Goal of phlebotomy in patients with cyanotic congenital heart disease
Goal of phlebotomy in patients with cyanotic congenital heart disease
Goal of phlebotomy in patients with cyanotic congenital heart disease
Goal of phlebotomy in patients with cyanotic congenital heart disease with cyanosis is
[A] Symptom control
[B] Reduce Hb< 17
[C] Hematocrit > 65%
[D] Iron deficiency anemia
Goal of phlebotomy in patients with cyanotic congenital heart disease
Goal of phlebotomy in patients with cyanotic congenital heart disease
Goal of phlebotomy in patients with cyanotic congenital heart disease
- Goal of phlebotomy is symptom control
- Phlebotomy is not indicated for asymptomatic patients
Evaluation to consider phlebotomy procedure
- Symptoms of hyperviscosity
- Iron replete – Normal MCV, hematocrit > 65%
- Not dehydrated
How much blood to be removed?
Removal of 250 to 500 mL of blood over 30 to 45 minutes should be performed with concomitant quantitative volume replacement.
The procedure may be repeated every 24 hours if necessary until symptomatic improvement occurs or the hemoglobin level has fallen below 18 to 19 g/dL.
Gerbode defect
Gerbode defect is defined as abnormal shunting between the left ventricle and right atrium resulting from either a congenital defect or prior cardiac insults
