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Left to Right Shunts and their Calculation Ghada ... - CardioEgypt.com

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3/18/2013<br />

Indica<strong>to</strong>r Dilution Method<br />

• More Sensitive for smaller<br />

shunts<br />

• Cannot localize the level of<br />

left <strong>to</strong> right shunt<br />

Oximetric Methods<br />

• Obtain O2 saturations<br />

in sequential<br />

chambers,<br />

identifying oxygen<br />

step-up<br />

• Insensitive for small<br />

shunts (< 1.3:1)<br />

Baim DS: Grossman’s Cardiac Catheterization, Angiography, <strong>and</strong> Intervention. 7 th Edition. Lippincot Williams<br />

<strong>and</strong> Wilkins, 2007.<br />

11

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