ISBN-10:
0323022383
ISBN-13:
9780323022385
Pub. Date:
12/01/2003
Publisher:
Elsevier Health Sciences
Interventional Cardiac Catheterization Handbook / Edition 2

Interventional Cardiac Catheterization Handbook / Edition 2

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Product Details

ISBN-13: 9780323022385
Publisher: Elsevier Health Sciences
Publication date: 12/01/2003
Edition description: REV
Pages: 616
Product dimensions: 5.00(w) x 8.00(h) x 1.24(d)

About the Author

Morton J. Kern, MD, FSCAI, FAHA, FACC, Professor de Medicina da Universidade da Califórnia, Irvine, Orange, Califórnia; Chief of Medicine, Health Care System Veterans Long Beach, Long Beach, Califórnia;

Michael J Lim, MD, Co-Diretor do Comprehensive Cardiovascular Care (C4), Director da Divisão de Cardiologia, Professor de Medicina Interna, Jack Ford Shelby Professor Endowed em Cardiologia, Diretor, cateterismo cardíaco laboratório, Diretor, Doenças Cardiovasculares e Interventional Doenças cardiovasculares Fellowship Programas, escola de Medicina da Universidade de Saint Louis, St. Louis, Missouri

Paul Sorajja, MD, Diretor do Centro de Válvula e estrutural doença cardíaca, Minneapolis Instituto do Coração, Hospital Abbott Northwestern, Minneapolis, Minnesota

Table of Contents

Introduction to Interventional Cardiology1
The Selection of Patients for Interventional Procedures1
Technical Consideration for the Performance of PCI2
Interventions and the Vascular Healing Response2
Managing Complications3
Expanded Knowledge of PCI for Acute Myocardial Infarction4
Expanded Knowledge of Radiation Safety and Radiation Vascular Biology5
Appendix 1ACertification in Interventional Cardiology6
Background6
Certification Requirements6
Training Pathway6
Practice Pathway7
Clinical Competence Requirements7
Certification Examination8
Recertification10
Computer-Based Testing10
Examination Registration10
1Basic Coronary Balloon Angioplasty and Stenting11
Introduction11
Overview of Basic PCI Methods12
Mechanisms of Angioplasty14
Indications for PCI16
PCI Equipment18
Stents37
Managing Complications during Stent Delivery and Implantation55
Clinical Procedure for PCI60
Medical Therapy after PCI67
Training for Coronary Angioplasty69
Recommendations for PCI at Hospitals with and without Surgical Backup70
2Arterial and Venous Access and Hemostasis for Interventional Procedures72
Vascular Access72
Sheath Management and Hemostasis after PCI84
Complications of Arterial Access102
Coronary Artery Access and Guide Catheters103
Cannulating Difficult Coronary or Graft Ostia110
Internal Mammary Artery Graft Cannulation116
Angiographic Clues for Guide Catheter Selection118
3Angiography for Percutaneous Coronary Interventions122
Objectives for PCI Angiography122
Common Angiographic Views for Angioplasty123
Techniques for Coronary Arteriography130
Problems and Solutions in the Interpretation of Coronary Angiograms136
Angiographic and Video Imaging Systems138
Medications Used in Coronary Angiography141
Radiation Exposure during PCI148
Peripheral Vascular Angiography151
Pacemakers during PCI154
4Complications of Percutaneous Coronary Interventions162
Myocardial Infarction during PCI162
Abrupt Vessel Closure after PCI163
Hypotension176
Arrhythmias177
Peripheral Vascular Complications178
Complications Related to Radiographic Contrast Media184
5Antithormbotic and Antiplatelet Therapy for Percutaneous Coronary Interventions194
Anticoagulants194
Thrombolytic Agents209
Monitoring Coagulation212
6Non-Ballon Percutaneous Coronary Interventional Devices: Rotational Ablation Catheter, Directional Atherectomy, Thrombus Aspiration Systems, Distal Protection Devices, and the Cutting Balloon217
Rotational Atherectomy (Rotablator)218
Directional Coronary Atherectomy228
Thrombus Aspiration System240
Embolic Protection Devices242
The Cutting Balloon245
7Restenosis, Brachytherapy, and Drug-Eluting Stents252
Restenosis252
In-Stent Restenosis260
Conventional Management of Restenosis262
Brachytherapy263
Drug-Eluting Stents270
8Difficult Situations in Percutaneous Cardiac Interventions278
Side Branch and Bifurcation Stenosis279
Eccentric Stenoses285
Severely Calcified Stenoses286
Ostial Lesions288
Total Coronary Occlusions293
PCI of Coronary Artery Bypass Conduits295
Internal Mammary Artery PCI299
Multiple-Vessel PCI300
PCI for Unstable Angina306
PCI for Acute Myocardial Infarction307
PCI for Cardiogenic Shock310
Angioplasty in the Elderly310
PCI in Cardiac Transplant Recipients312
Treatment of Thrombosis during PCI313
9High-Risk Percutaneous Coronary Interventions315
Identifying the High-Risk PCI Patient315
Risk Reduction and Support of the High-Risk PCI Patient322
Management of Complications in High-Risk PCI Patients331
Summary341
10Nonangiographic Coronary Lesion Assessment343
Intravascular Ultrasound344
The Future: Optical Coherence Tomography359
Coronary Pressure Wire361
Coronary Doppler Flow370
11Peripheral Vascular Intervention386
Vascular Access387
Brachiocephalic Intervention392
Renal Artery Intervention411
Iliac Artery Intervention420
Below-Knee Intervention426
12Percutaneous Mitral Commissurotomy and Balloon Aortic Valvuloplasty441
Percutaneous Mitral Commissurotomy441
Aortic Valvuloplasty463
Summary477
13Pericardiocentesis, Balloon Pericardiotomy, and Special Techniques481
Pericardiocentesis481
Percutaneous Balloon Pericardiotomy484
Special Techniques494
14Septal Ablation for Hypertrophic Obstructive Cardiomyopathy500
Candidates for Septal Ablation501
Technique502
Results508
Limitations and Concerns509
15Transcatheter Closure of Atrial Septal Defects and Patent Foramen Ovale Using the Amplatzer Devices512
Atrial Septal Defects512
Secundum Atrial Septal Defect512
Patent Foramen Ovale533
16Interventions for the Failing Hemodialysis Vascular Access543
Introduction543
Diagnostic Fistulogram544
Balloon Angioplasty for Maintenance of Access Patency546
Endovascular Stents in Dialysis Access Salvage549
Treatment of Thrombosed Access Sites551
Complications of Endovascular Procedures553
Index555

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