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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.
Water Absorption Water status of a plant is determined by two major factors: i) water absorption and ii) water loss. We deal with water absorption in this section and water lo
Is dwarf pampas grass invasive? No. the root system is shallow and extends only as far as the plant is large. Though if the irrigation system is installed poorly and the pipes
will argon tend to form bonds with other elements?
Define the Clinical success for the Root Canal Treatment a) Absence of pain and swelling. b) Disappearance of sinus tract. c) No evidence of soft tissue destruction, incl
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How do you determine if a molecule is polar or non-polar? A polar molecule is a molecule that has a net dipole moment because of its having unsymmetrical polar bonds
what are the biological significance of the skeleton?
Tests of shelled amoebas are made from a variety of substances including sand grains, chitin and substrate, calcium salts, and even silica. These shells still accumulate in ocean d
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