Transseptal catheterization is a vital component of percutaneous transvenous mitral commissurotomy. Therefore, a well-executed transseptal catheterization is the key to a safe and successful percutaneous transvenous mitral commissurotomy. Two major problems inherent in atrial septel puncture for percutaneous transvenous mitral cornmissurotomy are cardiac perforation and puncture of an inappropr...

recent books on hsematological technique \!ere is often no reference to the possibility of sepsis manubnum sterni, following sternal puncture. , When sternal puncture first came into common use 0r hematological and kala-azar investigations, two ases in my wards at the Mayo Hospital, Lahore, eveIoped septic infections of the bone marrow and steomyelitis of the manubrium, leading to long and seno...

Challenges 2 Femoral Approach 2 Standard of Technical Excellence 2 Technique The fl uoroscopically guided micropuncture access 3 Technical Tips 4 * * Angiography to check the location of femoral entry through a dilator 4 Preparations in obese patients 4 * Directing the needle 4 * If the wire cannot be inserted 5 * Sequential order for arterial and venous puncture 5 * * Kinked wire 5 * * Punctur...

BACKGROUND Up to now, for a successful buttonhole puncture of the vascular access vessel, the fistula should be punctured by the same experienced medical staff for 2-3 months, using sharp needles, until a fixed puncture route is established. METHODS We developed a timesaving method to create the fixed puncture route for the buttonhole technique. In this method, after the usual haemodialysis (...

studying csf (cerebro spinal fluid) is a simple and fast measure for diagnosing meningitis in children. for this reason, lp [umbar puncture] is used to treat csf.  regarding the side effects of lp, we decided to determine the positive points observed in the patients’ files than total patients confined to bed in our selected population. in this study conducted by descriptive retrospective method...