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(Chest. 1973;63:959-962.)
© 1973 American College of Chest Physicians

A Simplified Method for Left Heart Catheterization including Coronary Arteriography

David E. Wells M.D.1; Benjamin Befeler M.D., F.C.C.P.1; Judith B. Winkler B.Sc.1; Robert J. Myerburg M.D.1; Agustin Castellanos Jr. M.D., F.C.C.P.1; and Cesar A. Castillo M.D.1

1 Cardiovascular Laboratory, Veterans Administration Hospital and the Division of Cardiology, Department of Medicine, University of Miami School of Medicine, Miami, Florida

A simplified method for performing retrograde left heart catheterization is described which utilizes a family of preshaped catheters via brachial artery cutdown. A single closed-tip catheter was the sole catheter utilized to accomplish complete left heart studies including coronarv artery cineangiography, ventriculography and aortography in 50 or our last 100 cases. A second, specially shaped, open-tip catheter was used in an additional 46 cases, and a third in four. The aortic valve could be crossed readily, and ventriculography was accomplished with a minimum of premature ventricular contractions. Coronary arteriography could be performed safely with a closed-tip catheter in the majority of our patients. Left heart study with these catheters caused minimal arterial trauma, a low incidence of complications, and shortened catheterization times.






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Copyright © 1973 by the American College of Chest Physicians.