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They also have a live view of the patients ECG so they can tell whether or not there is a problem caused by the insertion of the catheter into the heart to the electrical pathways. [ 5 ] [ 6 ] The physiologist will also set up a temporary pacemaker if the procedure is an angioplasty or a percutaneous coronary intervention (PCI).
ICE catheters are limited in size as they must be introduced inside the blood vessels. Limitation of the size of the catheter limits the ultrasound crystal and the image quality obtainable. However, because the catheter can be readily moved into close proximity of the desired structure, the quality limitation can be reduced. [citation needed]
For example, a catheter with a French size of 9 would have an outer diameter of approximately 3 mm. While the French scale aligns closely with the metric system, it introduces redundancy and the potential for rounding errors. This metrication problem is further complicated in medical contexts where metric and imperial units are used ...
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The port needle is then removed and the guidewire is fixed in place. The puncture is then widened by using 11-number knife and mosquito haemostat. [5] The port access site is fixed at 5 cm below the midline of the clavicle and 9 to 10 cm lateral to the midline of the chest.
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Transradial access to perform diagnostic cardiac catheterization procedures was introduced by Campeau [5] and was later adapted for therapeutic procedures of coronary angioplasty by Kiemeneij and Laarman. [6] In past few years, transradial access for coronary intervention has become increasingly popular.