Key result
Direct transthoracic RV puncture offers a reasonable alternative for accurate hemodynamics in mechanical tricuspid valve patients.
Why the study?
Does direct right ventricular puncture allow for accurate hemodynamic evaluation in patients with a mechanical tricuspid valve prosthesis?
Does direct right ventricular puncture allow for accurate hemodynamic evaluation in patients with a mechanical tricuspid valve prosthesis?
Direct right ventricular puncture is a viable alternative for hemodynamic assessment when transvenous access is precluded by a mechanical tricuspid valve.
Answers are grounded in this paper and cite their sources.
May support direct transthoracic RV puncture for hemodynamics when transvenous access is precluded by mechanical tricuspid prosthesis; leaves open prospective validation before practice change.
The advent of transvenous right heart catheterization has relegated direct transthoracic right ventricular puncture largely to the role of "interesting historical footnote." However, in the case of a right ventricle that is "protected" by a mechanical tricuspid valve prosthesis, direct right ventricular puncture represents a reasonable alternative for obtaining accurate hemodynamic information.
No takes yet. Share an insight, caveat, or question.
Gibson et al. (1997) studied this question. Direct transthoracic right ventricular puncture is a reasonable alternative for obtaining accurate hemodynamic information in patients with a mechanical tricuspid valve prosthesis.
Synapse has enriched 10 related papers. Consider them for comparative context: