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Q. Technical Requirements for pulmonary angiography?
Digital subtraction pulmonary angiography with selective pulmonary arterial injections is vastly superior to conventional cut film angiography in all aspects except in resolution.
Contraindications
Absolute: None
Relative
1) Individuals with LBBB may develop complete heart block due to catheter trauma
2) Pulmonary hypertension
3) Anaphylactoid reaction to intravenous contrast
4) Patients on amiodarone
Venous Access
The femoral vein is the preferred venous access site. However, if there is proximal thrombus, then the alternative venous access sites are right or left internal jugular vein, right or left basilic vein in the antecubital fossa.
Tricuspid Excision : For tricuspid valve endocarditis with vegetations in drug users, valve excision is done by removing three cusps and chordae and papillary muscles. Later
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