FEBRUARY 2017 Sub. Code: 1522
B.Sc. CARDIAC TECHNOLOGY
THIRD YEAR
PAPER II CARDIAC CATHETERIZATION LABORATORY ADVANCED
Q.P. Code: 801522
Time: Three Hours Maximum: 100 Marks
Answer all questions
I. Elaborate on: x 10 30)
1. Describe the angiographic views for performing the septal puncture. Describe the
Brockenbrough needle and the uses for the same. Briefly mention how gradients are
measured in a case of mitral stenosis?
2. Mention the various types of contrast. Discuss the advantages and disadvantages of
different types of contrast agents. What precautions can be taken to prevent contrastinduced
nephropathy?
3. Describe the various catheters used for an electrophysiology study. Mention the
normal AH and HV intervals. List the complications, which are commonly
encountered during a radiofrequency ablation procedure?
II. Write notes on: x 5 40)
1. Describe the angiographic views for imaging a peri-membranous ventricular septal
defect. Detail the steps involved in performing a device closure of the ventricular
septal defect.
2. Role of covered stents in aortic diseases. List the conditions and the indications for
use of the same.
3. Embolic protection devices in carotid angioplasty.
4. What is the importance of therapeutic activated clotting time during an
interventional procedure?
5. Detail the emergency management of cardiac tamponade.
6. Describe the procedure of (Intra-aortic balloon pump) IABP insertion. Name few
indications for usage of IABP.
7. What is a DDDR pacemaker? Where are the leads placed? Name some conditions
where this pacemaker is used?
8. Management of coronary perforation in the catheterization laboratory.
III. Short answers on: (10 x 3 30)
1. Use of Fractional flow reserve in coronary angioplasty.
2. Indications for rotablation in coronary angioplasty. Briefly describe the burr
used for rotablation.
3. Closure devices for hemostasis.
4. What are the different types of balloon catheters used for balloon angioplasty?
5. What are self-expanding stents? List their uses in peripheral angioplasty.
6. Optical Coherence tomography.
7. Management of coronary air embolism.
8. What is slow flow, no-flow phenomenon?
9. What are the different guidewires used during coronary angioplasty?
10. List the uses of intravascular ultrasound in coronary angioplasty.