Interventional cardiology has transformed the practice of cardiovascular medicine. Since the first human balloon angioplasty by Dr. Andreas Gruentzig in 1977, cardiology has evolved from a purely diagnostic to a therapeutic specialty focused on cardiovascular procedures performed percutaneously. Armed with the knowledge acquired from more than three decades of research in vascular biology and from the results of large-scale clinical trials involving drugs, stents, and advanced techniques, today's interventional cardiologist confidently tackles complex coronary lesions considered untreatable just a short time ago. Initially confined to coronary artery disease, the field has expanded to include percutaneous treatment of vascular beds outside of the heart as well as nonatherosclerotic cardiovascular conditions such as valvular and congenital lesions, often described as “structural” heart disease.
Naturally, it is expected that interventional cardiology will continue to change rapidly. It is certainly challenging for the current practitioner to stay apace of these developments, and any publication attempting to teach interventional cardiology is at risk of becoming antiquated just as it is being published. Nevertheless, many underlying concepts and principles will endure through the years and require proficiency by the competent practitioner.
Currently, several outstanding interventional cardiology books provide comprehensive information in conventional textbook formats. Cases in Interventional Cardiology differs from these traditional books by focusing on a case-based approach to teach the core principles of interventional cardiology. Each case illustrates one or more important and enduring concepts that the competent interventional cardiologist is expected to master.
Just as no single illustration can possibly capture all aspects of life in nineteenth-century Tokyo, careful study of numerous individual cases helps the practitioner appreciate the many nuances of interventional cardiology.
Each case presentation is formatted to include the relevant clinical background and representative images needed to understand the problem addressed. Still-frame images appear within the text, and when necessary, angiograms or ultrasound images are provided on the companion Expert Consult website. The outcomes of the case and management strategies are discussed, along with supportive didactic information and the most important and relevant literature. Key concepts are summarized at the end of the discussion.
Cases in Interventional Cardiology is designed principally for fellows enrolled in interventional cardiology training programs and for practicing interventional cardiologists preparing for board examination or recertification. In addition, general cardiology fellows, practicing cardiologists, cardiac catheterization laboratory nurses and technicians, cardiology nurse practitioners, physician assistants, and coronary care unit nurses will find this information highly relevant and of interest.
-- Michael Ragosta, MD, FACC, FSCAI
Key Features
- See how to manage a wide range of coronary lesions via 100 case studies illustrating a wide range of clinical scenarios you may experience.
- Get unparalleled visual guidance with high-quality clinical images that help you recognize the characteristic appearance of coronary and peripheral lesions.
- Improve patient care with advice on:
- patient selection,
- complications,
- complex lesion subsets,
- management dilemma controversies, and more.
- Find what you need quickly thanks to a practical, consistent chapter-to-chapter format.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Videos: View video clips illustrating a variety of conditions.
Contents
SECTION ONE - Complex Coronary Interventions
- Introduction
- CASE 1 - Restenosis of a Drug-Eluting Stent
- CASE 2 - LAD-Diagonal Bifurcation Lesion
- CASE 3 - Extensive Coronary Calcification
- CASE 4 - Coronary Aneurysm
- CASE 5 - Nondilatable Lesion
- CASE 6 - High-Risk, Hemodynamically Supported PCI
- CASE 7 - Saphenous Vein Graft Disease
- CASE 8 - STEMI Intervention and Stent Thrombosis
- CASE 9 - Unprotected Left Main Coronary Intervention
- CASE 10 - PCI of an Ostial Right Coronary Artery Lesion
- CASE 11 - Chronic Total Occlusion Intervention
- CASE 12 - Excessive Coronary Tortuosity
- CASE 13 - Complex Coronary Disease
- CASE 14 - Extensive Coronary Thrombus
- CASE 15 - Transplant Vasculopathy
SECTION TWO - Complications
- Introduction
- CASE 16 - Coronary Perforation
- CASE 17 - Extensive Coronary Dissection
- CASE 18 - Unsuccessful Coronary Intervention
- CASE 19 - Coronary Dissection Involving the Aortic Root
- CASE 20 - No-Reflow After Coronary Intervention
- CASE 21 - Tamponade Following a Coronary Intervention
- CASE 22 - Saphenous Vein Graft Rupture
- CASE 23 - Coronary Perforation
- CASE 24 - Early Stent Thrombosis
- CASE 25 - Retroperitoneal Bleed
- CASE 26 - Severe Thrombocytopenia After Coronary Intervention
- CASE 27 - Loss of Side Branch During Right Coronary Intervention
- CASE 28 - Coronary Perforation Caused by a Guidewire
- CASE 29 - Acute Vessel Closure During Coronary Intervention
- CASE 30 - Intracranial Hemorrhage After Coronary Intervention
- CASE 31 - Coronary Artery Pseudoaneurysm After Stenting
- CASE 32 - Coronary Air Embolism
- CASE 33 - Dissection of Both a Left Internal Mammary Graft and the Subclavian Artery
- CASE 34 - Left Main Dissection During Intervention
- CASE 35 - Left Main Dissection
SECTION THREE - Management Dilemmas and Controversies
- Introduction
- CASE 36 - Multivessel Coronary Artery Disease: PCI Versus CABG?
- CASE 37 - Inability to Stent in the Face of a Large Dissection
- CASE 38 - How to Assess Lesions of Intermediate Severity: FFR or IVUS?
- CASE 39 - PCI Versus Medical Therapy for Stable Angina
- CASE 40 - Should a Nonculprit Artery Undergo PCI in the Setting of Acute STEMI?
- CASE 41 - Postoperative Acute STEMI
- CASE 42 - Coronary Cavernous Fistula
- CASE 43 - Slow Reflow After PCI for Acute ST-Segment Elevation Myocardial Infarction
- CASE 44 - Crush Stent or Provisional Stenting for Bifurcation Lesion?
- CASE 45 - Is Open-Heart Surgical Backup Necessary for PCI?
SECTION FOUR - Peripheral and Non-coronary Interventions
- Introduction
- CASE 46 - Balloon Pericardial Window
- CASE 47 - Patent Foramen Ovale Closure for Recurrent Stroke
- CASE 48 - Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy
- CASE 49 - Aortic Balloon Valvuloplasty
- CASE 50 - Renal Artery Stenosis Resulting From Fibromuscular Dysplasia
- CASE 51 - Percutaneous Aortic Valve Replacement
- CASE 52 - Percutaneous Repair of Atrial Septal Defect
- CASE 53 - Renal Artery Stenosis
- CASE 54 - Left Subclavian Stenosis
- CASE 55 - Foreign Body Retrieval
- CASE 56 - Mitral Balloon Valvuloplasty
- CASE 57 - Percutaneous Mitral Valve Repair
- CASE 58 - Iliac Artery Disease
- CASE 59 - Stenosis in a Superficial Femoral Artery
- CASE 60 - Chronic Occlusion of a Superficial Femoral Artery
About the Author
Michael Ragosta, MD, FACC, FSCAI, Professor of Medicine, Director, Cardiac Catheterization Laboratories, Cardiovascular Division, University of Virginia Health System, Charlottesville, Virginia.
Product Details
- Hardcover: 352 pages
- Publisher: Saunders; 1 Har/Psc edition (2011)
- Language: English
- ISBN-10: 1437705839
- ISBN-13: 978-1437705836
- Product Dimensions: 11.1 x 8.7 x 0.7 inches
List Price: $99.95