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Title
1. Introduction
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a. Context
b. Procedure Outline
2. Access
3. Measuring Pressures
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a. Right Atrial Pressure
b. Right Ventricular Pressure
c. Left Pulmonary Arterial Pressure
d. Test Injection
4. Mapping Left Lung
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a. Connect to Injector
b. Adjust Field of Vision
c. Inject and Visualize Left Lung
d. Identify AVM
e. Identify Best Route
5. Mapping Right Lung
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a. Navigate to Right Pulmonary Artery
b. Test Injection
c. Connect to Injector
d. Visualize Right Lung
e. Identify AVM
6. Embolize AVM in Right Lung
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a. Determine Appropriate Guidewire
b. Exchange for Double Catheter System
c. Advance Catheter to Connection of AVM
d. Introduce 5-mm Amplatzer Vascular Plug 4 (AVP4) to Occlude AVM
7. Embolize AVM in Left Lung
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a. Advance Catheter to Connection of AVM
b. Introduce 4-mm AVP4 to Occlude AVM
c. Move Catheter to Second AVM
d. Introduce 5-mm AVP4 to Occlude AVM
e. Check Occlusions
8. Closure
9. Follow-Up Plans
10. Post-op Remarks
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Pulmonary AVM Embolization
Jelena Ivanis
1
,
Andrew Ding
1
,
Dennis Barbon
1
,
Fabian Laage-Gaupp, MD
2
,
Jeffrey Pollak, MD
2
1
Frank H. Netter, MD School of Medicine at Quinnipiac University
2
Yale School of Medicine
Tags:
Interventional Radiology
Main Text
Procedure Outline
Transcript
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Authors
Jelena Ivanis
Andrew Ding
Dennis Barbon
Fabian Laage-Gaupp, MD
Jeffrey Pollak, MD
Filmed At:
Yale New Haven Hospital
Article Information
Publication Date
2/8/2024
Article ID
249
Production ID
0249
Volume
2024
Issue
249
DOI
https://doi.org/10.24296/jomi/249