Interventional cardiology refers to the catheter-based treatment of cardiovascular diseases and is one of the fastest growing fields in medicine. This updated text addresses recent advances in structural heart interventions, in particular aortic and mitral valve procedures. The advent of newer technologies presents both opportunities and challenges for the cardiologist to treat patients optimally. Interventional cardiologists are now at the forefront of peripheral and structural heart interventions.

This new edition focuses on tailoring treatment to individual patients, taking into account specific risk factors and comorbidities, and appropriate use of devices. This second edition also provides useful tools, such as treatment algorithms, evidence tables, charts, tables, and illustrations to enhance the value of this volume as a practical reference tool. The online edition also includes several “how-to” videos.

Features

Focus on tailoring treatment to the individual patients, taking into account specific risk factors and comorbidities and appropriate use of devices.

Provides useful tools, such as treatment algorithms, charts, tables and illustrations to enhance the value of this volume as a practical reference tool

Incorporates new structural heart interventional technology and provides “how to” videos in procedural chapters

Incorporates Evidence Tables in each procedural chapter; features evidence-based discussions on patient election, vascular access, general principles of coronary, peripheral and structural heart interventions, and various specific settings and optimal post procedure management

Provides clinicians with concise, easily accessible guidance on the pre-procedural, procedural and post procedural aspects of coronary, peripheral and structural heart interventions in general situations and in various specific clinical settings

Contents

Chapter 1 Introduction to cardiac catheterization
Chapter 2 Setting up a catheterization laboratory: Organizational, architectural, and equipment considerations
Chapter 3 Radiation safety
Chapter 4 Contrast media
Chapter 5 Patient selection, preparation, risks, and informed consent
Chapter 6 Conscious sedation (local anesthetics, sedatives, and reversing agents)
Chapter 7 Vasopressors, vasodilators, and antithrombotics in the catheterization laboratory
Chapter 8 Vascular access for percutaneous interventions and angiography
Chapter 9 Right heart catheterization: Cardiac output, vascular resistance, shunt detection, and quantification
Chapter 10 Pulmonary hypertension: Hemodynamic assessment and response to vasodilators
Chapter 11 Valvular heart disease: Measurement of valve orifice area and quantification of regurgitation
Chapter 12 Hemodynamic assessment for restriction, constriction, hypertrophic cardiomyopathy, and cardiac tamponade
Chapter 13 Endomyocardial biopsy: Indications and procedures
Chapter 14 Pericardiocentesis
Chapter 15 Catheterization of the cardiac venous system
Chapter 16 Coronary arterial anatomy: Normal, variants, and well-described collaterals
Chapter 17 Diagnostic angiographic catheters: Coronary and vascular
Chapter 18 Coronary imaging: Angiography, computed tomography angiography, and magnetic resonance coronary angiography
Chapter 19 Cardiac catheterization for pediatric patients
Chapter 20 Cardiac catheterization for the adult with complex congenital heart disease
Chapter 21 Ventriculography and aortography
Chapter 22 Pulmonary angiography
Chapter 23 Transseptal catheterization
Chapter 24 Mesenteric and renal angiography
Chapter 25 Peripheral vascular angiography
Chapter 26 Carotid and cerebral angiography
Chapter 27 Application of intracoronary physiology: Use of pressure and flow measurements
Chapter 28 Intravascular ultrasound and virtual histology
Chapter 29 Optical coherence tomography
Chapter 30 Percutaneous coronary intervention: General principles
Chapter 31 Guiding catheters and wires
Chapter 32 Coronary artery stenting
Chapter 33 Primary PCI in ST-elevation myocardial infarction
Chapter 34 Cardiogenic shock
Chapter 35 A clinical approach and comprehensive review of percutaneous revascularization of coronary chronic total occlusion
Chapter 36 Saphenous vein grafts
Chapter 37 Emboli protection devices, atherectomy, and thrombus aspiration devices
Chapter 38 Complications of PCI: Stent loss, coronary perforation, and aortic dissection
Chapter 39 Intra-aortic balloon pump counterpulsation and percutaneous left ventricular support
Chapter 40 Intracardiac echocardiography
Chapter 41 TEE to guide interventional cardiac procedures in the catheterization laboratory
Chapter 42 Transcatheter aortic valve replacement
Chapter 43 Percutaneous therapies for mitral valve disease
Chapter 44 Hypertrophic cardiomyopathy
Chapter 45 Left atrial appendage exclusion
Chapter 46 Percutaneous closure of atrial septal defect and patent foramen ovale
Chapter 47 Pediatric and adult congenital cardiac interventions
Chapter 48 Embolization for fistulas and arteriovenous malformations
Chapter 49 Peripheral arterial intervention (lower and upper extremity)
Chapter 50 Renal and mesenteric artery interventions
Chapter 51 Carotid and vertebral artery interventions
Chapter 52 Treatment of intracranial arterial disease
Chapter 53 Endovascular aneurysm repair
Chapter 54 Training program guidelines, case numbers, and maintenance of certification
Chapter 55 Electronic catheterization records and data collection for quality improvement