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Contents
Contributors ix
Foreword Raphael Balcon xi
Preface xiii
Section One Fundamental Techniques 1
1 History, development and current activity
Michael S. Norell 3
2 Selection of patients for percutancous intervention
Rod Stables 13
3 Patient investigation, work up and preparation
Ian R. Starkey 21
4 Pathology of balloon dilatation and restenosis
David H. Roberts 31
5 Anti-thrombotic pharmacology and angioplasty
Anthony Gershlick 41
6 Intra-coronary stenting
E. John Perrins 63
7 Complications of angioplasty
David Smith 81
Section Two Devices 93
8 Physiological assessment of coronary stenosis: pressure
wire and allied technologies
Michael Cusack and Simon Redwood 95
9 Which device for which lesion?
Simon Redwood 107
10 Rotational atherectomy
Mark de Belder 121
11 Directional coronary atherectomy
David R. Ramsdale 139
12 The use of laser in coronary intervention
Peter Schofield 169
13 Cutting balloon angioplasty (CBA): technique
Raphael A. Perry 181
14 The X-SizerTI: technique
Maya Far Shui 189
15 Transluminal extraction catheter (TEC): technique
Jim Hall 197
16 Intra-coronary brachytherapy
Martyn R. Thomas 203
Section Three Non-coronary Intervention 215
17 . Percutaneous mural balloon valvuloplasty
Bernard D. Prendergast and Roger J. C. Hall 217
18 Non-surgical septal reduction in hypertrophic
cardiomyopathy
Rod Stables and Ulrich Sigwart 233
19 Endovascular treatment of aortic coarctation
Duncan F. Ettles and Anthony Nicholson 245
20 Transcatheter occlusion of the patent arterial duct and
atrial septal defect
Eric Rosenthal 253
21 Percutaneous balloon pericardiotomy
John L. Chaplin 263
22 Intracardiac foreign body retrieval
Ever D. Grech and David R. Ramsdale 269
23 The basics and clinical utility of intravascular ultrasound
in coronary artery disease
Neal G. Uren 281
Section Four Acute and MI and Shock 301
24 Angioplasty for acute myocardial infarction
Keith D. Dawkins 303
25 Supported angioplasty
Adam J. de Belder 319
Section Five New Techniques in Vascular Access 329
26 Transradial coronary intervention
Simon C. Eccleshall and James Nolan 331
27 Femoral artery complications and the use of closure
devices
James M. McLenachan 341
Section Six Current Practice and Future Perspectives 347
28 The future of coronary catheter intervention from a
European perspective
Bernhard Meier 349
29 Guidelines for good practice and training in coronary
angioplasty, audit and device regulation
Michael S. Norell 357
Appendices
A Major trials in interventional cardiology
Angela Hoye and Mark Walters 367
B Contact details for societies, manufacturers' details,
key websites 405
Index 411
Contributors
Raphael Balcon, MD, FRCP
London Chest Hospital,
London, UK
John L Caplin BSc(Hons), MD, FRCP
Consultant Cardiology and Honorary
Senior Lecturer in Cardiology
Hull Royal Infirmary,
Hull, UK
Michael Cusack BSc (Hons), MB ChB, MRCP (UK)
Specialist Registrar in Cardiology
Cardiothoracic Unit
St Thomas' Hospital
London, UK
Keith D Dawkins BSc, MD, FRCP, FACC
Consultant Cardiologist
Southampton General Hospital
Southampton, UK
Adam J de Belder BSc, MRCP, MD
Consultant Cardiologist,
Department of Cardiology,
Royal Sussex County Hospital,
Brighton, UK
Mark de Belder MA, MD, FRCP
Consultant Cardiologist,
South Cleveland Hospital,
Middlesbrough, UK
Simon C Eccleshall MB, ChB, MRCP
International Fellow,
Amsterdam Department of Interventional Cardiology,
OLUG Hospital,
Amsterdam, The Netherlands
Duncan F Ettles MB ChB (Hons), MRCP, FRCR, MD
Consultant
Cardiovascular and Interventional Radiologist
Honorary Senior Lecturer,
Department of Radiology,
Hull Royal Infirmary,
Hull, UK
Anthony Gershlick Bsc, MBBS, FRCP
Consultant
Cardiologist/Honorary
Senior Lecturer,
Department of Academic Cardiology,
Glenfield Hospital,
Leicester, UK
Ever D Grech MBBS, MRCP (UK), MD, FACC
Consultant Cardiologist,
Health Sciences Centre,
Winnipeg, Canada
Jim Hall MA, MD, FRCP
Consultant Cardiologist,
Cardiothoracic Unit,
South Cleveland Hospital,
Middlesbrough, UK
Roger JC Hall BA, MD, FRCP, FESC
Professor of Clinical Cardiology,
Hammersmith Hospital,
London, UK
Angela Hoye, MRCP
Specialist Registrar,
Hull Royal Infirmary,
Hull, UK
James M McLenachan MD, FRCP
Consultant Cardiologist,
Leeds General Infirmary,
Leeds, UK
Bernhard Meier MD, FACC, FESC
Professor and Chairman,
Swiss Cardiovascular Center Bern,
University Hospital,
Bern, Switzerland
Anthony Nicholson MSc, FRCR
Consultant
Cardiovascular and Interventional Radiologist,
and President,
British Society of Interventional Radiologists,
Department of Radiology,
Hull Royal Infirmary,
Hull, UK
James Nolan MB ChB, MRCP, MD
Consultant Cardiologist,
Cardiothoracic Centre,
North Staffordshire Hospital,
Stoke-on-Trent, UK
Michael S. Norell MD, FRCP
Consultant Cardiologist,
Hull Royal Infirmary,
Hull, UK
E. John Perrins MD, BSc, FRCP, FACC
Consultant Cardiologist,
Department of Cardiology,
Leeds General Infirmary,
Leeds, UK
Raphael A Perry FRCP, DM, FACC, BMedSci
Consultant Cardiologist,
Cardiothoracic Centre Liverpool,
Liverpool, UK
Bernard D Prendergast DM, MRCP
Senior Registrar in Cardiology,
Department of Cardiology,
Western General Hospital,
Edinburgh, UK
David R Ramsdale BSc, MB, ChB, FRCP, MD
Consultant Cardiologist
and Director of Cardiac
Catherisation,
Cardiothoracic Centre
Liverpool,
Liverpool, UK
Simon Redwood MD, MRCP
Senior Lecturer/Consultant Interventional Cardiologist,
Cardiothoracic Unit,
St Thomas' Hospital,
London, UK
David H. Roberts MD, FRCP, FACC, FESC, FICA
Consultant Cardiologist,
Victoria Hospital NHS Trust,
Blackpool, UK
Eric Rosenthal MD, FRCP
Consultant Paediatric Cardiologist,
Guy's Hospital,
London, UK
Peter Schofield MD, FRCP, FACC, FESC
Consultant Cardiologist,
Papworth Hospital,
Cambridge, UK
Man Fai Shui MD, FRCP
Consultant Cardiologist,
Walsgrave Hospital,
Coventry, UK
Ulrich Sigwart MD, FRCP
Consultant Cardiologist
and Director,
Department of Invasive Cardiology,
Royal Brompton Hospital,
London, UK
David Smith BSc, MBBS, FRCP
Consultant Cardiologist,
Cardiology Department,
Royal Devon & Exeter
Hospital (Wonford),
Exeter, UK
Rod Stables MA, DM, MRCP
Consultant Cardiologist,
Cardiothoracic Centre
Liverpool,
Liverpool, UK
Ian R Starkey Bsc, MB ChB, FRCP
Consultant Cardiologist,
Western General Hospital,
Edinburgh, UK
Martyn R Thomas
Consultant Cardiologist,
Department of Cardiology,
King's College Hospital,
London, UK
Neal G Uren MD, MRCP
Consultant Cardiologist,
Department of Cardiology,
Royal Infirmary,
Edinburgh, UK
Mark Walters MB ChB, MRCP
Consultant Cardiologist,
Diana Princess of Wales Hospital,
Grimsby, UK
