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Q. Explain the Technique of Balloon Mitral Valvuloplasty?
The procedure is performed by cannulation of the right femoral vein and the procedure is similar upto transseptal puncture which allows access into the left atrium. Following this the transseptal puncture, a Mullins type dilator and sheath is placed in the left atrium. The patient is anticoagulated with heparin after entry into LA. A coiled guidewire is passes through the Mullins sheath into the left atrium and the mullins sheath is removed. A long dilator is used to dilate the passage into the femoral vein and inter atrial septum. The dilator is removed and the Inoue balloon is threaded over the guidewire and maneuvered into the left atrium. A "J" stylet is inserted into the balloon and manipulated so as to position the Inoue balloon across the mitral valve. The balloon is then inflated - distal portion first, pulled back gently upto the narrowest position of the valve. Then the proximal portion is inflated. Finally the waist of the balloon is inflated to effectively cause commissural splitting.
Processing of wastes from food industry Various cellulosic wastes are available abundantly from food processing industry such as fruits and vegetable processing, breweries, st
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How do pathological conditions affect homeostasis of your body?
Healthy human female X is 25 years old and not pregnant. During the postovulatory phase of X's menstrual cycle, A. there are high blood plasma levels of LH and FSH.
What is drugs? Intravenous access must be established. Although administration of drugs through a central vein is ideal in a low cardiac output situation, it is rarely possible
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Improper Implant type in Improper Bone Type In routine sites with good quality bone, the clinician should prefer implants without any superadded HA coatings and avoiding their
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