Difference between revisions of "Cyanosis other imaging findings"

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{{Cyanosis}}
  
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{{CMG}}; {{AE}} {{ Sara.Zand}} {{ADS}}
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==Other Imaging Findings==
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Cardiac catheterization is gold standard” for the anatomic and physiological assessment of patients with [[cyanotic congenital heart disease]]
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when determination of the anatomy of [[congenital heart disease ]] is inadequately  by noninvasive imagins.<ref name="FeltesBacha2011">{{cite journal|last1=Feltes|first1=Timothy F.|last2=Bacha|first2=Emile|last3=Beekman|first3=Robert H.|last4=Cheatham|first4=John P.|last5=Feinstein|first5=Jeffrey A.|last6=Gomes|first6=Antoinette S.|last7=Hijazi|first7=Ziyad M.|last8=Ing|first8=Frank F.|last9=de Moor|first9=Michael|last10=Morrow|first10=W. Robert|last11=Mullins|first11=Charles E.|last12=Taubert|first12=Kathryn A.|last13=Zahn|first13=Evan M.|title=Indications for Cardiac Catheterization and Intervention in Pediatric Cardiac Disease|journal=Circulation|volume=123|issue=22|year=2011|pages=2607–2652|issn=0009-7322|doi=10.1161/CIR.0b013e31821b1f10}}</ref>
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== Cardiac Catheterization ==
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{| style="cellpadding=0; cellspacing= 0; width: 600px;"
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|-
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| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Recommendations catheterization in [[congenital heart disease]]'''
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|-
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left | '''Vagal maneuver ([[ACC AHA guidelines classification scheme|Class I, Level of Evidence A]]):'''
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|-
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left|
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❑ Obtaining hemodynamic and anatomic data at the time of intervention <br>
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|-
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |'''([[ACC AHA guidelines classification scheme|Class I, Level of Evidence B]]) :'''
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|-
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left|
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❑ Assessment of [[pulmonary resistance]] and reversibility of [[pulmonary hypertension]] in patients with [[CHD ]] or [[primary pulmonary hypertension]] for surgical procedure or medical decisions <br>
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❑  Assessment of complex [[pulmonary atresia]] for determination of [[lung]] segmental [[pulmonary vascular]] supply, especially when noninvasive imaging are inadequate  <br>
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❑ Determination of [[coronary circulation]] in [[pulmonary atresia]] with intact septum <br>
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❑ Follow-up of [[graft vasculopathy]] after cardiac transplantation <br>
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|-
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |'''([[ACC AHA guidelines classification scheme|Class I , Level of Evidence C]])'''
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|-
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left|
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❑ Assessment of patient before [[cardiac transplantation]]
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|-
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |'''([[ACC AHA guidelines classification scheme|Class 2a, Level of Evidence B]])'''
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|-
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left|
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❑ Determination of [[pulmonary pressure]]/[[resistance]] and [[transpulmonary gradient]] in [[palliated single-ventricle]] patients before a staged Fontan procedure <br>
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❑ Assessment of [[cardiomyopathy]] or [[myocarditis]]<br>
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❑ Assessment of suspected congenital [[coronary artery anomalies]]<br>           
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|-
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|style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |''' ([[ACC AHA guidelines classification scheme|Class 2a, Level of Evidence C]])'''
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|-
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|style="padding: 0 5px; font-size: 100%; background: #F5F5F5; width: 70%" align=left|
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❑ In any [[CHD]] patient in whom complete diagnosis and information  cannot be obtained by noninvasive testing<br>
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❑ Assessment of anatomy and hemodynamics in postoperative cardiac patients when the early postoperative course is unexpectedly complicated and noninvasive imaging techniques ( [[ cardiac MRA]], [[ cardiac CT angiography]]) fail to reach the diagnosis<br>
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|}
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==References==
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{{Reflist|2}}
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{{WH}}
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{{WS}}
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[[Category: (name of the system)]]

Revision as of 16:28, 24 October 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Amandeep Singh M.D.[3]

Other Imaging Findings

Cardiac catheterization is gold standard” for the anatomic and physiological assessment of patients with cyanotic congenital heart disease when determination of the anatomy of congenital heart disease is inadequately by noninvasive imagins.[1]

Cardiac Catheterization

Recommendations catheterization in congenital heart disease
Vagal maneuver (Class I, Level of Evidence A):

❑ Obtaining hemodynamic and anatomic data at the time of intervention

(Class I, Level of Evidence B) :

❑ Assessment of pulmonary resistance and reversibility of pulmonary hypertension in patients with CHD or primary pulmonary hypertension for surgical procedure or medical decisions
❑ Assessment of complex pulmonary atresia for determination of lung segmental pulmonary vascular supply, especially when noninvasive imaging are inadequate
❑ Determination of coronary circulation in pulmonary atresia with intact septum
❑ Follow-up of graft vasculopathy after cardiac transplantation

(Class I , Level of Evidence C)

❑ Assessment of patient before cardiac transplantation

(Class 2a, Level of Evidence B)

❑ Determination of pulmonary pressure/resistance and transpulmonary gradient in palliated single-ventricle patients before a staged Fontan procedure
❑ Assessment of cardiomyopathy or myocarditis
❑ Assessment of suspected congenital coronary artery anomalies

(Class 2a, Level of Evidence C)

❑ In any CHD patient in whom complete diagnosis and information cannot be obtained by noninvasive testing
❑ Assessment of anatomy and hemodynamics in postoperative cardiac patients when the early postoperative course is unexpectedly complicated and noninvasive imaging techniques ( cardiac MRA, cardiac CT angiography) fail to reach the diagnosis

References

  1. Feltes, Timothy F.; Bacha, Emile; Beekman, Robert H.; Cheatham, John P.; Feinstein, Jeffrey A.; Gomes, Antoinette S.; Hijazi, Ziyad M.; Ing, Frank F.; de Moor, Michael; Morrow, W. Robert; Mullins, Charles E.; Taubert, Kathryn A.; Zahn, Evan M. (2011). "Indications for Cardiac Catheterization and Intervention in Pediatric Cardiac Disease". Circulation. 123 (22): 2607–2652. doi:10.1161/CIR.0b013e31821b1f10. ISSN 0009-7322.

Template:WH Template:WS