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Synopsis Click here for new edition.St. Louis University, MO. Manual of coronary and peripheral arterial intervention techniques, for clinicians, trainees, nurses, and technicians. Companion to The Cardiac Catheterization Handbook. Wire spiral binding. 24 contributors, 17 U.S. DNLM: Heart Catheterization - methods - handbooks. |
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TABLE OF CONTENTS
INTRODUCTION TO INTERVENTIONAL CARDIOLOGY
Spencer B. King, III and Morton J. Kern
1 CORONARY ANGIOPLASTY 9
Morton J. Kern, Ubeydullah Deligonul, and Scott Carollo
Introduction 9
Indications for PTCA 13
PTCA Equipment 16
Balloon Dilatation Catheter Systems 22
Angioplasty Guidewires 32
Coronary Balloon Angioplasty: The Clinical Procedure 39
Coronary Angioplasty Follow-Up 42
Training and Guidelines for Coronary Angioplasty 46
2 ARTERIAL AND VENOUS ACCESS AND HEMOSTASIS
FOR INTERVENTIONAL PROCEDURES 50
Ubeydullah Deligonul, Eugene A. Caracciolo, and
Morton J. Kern
Vascular Access 50
Coronary Artery Access 57
Coronary Guiding Catheters 73
Sheath Care and Hemostasis after Coronary Angioplasty 74
3 ANGIOGRAPHY FOR INTERVENTIONAL PROCEDURES 78
Morton J. Kern, Ubeydullah Deligonul, Steven E. Nissen,
and Alexander Khoury
Angiography Techniques 78
Common Angiographic Views for Angioplasty 80
Angiographic and Video Imaging Systems 93
Medications Used in Coronary Angiography 101
Radiation Exposure during Coronary Angioplasty 107
Peripheral Vascular Angiography 110
4 CORONARY ANGIOPLASTY COMPLICATIONS AND ANTITHROMBOTIC THERAPY 115
Richard G. Bach, Ubeydullah Deligonul, Thomas M. Myers,
and Morton J. Kern
Section L Coronary Angioplasty Complications 115
Incidence of Major Complications 115
Acute Myocardial Ischemia due to Abrupt Closure 119
Hypotension 132
Arrhythmias 132
Cardiac Tamponade 133
The Undilatable Lesion 134
Peripheral Vascular Complications after Coronary Interventions 135
Complications Related to Radiographic Contrast Media 140
Cholesterol Emboli 141
Cerebral Vascular Accidents 141
Section II. Antithrombotic Therapy 145
Heparin 145
Warfarin 150
Aspirin 154
Ticlopidine 156
Thrombolytic Agents 156
5 STENTS 161
Antonio Colombo, Patrick Hall, Luigi Maiello,
Shigeru Nakamura, Antonio Gaglione, Frank Aguirre,
and Morton J. Kern
Intracoronary Stent Implantation 161
Stent Implantation 165
Stent Optimization Strategy 172
Intravascular Ultrasound (IVUS) 186
Optimization Complications 201
Anticoagulation for Stent Placement 202
Clinical Results: Stress and Benestent Trials 205
Peripheral Vascular Stents 214
6 CORONARY ATHERECTOMY, ROTATIONAL ABLATION, AND
TRANSLUMINAL EXTRACTION CATHETER TECHNIQUES 223
Frank V. Aguirre, Ubeydullah Deligonul, and
Morton J. Kern
Directional Coronary Atherectomy 224
Rotational Atherectomy (Rotablator) 236
Transluminal Extraction Catheter Atherectomy 250
7 RESTENOSIS 261
Ubeydullah Deligonul, Stanley G. Rockson, and
Morton J. Kern
Restenosis 261
New Interventional Devices 266
8 DIFFICULT ANGIOPLASTY SITUATIONS 281
Morton J. Kern, Richard G. Bach, Thomas J. Donohue,
and Ubeydullah Deligonul
Bifurcation Stenosis Angioplasty 281
Angioplasty of Severely Eccentric Coronary Stenoses 288
Angioplasty of Severely Calcified Stenotic Arteries 290
Angioplasty of Ostial Lesions 291
Coronary Angioplasty for Very Proximal Left Anterior
Descending Stenosis 296
Angioplasty for Total Coronary Occlusions 296
Multivessel Coronary Angioplasty 301
Angioplasty for Unstable Angina 307
Angioplasty for Acute Myocardial infarction 308
Angioplasty for Cardiogenic Shock 310
Angioplasty in the Elderly 310
Angioplasty in Cardiac Transplant Recipients 311
Angioplasty of Coronary Artery Conduits 311
Treatment of Thrombosis during Coronary Angioplasty 315
9 HIGH-RISK ANGIOPLASTY 324
Richard G. Bach, Bruce A. Bergelson, Carl L. Tommaso,
Eugene Caraciollo, and Morton J. Kern
Clinical and Anatomic Factors in High-Risk Angioplasty 324
Supporting the High-Risk Angioplasty Patient 326
Management of Abrupt Vessel Closure in High-Risk Patients 338
Management of Arrhythmias during Coronary Angioplasty 341
Summary 347
10 NONANGIOGRAPHIC CORONARY LESION ASSESSMENT 349
John McB. Hodgson, Morton J. Kern, Thomas J. Donohue,
and Thomas L. Wolford
Intravascular Ultrasound Imaging 349
Intracoronary Doppler Flow Velocity 369
Translesional Pressure Measurements 381
Percutaneous Coronary Angioscopy 385
11 PERIPHERAL AND CEREBRAL VASCULAR CATHETERIZATION AND
ANGIOPLASTY TECHNIQUES 393
Morton J. Kern and Camillo R. Gomez
Peripheral Vascular Angioplasty Procedure 394
Renal Artery Balloon Angioplasty 400
Intravascular Ultrasound Guidance for Peripheral
Vascular Interventions 409
Cerebral Catheterization and Interventional Techniques 411
Current and Future Interventional Cerebral Catheterization
Procedures 434
Training Standards for Peripheral Angioplasty 437
12 INOUE BALLOON MITRAL COMMISSUROTOMY AND AORTIC VALVULOPLASTY 444
Ted Feldman and John D. Carroll
Mitral Commissurotomy 444
Aortic Valvuloplasty 466
Summary 476
13 PERICARDIOCENTESIS, BALLOON PERICARDIOTOMY, AND SPECIAL
TECHNIQUES 480
Ted Feldman, John D. Carroll, Andrew A. Ziskind, and
Morton J. Kern
Pericardiocentesis 480
Percutaneous Balloon Pericardiotomy 482
Special Techniques 491
14 LASER CORONARY ANGIOPLASTY 495
Herbert J. Geschwind
Background 495
Mechanism 496
Equipment 498
Technique 498
Indications 500
Clinical Results 500
Complications 500
Summary 501
APPENDICES
I Common Medications during Coronary Angioplasty 503
II Techniques of Arrhythmia Management 517
Ventricular Tachycardia /Fibrillation 517
Supraventricular Arrhythmias 518
III Coronary Angiographic Projections and Nomenclature 520
IV Interventional Device Specifications 530
V Peripheral Vascular Anatomy 539
INDEX 541
