Tips And Tricks In Interventional Cardiology
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Interventional cardiology is growing more and more integral to the modern-day management of cardiovascular problems. Indeed, trainees are taught interventional methods as a matter of course. With a widening range of options open to them, however, the practicing cardiologist must be diligent and discerning when selecting the appropriate course of action for each patient, adapting their strategy as circumstance demands. Developing the skills and experience necessary to make these key judgments can be a challenging and lengthy process.
The Practical Handbook of Advanced Interventional Cardiology is an invaluable resource for both practitioners and trainees in interventional cardiology and all related areas of cardiovascular medicine.
Catheter-based treatment of structural heart diseases (SHD) has seen tremendous advances in the past decades, thanks to the development of new devices and advances in imaging techniques. Today, we have an extensive armamentarium of imaging tools for preprocedural planning, intraprocedural guidance and follow-up of SHD. Intraprocedural guidance is based mainly on transoesophageal echocardiography; however, other imaging modalities are used as complementary or alternative techniques, each of them with its strengths and weaknesses. Thus, a multimodality imaging approach provides added values in this setting. As the field of imaging parallels the continuous technical improvements, this review will describe the state of the art imaging techniques, focusing on echocardiography during procedural guidance of the most common catheter-based interventions, providing tips and tricks for interventional cardiologists: in particular, how to guide transseptal crossing; left atrial appendage closure; transcatheter mitral or tricuspid valve repair or replacement; percutaneous closure of patent foramen ovale and atrial defects; and percutaneous closure of paravalvular leaks. Open challenges for the near future are the need for physicians with specific technical skills and competencies in SHD imaging, more attention to high levels of radiation exposure, and optimisation of intraprocedural and post-procedural evaluation.
This review will describe the use of imaging techniques, focusing attention on echocardiography during procedural guidance of the most common catheter-based interventions of SHD, providing some tips and tricks for the practical interventional cardiologist (Central Illustration).
Percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) remains one of the major challenges in interventional cardiology. The appropriate use of the rapidly increasing range of tools available to interventional cardiologists is bringing more and more CTOs into the 'treatable' category. The bar has now been raised to 80% success rates by some expert operators around the world, which, in our view, cannot be achieved without a thorough understanding of technique and technical know-how. CTO procedures are increasingly becoming a sub-specialist field within interventional cardiology and we would encourage centers to consider appointing 'super-specialists' who are able to concentrate experience and expertise in this area. In this paper we detail the principal characteristics of the over the wire balloons, microcatheters and guidewires at present available, the most popular and recent of which are listed in Table 1 and 2. The knowledge and the specific choice of these materials and the criteria for selection of your guidewire or microcatheter can mean the difference between success and failure. Moreover, we discuss on the most important and groundbreaking techniques to approach a CTO. Finally, considering the greater risk of coronary perforation related to a CTO procedure compared to routine PCI, we describe which are best strategy and devices for treating coronary perforations and other major complications.
Kamel Shibbani, MD is a general pediatric cardiology fellow pursuing a career in interventional cardiology. Dr. Shibbani is completing his cardiology fellowship at the University of Iowa. His research background includes a basic science postdoc at Johns Hopkins that focused on iPSC and early cardiac progenitor cells. He also has a strong interest in translational research and ACHD cath. He is active in the PICS society.
This second edition has been fully revised to provide clinicians with the latest advances in interventional cardiology, focusing on key procedures used in practice. Beginning with an overview of percutaneous coronary intervention, the following sections discuss instruments and techniques for different cardiovascular disorders. A complete chapter is dedicated to drugs used in the Cathlab and mechanical circulatory support. The second edition has been expanded and includes new topics and features nearly 200 clinical photographs, diagrams and tables. Previous edition (9789351528210) published in 2015. Key points Fully revised, new edition covering latest advances in interventional cardiology Second edition has been expanded with new topics and illustrations Includes chapter on drugs used in the Cathlab and mechanical circulatory support Previous edition (9789351528210) published in 2015
ARCH will continue to focus on evidence-based data, newer technological advances, case-based discussions, tips and tricks in complex cases, innovative therapeutic strategies that will enable physicians to treat their patients with high-risk and complex coronary, peripheral vascular and structural anatomy.
Minimally invasive techniques used in interventional cardiology typically result in fasterrecovery, less pain and scarring, less blood loss and quicker return to everyday life, workand the activities you love.
Participants learn how AXIOM Artis dBC with AXIOM Sensis XP is used in interventional cardiology. Since both a single-plane Artis zee floor and a biplane system are available, there is a unique opportunity to explore clinical use and learn the differences between a single-plane vs. a biplane system configuration. 59ce067264
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