By Harald Lapp, Ingo Krakau
Now attaining a bigger viewers, [this e-book] serves as a very good total contribution to the swiftly evolving box of interventional cardiology. -- Doody businesses, Inc.
Loaded with assistance, tips, and specialist ideas to daily medical difficulties, this ebook is a needs to for all experts and trainees acting cardiac catheterizations. It covers simple rules, diagnostic suggestions for particular illnesses, and the most recent interventional strategies, giving readers the instruments to effectively deal with every kind of valvular and structural middle disease.
- Concisely stories the fundamentals of cardiac catheterization, with sections on symptoms, hazards and problems, sufferer coaching, gear and laboratory setup, distinction media, and interpretation of findings
- Covers the entire diversity of interventional catheter strategies, together with percutaneous coronary intervention (PCI), coronary stent implantation, rotational athetectomy, slicing balloon angioplasty, shunt closure, and lots more and plenty extra
- Examines present, evidence-based diagnostic techniques to such normally noticeable stipulations as valvular illness, cardiomyopathies, coronary artery disorder, congenital center problems, pericardial affliction, aortic dissection, and more
- Describes key new interventions for structural middle disorder, together with transcatheter aortic valve implantation (TAVI), interventions for mitral regurgitation (Mitraclip), occlusion of the left atrial appendage (LAA-Occlusion), and renal nerve ablation for resistant arterial hypertension
- offers 1000s of illustrations, coronary angiograms, and radiographic photos that make clear each concept
- Demonstrates step by step methods, case reviews, and unique angiographic sequences in approximately four hundred beneficial videos
From the basics to the most recent healing advances, this publication presents the middle details wanted by means of each perform appearing diagnostic and interventional cardiac catheterizations. it truly is crucial for interventional cardiologists, cardiology fellows, and interventional radiologists who are looking to quick raise their wisdom and abilities and provide optimum care to their patients.
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Additional info for Cardiac Catheter Book: Diagnostic and Interventional Techniques
Radial access is especially favored when the cardiac catheterization is done on an outpatient basis. Instruments Puncture needles. These are beveled metal cannulas with or without a Teflon sleeve. They are used for the initial vessel puncture and the introduction of the appropriate guidewires (Seldinger technique). There are specific puncture needles for the radial artery. Guidewires. Guidewires have the following functions in cardiology: ▶ Guiding the sheath through the subcutaneous tissue ▶ Intravascular catheter guidance ▶ Support in catheter positioning ▶ Providing a placeholder during catheter exchange The diameter of guidewires is specified in inches (1 inch = 1 in.
J Am Coll Cardiol 2001;37(8):2170– 2214 Chen J, Einstein AJ, Fazel R, et al. Cumulative exposure to ionizing radiation from diagnostic and therapeutic cardiac imaging procedures: a population-based analysis. J Am Coll Cardiol 2010;56 (9):702–711 Douglas PS, Carr JJ, Cerqueira MD, et al. Developing an Action Plan for Patient Radiation Safety in Adult Cardiovascular Medicine: Proceedings From the Duke University Clinical Research Institute/American College of Cardiology Foundation/American Heart Association Think Tank Held on February 28, 2011.
With vascular prosthesis and use of 5F to 9F sheaths for diagnostic angiography, a complication rate of less than 2 % has been reported. A requirement is the complete endothelialization of the prosthesis (at least 6 months post surgery). Nevertheless, if possible, puncture of vascular prostheses should be avoided and an alternative access route chosen. Prostheses usually have a firm, coarse texture, which makes introduction of the sheath more difficult. Also, it is not uncommon for the interior wall to have thrombotic appositions or atherosclerotic plaques.