retrograde coronary sinus coronary sinus is a set of veins connected together Forms large blood vessels that collect blood from the heart muscle (myocardium). It delivers less oxygenated blood to the right atrium, as do the superior and inferior vena cava. It is present in all mammals including humans. https://en.wikipedia.org › Wiki › Coronary_sinus

Coronary sinus – Wikipedia

Cardiac arrest is Myocardial protection for increasing frequency in complex cardiac procedures. An improved balloon-tipped catheter facilitates a new method of introducing cardioplegia into the coronary sinus.

Why does retrograde cardiac arrest fail to protect the right heart?

Retrograde Cardiac Arrest Provides Right ventricular myocardial perfusion Assessment by contrast echocardiography and coronary ostium drainage. (2) This poor perfusion is insufficient to meet myocardial demand, as evidenced by the high rate of right ventricular oxygen extraction after prolonged retrograde infusion.

What is retrograde intubation?

The Andocor Retrograde Cardiac Arrest Cannula is designed to connect sequentially to the cardiac arrest line Injecting cardioplegia and blood into the patient’s coronary sinus during open-heart surgery.

What is the purpose of cardioplegia?

Cardioplegia Solution A is a sterile, pyrogen-free solution for cardiac perfusion in Viaflex bags.This is For induction of cardiac arrest and myocardial protection during open-heart surgery.

What is retrograde heart surgery?

Retrograde procedures include 2 coronary ostia were cannulated and the guidewire advanced through the side branches from the unoccluded artery to the area distal to the occlusion Originating in healthy arteries.

Retrograde Cardiac Cannula for Extracorporeal Circulation (Ross M. Reul, MD, Mujeeb Zubair, MD)

27 related questions found

What is the retrograde method?

In the retrograde method, The guide wire enters the distal true lumen through the side branch channeland then the crossover of CTOs using various techniques.

What are anterograde and retrograde cardiac arrest?

Coronary sinus cannulation allows clinicians to infuse continuous cardioplegia and/or re-administer at will; this is in contrast to antegrade cardiac arrest, which may interrupt or interfere with ongoing surgical interventions, particularly mitral Surgery on the valve, aortic valve, or aortic root.

Where is cardioplegia injected?

Cardioplegia administration can be anterograde, retrograde, or both.antegrade cardioplegia insertion proximal aorta And contains three chambers: one for managing cardioplegia, another for aspiration, and a third for measuring intra-chamber pressure.

What is cardioplegia?

Each 100 mL solution contains Calcium Chloride Dihydrate USP 17.6 mg, Magnesium Chloride, Hexahydrate USP 325.3 mg, Potassium Chloride USP 119.3 mg and Sodium Chloride USP 643 mg Water for Injection, USP. May contain HCl and/or NaOH for pH adjustment.

What is warm blood arrest?

Warm blood cardioplegic technique is A promising strategy in the expanding field of cardioprotection. Continuous WBC provides differential ischemic protection by eliminating hypothermic myocardial ischemia and reperfusion injury.

What happens if you put IV fluids in the back?

Retrograde catheters are placed « backwards » with the end of the catheter away from the direction of venous blood flow. Assuming Retrograde IV The success rate of blood drawing within 3 hours was significantly improved Use a proximal tourniquet.

What is retrograde thrombophlebitis?

An important pathway for retrograde thrombophlebitis is small venous plexus, surrounding some of the nerves in its tubes or holes As they emerge from the base of the skull (through the foramen of Vcsalius, foramen ovale, foramen laerum, the conduits of the foramen cecal) and from the plexus around the inner ca.

What is a double lumen cannula?

This is the most commonly used cannulation strategy and is called « aorto-dual vena cava cannulation ». ‘ Blood returning from the body via SVC and IVC (Hence, double lumen) into two separate cannulas, which drain passively into an open reservoir (see below).

Where is anterograde cardiac arrest?

Cardiac palsy can be antegrade Via the coronary sinus into the aortic root or retrograde. Surgeons typically perform antegrade cardiac arrest in one of two ways. The first approach involves thoracoscopic placement of the catheter tip into the ascending aorta through a right parasternal puncture incision.

How long can you cross-clamp the aorta?

By definition, clamping of the aorta excludes the systemic circulation, resulting in ischemia.When a longer cross-clamp period (longer more than 25 minutes) or when the distal aortic pressure is expected to drop below 50-60 mmHg, the use of intraoperative shunts can prevent complications such as paraplegia.

What is a coronary ostium?

Location: The coronary arteries originate from the left and right main coronary arteries and emerge from the ascending aorta just above the aortic valve (coronary ostium). … openings of the left and right coronary arteries are located just above the aortic valve, as are the left and right sinuses of Valsalva.

How long can the heart stop during surgery?

your heart usually stops 3-6 hours surgery about 30-90 minutes. Heart-lung machines allow surgeons to work on a still heart. This technique has been used for many years with excellent results. After surgery, the surgeon and perfusionist will restart your heart.

How often is cardiac arrest performed?

coronary artery bypass surgery

Retrograde cardioplegia is routinely used in many institutions by infusing fluid into the coronary sinus and backfilling the cardiac veins.Most common cold cardiac arrest at 4°C Administer intermittently at 15 to 20 minute intervals.

Who invented the cardiac arrester?

The term cardiac arrest (cardio, heart and plegia, paralysis) was first introduced by Lam in 1957 (Lam et al., 1957), but the method of arrest originated from earlier experiments. British physiologist Sidney Ringer Use a frog heart (Figure 2).

Why does the heart stop during systole during hypercalcemia?

an example of low [K+] low [Na+] The solution is histidine-tryptophan-ketoglutarate. Conversely, increasing extracellular Ca2+ concentration enhanced contractility. Raise the Ca2+ concentration to a high enough level Causes systolic cardiac arrest.

When was the cardiac arrester invented?

The term cardiac arrest (cardio, heart and plegia, paralysis) was first coined by Lam in 1957(Lam et al., 1957), but the method of arrest stems from early experiments with frog hearts by British physiologist Sidney Ringer (Figure 2).

What is Custodiol cardioplegic solution?

Custodiol® solution, also known as histidine-tryptophan-ketoglutarate (HTK) or Bretschneider solution, is a special A long-acting intracellular crystalloid cardioplegia (CCP) differs from other extracellular cardioplegic solutions because it is low in sodium and potassium and induces relaxation…

Where is the coronary sinus located?

Location: The coronary sinus is located in The back of the coronary sulcus, on the diaphragm or back surface of the heart.

What does moving forward mean?

Direct: go ahead. like blood flow. Sometimes synonymous with anterograde. From Latin ante- + gradior, to step.

What are the types of cardiac arrest?

Types of Cardiac Palsy— blood cardiac arrest (BL) with crystalloid cardioplegia (CR = St. Thomas cardioplegia + Fresenius cardioplegia) = « Cardiopl_double »; or blood cardioplegia with St.