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Antegrade left heart catheterization.

J D Waldman·J S Pappelbaum·S W Turner
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Abstract

Retograde arterial catheterization has been the standard approach to hemodynamic and angiographic evaluation of the left ventricle and systemic arterial system. An alternative approach--antegrade left heart catheterization--is reported that circumvents arterial puncture. During cardiac catheterization from the femoral vein in 18 children with normally related great arteries who had interatrial communications, a balloon-tipped catheter was looped in a "clockwise" fashion through the left atrium and left ventricle and into the ascending aorta. In 17 children the maneuver was rapidly accomplished without complications; it proved possible to perform in an infant with a hypoplastic left ventricular cavity, and was employed to perform a renal arteriogram. The major advantage of antegrade left heart catheterization is avoidance of complications related to arterial puncture. The antegrade approach also avoids right arm cut-down in children with coarctation of the aorta.

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AortaCardiac CatheterizationChild, PreschoolFemoral VeinHumansInfantInfant, NewbornJournal Article

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BibTeXRIS

J D Waldman, J S Pappelbaum, S W Turner. 1977. Antegrade left heart catheterization.. https://doi.org/10.1002/ccd.1810030316

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