walid Saliba, MD, FHRS Director, EP Lab Cardiac Electrophysiology Heart and Vascular Institute Epicardial Access in the EP Lab Why Epicardial Special
Cigna - Prior Authorization Procedure List Cardiology
Cigna - Prior Authorization Procedure List Cardiology Category CPT Code CPT Code Description 33206 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial 33207 Insertion
Echo Assessment Pre-TAVI
Disclosure Statement of Financial Interest Within the past 12 months, I or my spouse/partner have had a financial Interest /arrangement or affiliation with the organization(s) listed below Echocardiographic
Percutaneous Transapical Access for Thoracic Endovascular Repair
Percutaneous Transapical Access for Thoracic Endovascular Repair Atman P. Shah MD FACC FSCAI Co-Director, Hans Hecht Cardiac Catheterization Laboratory Clinical Director, Section of Cardiology Associate
CY2017 Hospital Outpatient: Vascular Procedure APCs and Complexity Adjustments
CY2017 Hospital Outpatient: Vascular Procedure APCs and Complexity Adjustments Comprehensive Ambulatory Payment Classifications (c-apcs) In CY2015 and in an effort to help pay providers for quality, not
Perventricular Closure of Muscular VSD
Perventricular Closure of Muscular VSD John P. Cheatham, MD, MSCAI George H. Dunlap Endowed Chair in Interventional Cardiology Co-Director, The Heart Center, Nationwide Children s Hospital Professor, Pediatrics
Devices to Protect Against Stroke in Atrial Fibrillation
Devices to Protect Against Stroke in Atrial Fibrillation Jonathan C. Hsu, MD, MAS Associate Clinical Professor Division of Cardiology, Section of Cardiac Electrophysiology June 2, 2018 Disclosures Honoraria
Trans-Fontan baffle placement of an endocardial systemic ventricular pacing lead
Trans-Fontan baffle placement of an endocardial systemic ventricular pacing lead The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters.
TMVR Transcatheter Valve-in-Valve: Technical Considerations
TMVR Transcatheter Valve-in-Valve: Technical Considerations JOHN C. MESSENGER, MD, FACC, FSCAI PROFESSOR OF MEDICINE DIRECTOR, CARDIAC CATHETERIZATION LABS UNIVERSITY OF COLORADO SCHOOL OF MEDICINE Disclosures:
Απεικονιστικές τεχνικές στην σύγκλειση του ωτίου του αριστερού κόλπου. Κ. Αγγέλη Α Πανεπιστημιακή Καρδιολογική Κλινική Ιπποκράτειο Νοσοκομείο
Απεικονιστικές τεχνικές στην σύγκλειση του ωτίου του αριστερού κόλπου Κ. Αγγέλη Α Πανεπιστημιακή Καρδιολογική Κλινική Ιπποκράτειο Νοσοκομείο LAA Anatomy Koplay et al, European society of Radiology LAA
Mechanics of Cath Lab Support Devices
Mechanics of Cath Lab Support Devices Issam D. Moussa, MD Chief Medical Officer First Coast Cardiovascular Institute, Jacksonville, FL Professor of Medicine, UCF, Orlando, FL None DISCLOSURE Percutaneous
Index. interventional.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Alagille syndrome, pulmonary artery stenosis in, 143 145, 148 149 Amplatz devices for atrial septal defect closure, 42 46 for coronary
Disclosures. Treatment of Pulmonary Vein Stenosis: Interventional Approach. Case 1: One of the Most Challenging Cases PVS I ve encountered.
Disclosures Treatment of Pulmonary Vein Stenosis: Interventional Approach Henri Justino MD, CM, FRCPC, FSCAI, FACC, FAAP Director, CE Mullins Cardiac Catheterization Laboratories, Texas Children s Hospital
Over the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC
Over the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC Deniz Kasikci Department of Radiology, Jena University Hospital Friedrich-Schiller-University, Jena, Germany Disclosure Speaker
Foetal Cardiology: How to predict perinatal problems. Prof. I.Witters Prof.M.Gewillig UZ Leuven
Foetal Cardiology: How to predict perinatal problems Prof. I.Witters Prof.M.Gewillig UZ Leuven Cardiopathies Incidence : 8-12 / 1000 births ( 1% ) Most frequent - Ventricle Septum Defect 20% - Atrium Septum
Balloon Atrial Septostomy in End-Stage Pulmonary Hypertension Guided by a Novel Intracardiac Echocardiographic Transducer
Catheterization and Cardiovascular Interventions 52:530 534 (2001) Equipment and Technology Balloon Atrial Septostomy in End-Stage Pulmonary Hypertension Guided by a Novel Intracardiac Echocardiographic
Γεώργιος Δ. Κατσιμαγκλής. Αν. Διευθυντής Καρδιολογικής ΚλινικήςΝΝΑ Διευθυντής Αιμοδυναμικού Εργαστηρίου ΝΝΑ
Γεώργιος Δ. Κατσιμαγκλής Αν. Διευθυντής Καρδιολογικής ΚλινικήςΝΝΑ Διευθυντής Αιμοδυναμικού Εργαστηρίου ΝΝΑ I have no disclosures ΣΥΧΝΟΤΗΤΑ An atrial septal defect (ASD) is a deficiency of the atrial septum.
Catheter ablation of atrial macro re-entrant Tachycardia - How to use 3D entrainment mapping -
Catheter ablation of atrial macro re-entrant Tachycardia - How to use 3D entrainment mapping - M. Esato, Y. Chun, G. Hindricks Kyoto Ijinkai Takeda Hosptial, Department of Arrhythmia, Japan Kyoto Koseikai
Atrial Septal Defect Closure. Stephen Brecker Director, Cardiac Catheterisation Labs
Stephen Brecker Director, Cardiac Catheterisation Labs ADVANCED ANGIOPLASTY Incorporating The Left Main 5 Plus Course Conflicts of Interest The following companies have supported educational courses held
Disclosures. Tips and Tricks for Tibial Intervention. Tibial intervention overview
Tips and Tricks for Tibial Intervention Donald L. Jacobs, MD C Rollins Hanlon Endowed Professor and Chair Chair of Surgery Saint Louis University SSM-STL Saint Louis University Hospital Disclosures Abbott
1. CARDIOLOGY. These listings cannot be correctly interpreted without reference to the Preamble. Anes. $ Level
1. CARDIOLOGY These listings cannot be correctly interpreted without reference to the Preamble. Anes. Referred Cases 33010 Consultation: To consist of examination, review of history, laboratory, X-ray
ATRIAL SEPTAL CLOSURE AND LEFT ATRIAL APPENDAGE OCCLUSION: INDICATIONS AND GUIDANCE ECHOCARDIOGRAPHY IN INTERVENTIONAL CARDIOLOGY
ATRIAL SEPTAL CLOSURE AND LEFT ATRIAL APPENDAGE OCCLUSION: INDICATIONS AND GUIDANCE Aristides G. Panlilio, MD, FPCP, FPCC,FPSE, FASE Philippine Heart Center Chinese General Hospital and Medical Center
How to manage TAVI related vascular complications. Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI
How to manage TAVI related vascular complications Paul TL Chiam MBBS, FRCP, FESC, FACC, FSCAI Definition VARC-2 consensus statement Complications caused by: Wire Catheter Anything related to vascular access
Percutaneous Intervention for totally Occluded Coarctation Of Aorta. John Jose, Vipin Kumar, Ommen K George Dept Of Cardiology
Percutaneous Intervention for totally Occluded Coarctation Of Aorta John Jose, Vipin Kumar, Ommen K George Dept Of Cardiology Background Coarctation of aorta (CoA) forms 5-7% of congenital heart diseases
Hybrid Stage I Palliation / Bilateral PAB
Hybrid Stage I Palliation / Bilateral PAB Jeong-Jun Park Dept. of Thoracic & Cardiovascular Surgery Asan Medical Center, University of Ulsan CASE 1 week old neonate with HLHS GA 38 weeks Birth weight 3.0Kg
Acute dissections of the descending thoracic aorta (Debakey
Endovascular Treatment of Acute Descending Thoracic Aortic Dissections Nimesh D. Desai, MD, PhD, and Joseph E. Bavaria, MD Acute dissections of the descending thoracic aorta (Debakey type III or Stanford
Crossing the Long SFA CTO
Crossing the Long SFA CTO Techniques and Variables You need to Know Kyoto Katsura Hospital Cardiovascular Center Shigeru Nakamura M.D. Korea Soul 2011.4.28 28 Back ground Superficial femoral artery (SFA)
NEONATAL HYBRID PROCEDURES STRATEGIES TO REDUCE MORBIDITY AND MORTALITY
NEONATAL HYBRID PROCEDURES STRATEGIES TO REDUCE MORBIDITY AND MORTALITY FOTIOS A. MITROPOULOS, MD, PHD DEPARTMENT OF PEDIATRIC AND ADULT CONGENITAL HEART SURGERY MITERA HYGEIA HOSPITALS, ATHENS, GREECE
Mechanics of Cath Lab Support Devices
Mechanics of Cath Lab Support Devices Issam D. Moussa, MD Professor of Medicine Mayo Clinic College of Medicine Chair, Division of Cardiovascular Diseases Mayo Clinic Jacksonville, Florida DISCLOSURE Presenter:
Affiliation/Financial Relationship Grant/ Research Support: Major Stock Shareholder/Equity Interest: Royalty Income: Ownership/Founder: Salary:
IMPLANTATION OF SAPIEN XT, TRANSFEMORAL TAPED CASE Gerald Yong MBBS (Hons) FRACP FSCAI Interventional Cardiologist Royal Perth Hospital Western Australia TAVI Summit 9 th Aug 2013 Disclosure Statement
The variation of carotid origin, the divergent orientation of common carotid (frequent posterior and left to right direction of right common as
1 Introduction The access to the common carotid during carotid stenting is very challenging and is responsible of a significant number of embolic complications in the ipsilateral but also in the contralateral
Cardiac Intervention in Fetus. Gyeong-hee Yoo, M.D. Department of Pediatrics Soonchunhyang University Cheonan Hospital
10 1111 Cardiac Intervention in Fetus Gyeong-hee Yoo, M.D. Department of Pediatrics Soonchunhyang University Cheonan Hospital Fetal echocardiography Serial f/u intrauterine course of disease Cardiac anomaly
Different transseptal puncture for different procedures: Optimization of left atrial catheterization guided by transesophageal echocardiography
Original Article Different transseptal puncture for different procedures: Optimization of left atrial catheterization guided by transesophageal echocardiography Andrea Radinovic 1, Patrizio Mazzone 1,
2019 MITRACLIP CODING AND PAYMENT GUIDE
CLAIM 2019 MITRACLIP AND PAYMENT GUIDE MitraClip Transcatheter Mitral Valve Repair Hospital Rates: Effective October 1, 2018 Physician Rates: Effective January 1, 2019 References and Brief Summary 1 CLAIM
CPT Code Details
CPT Code 93572 Details Code Descriptor Intravascular Doppler velocity and/or pressure derived flow reserve measurement ( vessel or graft) during angiography pharmacologically induced stress; each additional
Case #1. Case #1- Possible codes. Unraveling the -59 modifier. Principles of Interventional. CASE 1: Simple angioplasty
Unraveling the -59 modifier Principles of Interventional Coding Donald Schon, MD, FACP Debra Lawson, CPC, PCS Distinct or independent from other services performed on the same day Normally not reported
Native Outflow Tract Transcatheter Pulmonary Valve Replacement
Native Outflow Tract Transcatheter Pulmonary Valve Replacement John P. Cheatham, MD, FSCAI George H. Dunlap Endowed Chair in Interventional Cardiology Co-Director, The Heart Center, Nationwide Children
4a.i. 4a.ii. Form 12: Pre Transplant Status Report. Height and Weight. Status.
PHTS - Form : Pre Transplant Report Page of 5 Patient Details Hidden Show Show/Hide Annotations Stickies: Toggle All Toggle Open Toggle Resolved Form : Pre Transplant Report Print this Form t Started Was
Case Study of Implantation of a VICI VENOUS STENT - Combined NIVL and PTS Stenting
Case Study of Implantation of a VICI VENOUS STENT - Combined NIVL and PTS Stenting Courtesy of Mr. Stephen Black United kingdom Patient History 25 y/o female 2011: Conservatively treated ilio-femoral DVT
Echocardiography for the Electrophysiologist: Day-to-day practice. Emmanuel Fares, MD
Echocardiography for the Electrophysiologist: Day-to-day practice Emmanuel Fares, MD EP and pacing service, Department of Cardiovascular Medicine, Cairo University Agenda Role of echo in arrhythmia management:
Pulmonary Valve Regurgitation
Pulmonary Valve Regurgitation Ziyad M. Hijazi, MD, FSCAI, FACC James A. Hunter,MD, University Chair Professor Of Pediatrics & Internal Medicine Rush Center For Congenital & Structural Heart Disease Rush
Valve Technology. Sheath Compatibility. Available Valve Sizes. Pre-procedural Severity of AS, cusp anatomy, annular size, vascular access 21 mm
Guidance of Valvular Interventions Percutaneous Approaches to Aortic and Mitral Valve Disease James D. Thomas, MD, FACC, FASE Director, Center for Heart Valve Disease Bluhm Cardiovascular Institute Professor
Ablation of atrial fibrillation Techniques and workflow in AF rotors. G. Hindricks and Ph. Sommer
IDSS - Israel Tel Aviv 2016 Ablation of atrial fibrillation Techniques and workflow in AF rotors G. Hindricks and Ph. Sommer University of Leipzig - Heart Center - Department of Electrophysiology Presenter
For Personal Use. Copyright HMP 2013
Case Report J INVASIVE CARDIOL 2013;25(2):E39-E41 A Case With Successful Retrograde Stent Delivery via AC Branch for Tortuous Right Coronary Artery Yoshiki Uehara, MD, PhD, Mitsuyuki Shimizu, MD, PhD,
CTO Re vascularization in 2013
CTO Re vascularization in 2013 Is it safe to use/stent the sub intimal space? Dimitri Karmpaliotis, MD, FACC, FSCAI Interventional Cardiology Piedmont Heart Institute Atlanta, Georgia Dimitri.karmpaliotis@piedmont.org
Responsibilities. Teaching Methods
Cognitive and Procedural Skills for Cardiothoracic Surgery Residents in Diagnostic and Therapeutic Cardiovascular Disease: Echocardiography, and Diagnostic and Therapeutic Catheterization The length of
Bogdan A. Popescu. University of Medicine and Pharmacy Bucharest, Romania. EAE Course, Bucharest, April 2010
Bogdan A. Popescu University of Medicine and Pharmacy Bucharest, Romania EAE Course, Bucharest, April 2010 This is how it started Mitral stenosis at a glance 2D echo narrow diastolic opening of MV leaflets
The earliest application of intracardiac imaging
Intracardiac Echocardiography for Structural Heart Defects A review of ICE innovations, devices, and techniques. BY ZAHID AMIN, MD; QI-LING CAO, MD; AND ZIYAD M. HIJAZI, MD The earliest application of
Peripheral and Cardiology Coder 2018
Peripheral and Cardiology Coder 2018 Cardiovascular Services and Procedures Prepared and Published By: MedLearn Publishing A Division of MedLearn Media, Inc. 445 Minnesota Street, Suite 514 St. Paul, MN
Nonsurgical Management of Postoperative Pulmonary Vein Stenosis
Nonsurgical Management of Postoperative Pulmonary Vein Stenosis 부산의대소아청소년과학교실부산대학교어린이병원심장센터 이형두 Postop pulmonary vein stenosis TAPVR or PAPVR repair Primary pulmonary vein stenosis Lung transplantation
Percutaneous Valve in Native With and Without Mitral Valve Calcification: When To Go Hybrid
Percutaneous Valve in Native With and Without Mitral Valve Calcification: When To Go Hybrid Deborah Tabachnick, MD Cardiac Surgeon The Heart Hospital Baylor Plano Baylor Scott & White Health Disclosures
Επιπλοκές κατάλυσης πνευµονικών φλεβών
Επιπλοκές κατάλυσης πνευµονικών φλεβών Παναγιώτης Ιωαννίδης Διευθυντής Τµήµατος Αρρυθµιών & Επεµβατικής Ηλεκτροφυσιολογίας Βιοκλινικής Αθηνών ΣΕΜΙΝΑΡΙΑ ΟΜΑΔΩΝ ΕΡΓΑΣΙΑΣ Ιωάννινα, 27-2-2015 Solving an equation
Atrial Transseptal Puncture
Atrial Transseptal Puncture Techniques Atrial transseptal puncture is increasingly important for cardiac interventions and has undergone recent technical advances. BY T.R.D. SHAW, MD, FRCP, FESC The left
Diagnostic & Therapeutic Cardiac Catheterization Coder 2017
Diagnostic & Therapeutic Cardiac Catheterization Coder 2017 Including peripheral and cardiovascular services and procedures Prepared and Published By: MedLearn Publishing A Division of Panacea Healthcare
CMR for Congenital Heart Disease
CMR for Congenital Heart Disease * Second-line tool after TTE * Strengths of CMR : tissue characterisation, comprehensive access and coverage, relatively accurate measurements of biventricular function/
Radiofrequency Energy: Irrigation and Alternate Catheters. Andreas Pflaumer
Radiofrequency Energy: Irrigation and Alternate Catheters Andreas Pflaumer Irrigated tip RF ablation Irrigated tip How does it work? Potential benefits? Potential risks? How is this relevant to pediatric
Cardiac Imaging in abnormal rhythm Role of MDCT
Cardiac Imaging in abnormal rhythm Role of MDCT Cardiac Imaging in abnormal rhythm Role of MDCT Scope of the problem CT in Atrial Fibrillation CT and pacing Ventricular arrhythmia Other applications 1
Understanding Atrial Fibrillation
Understanding Atrial Fibrillation Todd J. Florin, M.D. Table of Contents The Normal Heart...1 What is Atrial Fibrillation...3 Risks of Afib: Stroke...5 Treatment Options...7 Radiofrequency Ablation...9
Instructions for Use Reprocessed LASSO Circular Mapping Diagnostic Electrophysiology (EP) Catheter
Instructions for Use Reprocessed LASSO Circular Mapping Diagnostic Electrophysiology (EP) Catheter Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. DEVICE DESCRIPTION
Long-Term Outcome and Risks of Catheter Ablation for Atrial Fibrillation
Long-Term Outcome and Risks of Catheter Ablation for Atrial Fibrillation Carlo Pappone, MD, PhD, FACC EP Director, Villa Maria Hospital Group How many times AF can increase mortality DO MORTALITY REALLY
CoA Stenting Alexandria Experience
CoA Stenting Alexandria Experience By Hani Mahmoud Adel, M.D Alexandria University 2/27/2017 CE 2017 Cairo 1 Coarctation of the aorta is the eighth most common form of congenital heart disease & accounts
UNMH Pediatric Cardiology Clinical Privileges. Name: Effective Dates: From To
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective August 18, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment)
Native Outflow Tract TranscatheterThe Heart Center Pulmonary Valve Replacement
Native Outflow Tract Transcatheter Pulmonary Valve Replacement John P. Cheatham, MD, FSCAI George H. Dunlap Endowed Chair in Interventional Cardiology Co-Director,, Nationwide Children s Hospital Professor,
SCAI Fall Fellows Course Subclavian/Innominate Case Presentation
SCAI Fall Fellows Course 2012 Subclavian/Innominate Case Presentation Daniel J. McCormick DO, FACC, FSCAI Director, Cardiovascular Interventional Therapy Pennsylvania Hospital University of Pennsylvania
Catheter Ablation Of Cardiac Arrhythmias Expert Consult
Catheter Ablation Of Cardiac Arrhythmias Expert Consult 1 / 6 2 / 6 3 / 6 Catheter Ablation Of Cardiac Arrhythmias From anatomy and diagnostic criteria through specific mapping and ablation techniques,
For Personal Use. Copyright HMP 2013
Case Report J INVASIVE CARDIOL 2013;25(2):E42-E44 Percutaneous Closure of Iatrogenic Ventricular Septal Defect Following Surgical Aortic Valve Replacement Using Two Different Approaches Takashi Matsumoto,
CATHETERIZATION PROTOCOL Prepared by Matthew Crystal ( )
CATHETERIZATION PROTOCOL Prepared by Matthew Crystal (2006-06-21) Cath Procedure Diagnosis: Hospitalization Requirement Blood on hold Cath Lab Fontan Yes (CCU after completion) Yes (as per OR protocols)
5 th Asia Pacific Congenital and Structural Heart (APCASH) Intervention Symposium 2014
5 th Asia Pacific Congenital and Structural Heart (APCASH) Intervention Symposium 2014 Allied Health Session What You Need to Know for Complication Management in Structural Heart Intervention (From Instrument
Transcatheter closure of patent foramen ovale using the internal jugular venous approach
New methods in diagnosis and therapy Transcatheter closure of patent foramen ovale using the internal jugular venous approach Przemysław Węglarz 1,2, Ewa Konarska-Kuszewska 2, Tadeusz Zębik 2, Piotr Kuszewski
Tips and Tricks to Deliver a Stengraft to the Ascending Aorta
Tips and Tricks to Deliver a Stengraft to the Ascending Aorta Tilo Kölbel, MD, PhD University Heart Center University Hospital Eppendorf Hamburg, Germany Disclosures Research-grants, travelling, proctoring
The role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
Imaging Evaluation of the Ventricular Septum
Imaging Evaluation of the Ventricular Septum Craig E Fleishman, MD FACC FASE The Heart Center at Arnold Palmer Hospital for Children, Orlando SCAI Fall Fellows Course 2013 Las Vegas Disclosure Information
Edwards Sapien. Medtronic CoreValve. Inoperable FDA approved High risk: in trials. FDA approved
Transcatheter Aortic Valve Replacement Symptomatic Aortic Stenosis Asymptomatic Juan Crestanello, MD Interim Director, Division of Cardiac Surgery Associate Professor Division of Cardiac Surgery The Ohio
CRT Implantation Techniques 부천세종병원순환기내과박상원
Cardiac Venous System and CRT Implantation Techniques 부천세종병원순환기내과박상원 Cardiac Resynchronization Therapy (CRT) Goal: Atrial synchronous biventricular pacing Transvenous approach for left ventricular lead
Joint Congress PAFCIC Complex PCI meeting
Joint Congress PAFCIC Complex PCI meeting October 18-20, 2018, Nairobi, KENYA The Program : - Interactive sessions - Practical workshops - Key note lectures - Live transmissions - Poster and oral presentations