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Just In! Coming Soon Cardiac Imaging Cardiac Nursing Cardiac Surgery Cardiology (Assorted) Echo (Clinical) ECG Electrophysiology Fellows Heart Rhythm Society Interventional IBHRE (NASPExAM®) Prep Pacing & ICDs Cardiology - Clearance Browse All Subjects Cardiology (Assorted) Arrhythmia Cardiac Surgery Cardiovascular Diseases ECG Electrophysiology Heart Failure Interventional Pacing & ICDs Pediatric Vascular Diseases Just In! Coming Soon Computed Tomography Diagnostic Imaging (Assorted) Echo Tech MRI Test Prep (Self-assessment) Ultrasound Imaging - Clearance Browse All Subjects Diagnostic Imaging (Assorted) Computed Tomography Doppler Echocardiography Imaging - Test Prep MRI Nuclear Physics TEE Ultrasound Great Gift Idea! Give the gift of Cardiotext Sign up for free e-mail news about new titles and sales.	Product Detail Tough Calls in Interventional Cardiology: An Instructional Atlas Robert D. Safian Retail Price: $69.95 Cardiotext Price: $68.55 Note: Used copies may be available. - Availability: Processing time varies. Price is tentative. Alert me when this product is available Availability Questions? Product Information: ISBN-13: 9781890114275 ISBN-10: 1890114278 Publisher: Physicians Pr Format: Paperback, 713 pages Pub Date: 01/1997 Edition Number: 1 Shipping Calculator Request a Quote for 10+ Copies Tell A Friend Synopsis William Beaumont Hospital, Royal Oak, MI. Instructional atlas presenting more than 200 common and uncommon problems faced by interventional clinicians daily. Features the decision-making processes and opinions of the contributors. 36 contributors, 26 U.S. See These Other Titles Of Interest Interventional Cardiology: The Essentials for the Boards, Questions and Answers, Clinical Cases and Pearls by Cindy L. Grines Interventional Cardiology Secrets by Eduardo De Marchena Case Studies in Interventional Cardiology by Martin T. Rothman Primary Angioplasty by David Antoniucci Clinical Cases in Interventional Cardiology by Mike Cusack Interventional Cardiology by Spencer B. King Clinical, Interventional and Investigational Thrombocardiology by Richard Becker Essential Concepts in Cardiovascular Intervention by Deepak L. Bhatt Customer Reviews Be the first to review this product Browse Titles In Related Subjects Cardiology (General) Interventional Cardiology Additional Description TABLE OF CONTENTS SECTION 1: LESION-SPECIFIC INTERVENTION Eccentric Lesion 3 Ulcerated Lesion 8 Intraluminal Haziness 12 Thrombus 16 Total Occlusion of the LAD 24 Total Occlusion of the RCA 29 Total Occlusion with Bridging Collaterals 32 Calcified Lesion 41 Long Lesion 48 Ostial Lesion of the Diagonal Branch 54 Ostial Lesion of the RCA 58 Ostial Lesion of the LAD 62 Angulated Lesion on the Inner Curve 67 Angulated Lesion on the Outer Curve 71 Tortuous RCA 76 Tortuous LCX 81 Tortuous LCX and Abrupt Closure 84 Bifurcation: Lesion Proximal to Bifurcation 88 Bifurcation: Lesion Distal to Bifurcation 90 Bifurcation: Complex Lesion 92 Bifurcation: Multiple Lesions 94 Bifurcation: True Bifurcation Lesion 96 Left Main: Protected Left Main Lesion 102 Left Main: Bifurcation Lesion 106 Left Main: Unprotected Left Main Lesion 109 Vein Graft: Degeneration 116 Vein Graft: Complex Lesion 122 Vein Graft: Aortoostial Lesion 131 Vein Graft: Distal Anastomotic Lesion 136 Vein Graft: Thrombus 140 Vein Graft: Ulcerated Lesion 145 SECTION 2: DEVICE-SPECIFIC TECHNIQUES Directional Atherectomy Techniques Eccentric Lesion in the LAD 152 Eccentric Lesion in the RCA 156 Ulcerated Lesion 158 Long Lesion 164 Functional Total Occlusion 166 Total Occlusion 168 Angulated Lesion in the LAD 170 Angulated Lesion in the RCA 172 Large Thrombus 174 Small Thrombus 176 Trifurcation Lesion 178 Bifurcation Lesion 180 Calcified Lesion 182 Calcified Ostial Lesion 184 Ostial Lesion in the Diagonal 186 Ostial Lesion in the LAD 189 Ostial Lesion in the LCX 192 Saphenous Vein Graft Lesion 194 Degenerated Saphenous Vein Graft 196 Ostial Saphenous Vein Graft Lesion 198 Tortuous LCX 200 Tortuous RCA 202 TEC Atherectomy Techniques Eccentric Lesion in the LAD 206 Eccentric Lesion in the RCA 208 Ulcerated Lesion 210 Tubular Lesion 212 Long Lesion 214 Tortuous RCA 215 Tortuous LCX 216 Functional Total Occlusion 218 Total Occlusion 220 Angulated Lesion in the LAD 222 Angulated Lesion in the RCA 224 Trifurcation Lesion 226 Bifurcation Lesion 228 Calcified Lesion 230 Calcified Ostial Lesion 232 Ostial Lesion in the Diagonal 234 Ostial Lesion in the LAD 236 Ostial Lesion in the LCX 238 Degenerated Saphenous Vein Graft 239 Ostial Saphenous Vein Graft Lesion 242 Saphenous Vein Graft Lesion 244 Small Thrombus 246 Large Thrombus 248 Rotablator Techniques Eccentric Lesion in the LAD 252 Eccentric Lesion in the RCA 254 Ulcerated Lesion 256 Tubular Lesion 258 Long Lesion 261 Functional Total Occlusion 264 Total Occlusion 265 Angulated Lesion in the LAD 266 Angulated Lesion in the RCA 268 Tortuous LCX 270 Tortuous RCA 272 Large Thrombus 274 Small Thrombus 276 Trifurcation Lesion 278 Bifurcation Lesion 280 Calcified Lesion 282 Calcified Ostial Lesion 285 Ostial Lesion in the Diagonal 288 Ostial Lesion in the LAD 290 Ostial Lesion in the LCX 292 Saphenous Vein Graft Lesion 294 Degenerated Saphenous Vein Graft 296 Ostial Saphenous Vein Graft Lesion 298 ELCA Techniques Eccentric Lesion in the LAD 302 Eccentric Lesion in the RCA 304 Ulcerated Lesion 306 Tubular Lesion 308 Long Lesion 310 Functional Total Occlusion 312 Total Occlusion 314 Angulated Lesion in the LAD 316 Angulated Lesion in the RCA 318 Tortuous LCX 320 Tortuous RCA 322 Large Thrombus 324 Small Thrombus 326 Trifurcation Lesion 328 Bifurcation Lesion 330 Calcified Lesion 332 Calcified Ostial Lesion 334 Ostial Lesion in the Diagonal 336 Ostial Lesion in the LAD 338 Ostial Lesion in the LCX 339 Saphenous Vein Graft Lesion 340 Degenerated Saphenous Vein Graft 342 Ostial Saphenous Vein Graft Lesion 344 Stent Techniques Eccentric Lesion in the LAD 348 Eccentric Lesion in the RCA 350 Ulcerated Lesion 352 Tubular Lesion 354 Long Lesion 356 Functional Total Occlusion 358 Total Occlusion 360 Angulated Lesion in the LAD 362 Angulated Lesion in the RCA 365 Tortuous LCX 368 Tortuous RCA 371 Trifurcation Lesion 374 Bifurcation Lesion 376 Calcified Lesion 378 Calcified Ostial Lesion 381 Ostial Lesion in the Diagonal 384 Ostial Lesion in the LAD 386 Ostial Lesion in the LCX 388 Degenerated Saphenous Vein Graft 390 Ostial Saphenous Vein Graft Lesion 392 Saphenous Vein Graft Lesion 394 Large Thrombus 397 Small Thrombus 400 PTCA Techniques Eccentric Lesion in the LAD 404 Eccentric Lesion in the RCA 406 Ulcerated Lesion 409 Tubular Lesion 412 Long Lesion 415 Angulated Lesion in the LAD 418 Angulated Lesion in the RCA 420 Tortuous LCX 422 Tortuous RCA 425 Large Thrombus 428 Small Thrombus 430 Functional Total Occlusion 433 Total Occlusion 436 Calcified Lesion 438 Calcified Ostial Lesion 440 Ostial Lesion in the Diagonal 442 Ostial Lesion in the LAD 444 Ostial Lesion in the LCX 446 Saphenous Vein Graft Lesion 448 Degenerated Saphenous Vein Graft 450 Ostial Saphenous Vein Graft Lesion 452 Trifurcation Lesion 454 Bifurcation Lesion 456 SECTION 3: ISCHEMIC SYNDROMES Anterior Myocardial Infarction: Primary PTCA 464 Anterior Myocardial Infarction: Suboptimal PTCA 472 Posterior Myocardial Infarction 475 Acute Myocardial Infarction: Cardiogenic Shock 478 Acute Myocardial Infarction: Rescue PTCA 482 Acute Myocardial Infarction: Rescue PTCA 485 Acute Myocardial Infarction: Mild Lesion 488 Acute Myocardial Infarction: Delayed PTCA of Total Occlusion 492 Acute Myocardial Infarction: Delayed PTCA of Subtotal Occlusion 495 Chest Pain: Simple Lesion 498 Chest Pain: Complex Lesion 500 SECTION 4: HIGH RISK PATIENTS Multivessel Disease: Simple Lesions 504 Multivessel Disease: Complex Lesions 512 Multivessel Disease: Proximal LAD and Ostial RCA 517 Complex Patient: Simple Lesion 521 Complex Patient: Complex Lesion 524 Risk Stratification Based on Left Ventricular Function 526 Single Patent Vessel 529 SECTION 5: SUBOPTIMAL RESULTS Rigid Lesion: LAD 535 Rigid Lesion: Vein Graft 538 Elastic Recoil 541 Watermelon Seeding 544 Residual Stenosis: RCA 546 Residual Stenosis: Vein Graft 549 Intraluminal Haziness 552 New Filling Defects 555 Persistent Filling Defects 558 Focal Dissection 561 Focal Dissection During Acute MI 564 Focal Dissection: Abrupt Closure 567 Dissection: Abrupt Closure During Acute MI 569 Vein Graft Dissection 571 Left Main Dissection 573 Long Dissection: Abrupt Closure 575 Spiral Dissection: Abrupt Closure 577 Long Dissection 580 Complex Dissection 583 Bailout Stent: Rigid Lesion 586 Stent: Suboptimal Deployment 589 Stent: Articulation Defect 591 Stent: Incomplete Expansion 593 Stent: Migration 595 Stent: Filling Defect 599 Stent: Subacute Thrombosis 601 Stent: Residual Dissection 605 No-Reflow 608 Late Aneurysm 611 Coronary Ectasia 613 Free Perforation 615 Contained Perforation 618 SECTION 6: MISCELLANEOUS Stent Embolization 624 Catheter Embolization to Pulmonary Artery 626 Catheter Embolization to Femoral Artery 628 Pseudolesion 630 SECTION 7: REFERENCES 633 INDEX 711 CONTRIBUTORS Donald Baim, M.D., Professor of Medicine, Harvard Medical School, Chief, Interventional Cardiology Section, Beth Israel Hospital, Boston, MA John Bittl, M.D., Associate Professor of Medicine, Harvard Medical School; Director Interventional Cardiology, Brigham & Women's Hospital, Boston, MA Antonio Colombo, M.D., Director, Cardiac Catheterization Laboratory, Columbus Hospital, Milan, Italy; Director, Investigational Angioplasty, Lenox Hill Hospital, New York, NY Michael Cowley, M.D., Professor of Medicine, Medical College of Virginia, Richmond, VA John Douglas Jr., M.D., Associate Professor of Medicine/Cardiology; Co-Director, Cardiac Catheterization Laboratory, Emory University Hospital, Atlanta, GA Raimund Erbel, M.D,., Professor of Internal Medicine/Cardiology; Director, Department of Cardiology, University-GHS-Essen, Germany David Faxon, M.D., Professor of Medicine; Chief, Division of Cardiology, University of Southern California School of Medicine, Los Angeles, CA David Foley, M.D., Director, Cardiac Catheterization Laboratory, Erasmus University, Rotterdam, Netherlands Barry George, M.D., Associate Professor of Medicine, Ohio State University, Columbus, OH Cindy Grines, M.D., Director, Cardiac Catheterization Laboratory, William Beaumont Hospital, Royal Oak, MI Richard Heuser, M.D., Director, Interventional Cardiology; Director, Research and Education, Arizona Heart Institute and Foundation, Phoenix, AZ David Holmes, M.D., Director, Adult Cardiac Catheterization Laboratory, Mayo Clinic, Rochester, MN Dean Kereiakes, M.D., Director, The Carl & Edyth Lindner Center for Clinical Cardiovascular Research; Professor of Medicine, The University of Cincinnati College of Medicine, Cincinnati, OH Morton Kern, M.D., Professor of Internal Medicine; Director, J.G. Mudd Cardiac Catheterization Laboratory, St. Louis University Health Sciences Center, St. Louis, MO Ferdinand Kiemeneij, M.D., Amsterdam Hospital, Department of Interventional Cardiology, The Netherlands Takeshi Kimura, M.D., Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan Spencer King III, M.D., Professor of Medicine/Cardiology; Director, Interventional Cardiology, Emory University Hospital, Atlanta, GA Martin Leon, M.D., Director, Cardiovascular Research, Washington Hospital Center, Washington, DC Frank Litvack, M.D., Co-Director, Cardiovascular Intervention Center, Cedars-Sinai Medical Center, Los Angeles, CA Bernhard Meier, M.D., Professor and Head of Cardiology, University Hospital, Geneva, Switzerland Michael Mooney, M.D., Director, Interventional Cardiology, Minneapolis Heart Institute, Minneapolis, MN Marie-Claude Morice, M.D., ICPS L'Angio, Centre Cardiologique du Nord, Saint-Denis, France Richard Myler, M.D., Clinical Professor of Medicine, University of California; Medical Director, San Francisco Heart Institute, Daly City, CA Masakiyo Nobuyoshi M.D., Vice Medical Director; Chairman of Heart Center; Director, Department of Cardiology, Kitakyushu, Japan William O'Neill, M.D., Chief, Division of Cardiology, William Beaumont Hospital, Royal Oak, MI Ian Penn, M.D., Director, Interventional Cardiology, Vancouver General Hospital, Vancouver, British Columbia, Canada Nicolaus Reifart, M.D., Professor of Medicine, Red Cross Hospital & Heart Center, Frankfurt, Germany Gary Roubin, Ph.D., M.D., Professor of Medicine, Radiology; Director, Interventional Cardiology and Cath Laboratory, University of Alabama, Birmingham, Birmingham, AL Timothy Sanborn, M.D., Professor of Medicine: Director, Cardiac Catheterization Laboratory, New York, Hospital-Cornell Medical Center, New York, NY Richard Schatz, M.D., Research Director, Cardiovascular Intervention, Scripps Clinic & Research Foundation, LaJolla, CA Patrick Serruys, Ph.D., M.D., Professor, Interventional Cardiology, Erasmus University, Rotterdam, The Netherlands Ulrich Sigwart, M.D., Director, Department of Invasive Cardiology, Royal Brompton Hospital, London, England Paul Teirstein, M.D., Director, Interventional Cardiology, Scripps Clinic & Research Foundation, LaJolla, CA Eric Topol, M.D., Chairman & Professor, Department of Cardiology; Director, Joseph J. Jacobs Center for Thrombosis and Vascular Biology, The Cleveland Clinic Foundation, Cleveland, OH Patrick Whitlow, M.D., Director, Interventional Cardiology, The Cleveland Clinic Foundation, Cleveland, OH David Williams, M.D., Director, Cardiovascular Laboratory and Interventional Cardiology, The Rhode Island Hospital, Providence, RI
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