Cardiac Catheter Book

Author: Lapp   Harald  

Publisher: Thieme‎

Publication year: 2014

E-ISBN: 9783131672810

P-ISBN(Hardback):  9783131672711

Subject: R541.7 arrhythmia

Language: ENG

Access to resources Favorite

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

Loaded with tips, tricks, and expert solutions to everyday clinical problems, this book is a must for all specialists and trainees performing cardiac catheterizations. It covers basic principles, diagnostic strategies for specific diseases, and the newest interventional techniques, giving readers the tools to successfully manage all types of valvular and structural heart disease.

Special Features:

  • Concisely reviews the basics of cardiac catheterization, with sections on indications, risks and complications, patient preparation, equipment and laboratory setup, contrast media, and interpretation of findings
  • Covers the full range of interventional catheter techniques, including percutaneous coronary intervention (PCI), coronary stent implantation, rotational athetectomy, cutting balloon angioplasty, shunt closure, and much more
  • Examines current, evidence-based diagnostic approaches to such commonly seen conditions as valvular disease, cardiomyopathies, coronary artery disease, congenital heart disorders, pericardial disease, aortic dissection, and more
  • Describes key new interventions for structural heart disease, including transcatheter aortic valve implantation (TAVI), interventions for mitral regurgitation (Mitraclip), occlusion of the left atrial appendage (LAA-Occlusion), and renal nerve ablation for resistant arterial hypertension
  • Provides hundreds of illustrations, coronary angiograms, and radiographic images that clarify every concept
  • Demonstrates step-by-step approaches, case studies, and detailed angiographic sequences in nearly 400 helpful videos

From the fundamentals to the newest therapeutic advances, this book provides the core information needed by every practice performing diagnostic and interventional cardiac catheterizations. It is essential for interventional cardiologists, cardiology fellows, and interventional radiologists who want to quickly increase their knowledge and skills and offer optimal care to their patients.

Chapter

2 Risks and Complications

3 Preparation for Cardiac Catheterization

Informed Consent

Examinations Prior to Catheterization

Specific Patient Preparation

Immediate Preparation for Examination

Special Features of Cardiac Catheterization in Awake Patients

4 The Laboratory

Equipment

Personnel

Emergency Equipment

Radiation Technology and Radiation Safety

5 Interpretation of Findings

6 Contrast Media

Adverse Reactions to Contrast Media

7 Arterial and Venous Access

Arterial Access

Techniques and General Approach

Puncture of the Femoral Artery

Puncture of the Radial Artery

Puncture of the Brachial Artery

Venous Puncture

Puncture of the Femoral Vein

Other Vascular Access Sites

Vascular Complications after Cardiac Catheterization

Vascular Closure Devices for Immediate Hemostasis after Cardiac Catheterization and Coronary Intervention

Collagen-based Vascular Closure Devices

Percutaneous Suture-mediated Vascular Closure Devices

Clip-based Vascular Closure Devices

8 Coronary Angiography

Catheterization Technique

The Normal Coronary Angiogram

Injection Technique

Coronary Anatomy

Projections

Problems and Potential Mistakes

Complications of Coronary Angiography

Coronary Anomalies

Vasospastic Angina

Noninvasive Coronary Angiography (Cardiac MRI and Cardiac CT)

9 Catheterization of the Cardiac Chambers

Left Heart Catheterization

Retrograde Left Heart Catheterization

The Left Ventricular Angiogram

Transseptal Left Heart Catheterization

Right Heart Catheterization

Right Ventriculogram

The Right Atrial Angiogram

10 Aortography

Procedure

The Normal Aortogram

11 Angiography of the Pulmonary Artery

Procedure

Noninvasive Pulmonary Angiography

12 Hemodynamics

Basic Physics of Pressure Measurement

Pressure Curves

Pulmonary Capillary Wedge Pressure

Arterial and Pulmonary Arterial Pressure

Ventricular Pressure

Pressure Gradient

Cardiac Output, Cardiac Index

Fick Method (Oxygen Consumption)

Thermodilution Method

Angiographic Method

Vascular Resistances

Valve Area

Measurement of Valvular Regurgitation

Shunt Detection and Measurement

Shunt Quantification Using Fick’s Principle with Diagnostic Saturation Run

The Dye Dilution Method

Angiographic Shunt Diagnosis

Noninvasive Shunt Diagnosis

13 Endomyocardial Biopsy

II Cardiac Catheterization in the Diagnostic of Specific Diseases

14 Valvular Disease

Mitral Valve Stenosis

Mitral Regurgitation

Aortic Valve Stenosis

Aortic Regurgitation

Tricuspid Stenosis

Tricuspid Regurgitation

15 Cardiomyopathies

Dilated Cardiomyopathy

Hypertrophic Cardiomyopathy

Alcohol Septal Ablation

Restrictive Cardiomyopathy

Arrhythmogenic Right Ventricular Cardiomyopathy

Takotsubo Cardiomyopathy (“Apical Ballooning Syndrome”)

16 Coronary Artery Disease

Coronary Insufficiency

Coronary Stenosis

Collateral Circulation

Special Characteristics of Coronary Angiography and Cardiac Catheterization in Coronary Artery Disease

Coronary Angiography in Left Main Stem Stenosis

Coronary Angiography in Acute Coronary Syndrome

Coronary Angiography in Unstable Angina Pectorisand NSTEMI

Coronary Angiography in Acute Myocardial Infarction

Acute Mitral Regurgitation

Ventricular Septal Rupture

Rupture of the FreeWall

Special Characteristics of Coronary Angiography after Heart Transplantation

17 Pericardial Disease

Constrictive Pericarditis

Pericardial Effusion and Pericardial Tamponade

Pericardiocentesis

Cardiac Catheterization with Pericardial Tamponade

18 Aortic Dissection

Aortic Dissection

Ruptured Sinus of Valsalva Aneurysm

19 Congenital Heart Disease

Atrial Septal Defect

Ventricular Septal Defect

Aortic Coarctation

Pulmonary Valve Stenosis

20 Acute Pulmonary Embolism

Mechanical Thrombolysis

21 Myocarditis

III Interventional Cardiac Catheterization

22 Percutaneous Coronary Intervention and Coronary Stent Implantation

Percutaneous Coronary Intervention (PCI)

Coronary Stent Implantation

Characteristics of Different Stents

Balloon-expandable Bare-metal Stents

Self-expanding Metal Stent without/with Drugs

Bifurcation Stents

Stent Grafts

Drug-eluting Stents

Absorbable Vascular Scaffolds

23 Percutaneous Coronary Intervention in Acute Coronary Syndrome

Acute Coronary Syndrome without ST-segment Elevation

Acute Coronary Syndrome with ST-segment Elevation

Primary PCI

Rescue PCI

“Facilitated” PCI

24 Cutting Balloon Angioplasty

Cutting Balloon

AngioSculpt Balloon

SafeCut Balloon

25 Rotational Atherectomy

26 Laser Angioplasty

Recanalization of Chronic Occlusions with the “Laser Wire”

27 Thrombectomy and Protection Systems

Aspiration Catheter

Mechanical Thrombectomy

X-Sizer

AngioJet

Coronary Protection Systems

Characteristics of a Variety of Protection Systems

Occlusion System

Filter System

28 Peri-and Postinterventional Antithrombotic Therapy for Coronary Interventions

Unfractionated Heparin

Low-molecular-weight Heparins

Direct Thrombin Inhibitors

Pentasaccharides

Aspirin

P2Y12 Inhibitors

Glycoprotein IIb/IIIa Inhibitor

Fibrinolytics

Specific clinical situations

Diagnostic Coronary Angiography

PCI in Stable Angina

PCI in Acute Coronary Syndrome

Therapy after Stent Implantation

Patients in Cardiogenic Shock

Patients with an Indication for Oral Anticoagulation

Non-cardiac Surgeries after Stent Implantation

29 Special Examination Techniques

Intravascular Ultrasound

Intracoronary Pressure and Doppler Measurements

Intracoronary Pressure Measurement

Doppler Guidewire

Intracardiac Echocardiography

Optical Coherence Tomography (OCT)

30 Percutaneous Cardiac Support Systems

Intra-aortic Balloon Pump

Impella Pump

TandemHeart Pump

31 Heart Valve Interventions

Percutaneous Mitral Commissurotomy

Mitral Valve Interventions for Mitral Regurgitation

Pulmonary Valvuloplasty

Aortic Valvuloplasty

Transcatheter Aortic Valve Implantation (TAVI)

32 Occlusion of Septal Defects

Atrial Septal Defect

Patent Foramen Ovale

33 Other Interventional Techniques

Occlusion of the Left Atrial Appendage (LAA Occlusion)

Renal Nerve Ablation for Resistant Arterial Hypertension

34 Percutaneous Retrieval of Foreign Bodies in the Cardiovascular System

Index

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