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Selective vs Non Selective pulmonary artery angio

Date: Oct 27, 2023

Question:

Would this be a non selective PA angio from the RV or a bilateral selective PA angio due to this additional note? RV: Antegrade RV angiogram shows normal systolic function with mild to moderate

TR. The RV-PA PECA conduit is widely patent. There is to an fro flow across the

valveless conduit. Well-developed, dilated bilateral pulmonary arteries are present. The

RPA measures 20 mm and the LPA measures 23 mm. Levophase demonstrates

unobstructed bilateral pulmonary venous return to the left atrium. No discernible atrial

level shunting is present.***Due to her anatomy and atrial baffling, the RV was difficult to enter using the

conventional wedge catheter. A 5Fr AR1 over an exchange length glide wire was used

to enter the RV then pulmonary arteries. The AR1 catheter was exchanged over the

glide wire for a 0.035 Quick Cross catheter. An 0.035 Amplatz ES wire was used to

exchange for pressure measurement with a glide catheter and 5Fr pigtail for angiogram.

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