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Handbook of Interventions for Structural Heart and Peripheral Vascular Disease
Narendra Nath Khanna, Michel Henry
SECTION 1: HISTORY
CHAPTER 1:
History of Peripheral Vascular Interventions
INTRODUCTION
CAROTID ANGIOPLASTY
ADVANCEMENT: THE AGE OF CEREBRAL PROTECTION
RENAL ANGIOPLASTY
ANGIOPLASTY FOR AORTOILIAC OCCLUSIVE DISEASES
ANGIOPLASTY FOR INFRAINGUINAL PERIPHERAL VASCULAR DISEASE
ENDOVASCULAR REPAIR OF AORTIC ANEURYSM
HISTORY OF INFERIOR VENA CAVA FILTERS
CONCLUSION
SECTION 2: EVALUATION OF PERIPHERAL VASCULAR DISEASE
CHAPTER 2:
Computed Tomography Angiogram in Peripheral Arterial Disease: An Overview
INTRODUCTION
DIAGNOSTIC IMAGING OF PERIPHERAL ARTERIAL DISEASE TRIAL
IMPORTANCE OF COMPUTED TOMOGRAPHY ANGIOGRAPHY
TECHNICAL CONSIDERATIONS
Scanning Protocols
Contrast Media Injection Technique
Postprocessing and Image Interpretation
Multiplanar Reconstruction/Curved Planar Reconstruction (Figs 3 to 7)
Maximum Intensity Projection
Volume-rendering Technique and Shaded Surface Display (Figs 8 and 9)
COMBINATION OF METHODS
TECHNICAL LIMITATIONS
BENEFITS OF PERIPHERAL VASCULAR-COMPUTED TOMOGRAPHY ANGIOGRAPHY
CLINICAL APPLICATIONS
FUTURE PROSPECTIVE
LIMITATIONS OF PERIPHERAL VASCULAR-COMPUTED TOMOGRAPHY ANGIOGRAPHY
ILLUSTRATED CLINICAL CASE EXAMPLES (FIGS 12 TO 25)
SUMMARY
SECTION 3: STRUCTURAL HEART DISEASE
CHAPTER 3:
Tips and Tricks for Device Closure of Atrial Septal Defect
INTRODUCTION
PREPROCEDURE EVALUATION
VASCULAR ACCESS
Defect Sizing
Device Size Selection
LOADING THE DEVICE
ROUTINE DEPLOYMENT TECHNIQUE
CONCLUSION
CHAPTER 4:
Percutaneous Repair of Severe Mitral Regurgitation using the MitraClip System: Step-by-Step Guide
INTRODUCTION
ROOM SET-UP
Basic Room Requirements and Set-up
Device Overview
Procedure
TRANSSEPTAL PUNCTURE
GUIDE POSITIONING
STEERING AND POSITIONING OF THE MITRACLIP CDS
GRASPING THE LEAFLETS
MITRACLIP DEVICE DEPLOYMENT AND SYSTEM REMOVAL
CONCLUSION
CHAPTER 5:
Evolution and Current Status of Percutaneous Aortic Valve Implantation and Therapies: Status 2015
CHAPTER 6:
Step-by-Step Procedure of Transcatheter Aortic Valve Replacement
PROCEDURE
PREPARATION OF VALVE
TEMPORARY PACEMAKER
IMPLANTATION OF VALVE
CHAPTER 7:
Left Atrial Appendage Occlusion for Preventing Stroke—Step-by-Step Technique and Current Status
INTRODUCTION
PRE- AND PERI-PROCEDURAL IMAGING IN LEFT ATRIAL APPENDAGE OCCLUSION
TRANS-SEPTAL PUNCTURE
DEVICES FOR LEFT ATRIAL APPENDAGE CLOSURE
Watchman (Boston Scientific Corporation, Marlborough, MA, USA)
Amplatzer Cardiac Plug/Amulet (St Jude Medical, Inc., St Paul, MN, USA)
Coherex WaveCrest (Coherex Medical, Salt Lake City, UT)
Lariat (SentreHEART, Redwood City, CA, USA)
MEDICAL THERAPY FOLLOWING LEFT ATRIAL APPENDAGE OCCLUSION
SECTION 4: PERIPHERAL VASCULAR INTERVENTION
CHAPTER 8:
Evolution of Endovascular Therapy: Where are We Now?
INTRODUCTION
CHAPTER 9:
Renal Artery Stenting Techniques: Is it Still Indicated after STAR, CORAL and ASTRAL Study?
INTRODUCTION
INCIDENCE OF RENAL ARTERY STENOSIS
NATURAL HISTORY OF RENAL ARTERY STENOSIS
ETIOLOGY OF RENAL ARTERY STENOSIS
CLINICAL SUSPICION OF SIGNIFICANT RENAL ARTERY STENOSIS
EFFECTS OF RENAL ARTERY STENOSIS AND WHEN TO TREAT
NONINVASIVE TESTING FOR ASSESSMENT RENAL ARTERY STENOSIS
Ultrasonography
Resistance Index (RI)
CT Angio (CTA)17-24
Magnetic Resonance Angiography25-30
Biomarkers
Captopril Renal Scintigraphy
TREATMENT OF RENAL ARTERY STENOSIS
Medical Therapy
Antihypertensive Therapy
RENAL ANGIOPLASTY
Indications for Renal Angioplasty
Contraindication to Renal Stenting
PROCEDURE OF RENAL STENTING
TECHNIQUES
Guiding Catheter Technique
Coaxial Technique
Angioplasty Technique
OUTCOMES AFTER PERCUTANEOUS TRANSLUMINAL RENAL ARTERY ANGIOPLASTY AND STENTING
Predictors of Outcome
Impact on Ischemic Nephropathy
IMPACT ON BLOOD PRESSURE
Cure of Hypertension in Patients with Atherosclerotic Renal Artery Stenosis (ARAS)
EFFECT ON RENAL FUNCTIONS
CARDIAC DISTURBANCE SYNDROME
Complication of Endovascular Revascularization
Recent Randomized Control Trials for Revascularization versus Medical Therapy in Atherosclerotic Renal Artery Stenosis—STAR, ASTRAL and CORAL Trials
The STAR Study (2009)
The ASTRAL Study (Angioplasty and Stent for Renal Artery Lesion)
CORAL (2013)
CONCLUSION
CHAPTER 10:
Carotid Angioplasty and Stenting: State-of-the-Art
INTRODUCTION
INDICATIONS
STEPS OF DOING GOOD AND SAFE CAROTID ANGIOPLASTY
Registries—Randomized Studies: Results
Registries Randomized Studies—Practical Consequences
CONCLUSION
CHAPTER 11:
Carotid Artery Stenting through Radial Access
INTRODUCTION
EQUIPMENT
TECHNIQUE
Patient Preparation and Puncture
How to Puncture the Radial Artery?
How to Puncture an Occluded Radial Artery?
Diagnostic Angiography
What to do When the Guidewire does not Pass?
What to do When the Radial Artery is Stenosed?
How to Overcome Tortuous Subclavian or Stenotic Subclavian Arteries?
How to Make the Shape of the Simmons Catheter?
Cannulation
How to Cannulate the Left CCA in Bovine Arch?
How to Cannulate the Left CCA in Type II-III Aortic Arch?
How to Cannulate the Contralateral CCA in Type I Arch or the Right CCA with Sharp Angulations?
How to Facilitate the Sheath Passage and to Decrease Friction between Sheath and CCA?
Protection Systems
Predilating the Lesion
Stent Deployment
Postdilatation
Filter Removal
Postprocedural Surveillance
Short Technical Description
COMPLICATIONS
CHAPTER 12:
Takayasu Arteritis
INTRODUCTION
PATHOLOGY
CLINICAL FEATURES
CLASSIFICATION
DIAGNOSIS
1990 Criteria for the Classification of Takayasu Arteritis
MANAGEMENT
Tips of Intervention for Takayasu Arteritis
Carotid, Subclavian, Vertebral and Innominate Arteries
Aorta
Renal and Mesenteric
Pulmonary and Mesenteric
CHAPTER 13:
Management of Hypertension in Takayasu Arteritis
INTRODUCTION AND HISTORY
DISEASE CLASSIFICATION
HYPERTENSION IN TAKAYASU ARTERITIS
MANAGEMENT OF HYPERTENSION
Surgery or Percutaneous Transluminal Angioplasty (PTA) for Renal Artery Stenosis
BALLOON ANGIOPLASTY OF AORTA
Surgery for Atypical Coarctation
CONCLUSION
SECTION 5: CRITICAL LIMB ISCHEMIA
CHAPTER 14:
Critical Limb Ischemia
INTRODUCTION
GENESIS OF CRITICAL LIMB ISCHEMIA
CLINICAL PRESENTATION
EVALUATION OF CRITICAL LIMB ISCHEMIA
Ankle Brachial Index
Treadmill Test
Duplex Ultra Sonography
Assessment of Microcirculation
Computed Tomography Angiography
Magnetic Resonance Angiography
Digital Subtraction Angiography
GOALS OF TREATMENT OF CRITICAL LIMB ISCHEMIA
Control of Atherosclerotic Risk Factors
Smoking
Hyperlipidemia
Hypertension
Diabetes Mellitus
Pharmacological Management
Antiplatelets
Statins
Cilostazol
Naftidrofuryl
Pentoxifylline
Prostaglandins
Wound Care
REVASCULARIZATION
Surgical Revascularization
Endovascular Revascularization
Angiosome Concept
Techniques of Endovascular Interventions
PTA vs Stents
Drug Coated Balloons
DRUG ELUTING STENTS
DCB, DES and BMS: When and What to Choose?
CHRONIC TOTAL OCCLUSIONS
HYBRID PROCEDURES
OTHER THERAPIES
Spinal Cord Stimulation
Therapeutic Angiogenesis and Stem Cell Therapy
CONCLUSION
CHAPTER 15:
Contemporary Management of Critical Lower Limb Ischemia in TASC D: Experience and Quality of Life Outcome Learned Over 25 Years
INTRODUCTION
PATIENTS AND METHODS
PATIENT DEMOGRAPHICS
LESION CHARACTERISTICS
IMAGING
ADJUVANT PHARMACOTHERAPY
FOLLOW-UP
PROCEDURAL SPECIFICATIONS
TECHNIQUE FOR FEMOROPOPLITEAL SEGMENT TECHNIQUE
TECHNIQUE OF TIBIAL ANGIOPLASTY
TECHNIQUE OF COOL EXCIMER LASER ASSISTED ANGIOPLASTY
TECHNICAL SUCCESS
BINARY RESTENOSIS
REPEATED TARGET LESION REVASCULARIZATION
MORBIDITY AND MORTALITY
AMPUTATION
SUSTAINED CLINICAL IMPROVEMENT
SEQUENTIAL COMPRESSION BIOMECHANICAL DEVICE PROGRAM
QUALITY OF LIFE OUTCOMES
Q-Twist
Cost Analysis
DISCUSSION
CONCLUSION
CHAPTER 16:
Catheter-Directed Intra-Arterial Thrombolytic Therapy
INTRODUCTION
GENERAL GOALS OF CATHETER-DIRECTED INTRA-ARTERIAL THROMBOLYSIS
In Acute Limb Ischemia
In Chronic Limb Ischemia
THROMBOLYTIC AGENTS
STREPTOKINASE
UROKINASE
RECOMBINANT TISSUE PLASMINOGEN ACTIVATOR (RTPA)
CLINICAL INDICATIONS
Acute Arterial Occlusion
Chronic Arterial Occlusion
Occluded Bypass Grafts
Thromboembolism
Peroperative Thrombolysis
Acute Occlusion following PTA
Thrombosed Popliteal Aneurysm
Trash Foot/Blue Toe Syndrome
Heparin-induced Thrombotic Thrombocytopenia
Acute Ischemic Stroke
Thrombosed Dialysis Access Grafts
Massive Pulmonary Embolism
Contraindications
Absolute
Relative
Technique of Catheter Directed Intra-arterial Thrombolytic Therapy (CDTT)
Patient Selection
Patient Preparation
TECHNIQUE
MONITORING THE THERAPY
DELIVERY CATHETER SYSTEMS
Infusion Methods
Stepwise Infusion
Graded Infusion
Continuous Infusion
Pulse Spray Technique
Adjunctive Technique
COMPLICATIONS
CONCLUSION
CHAPTER 17:
Thromboaspiration and Thrombectomy in Peripheral Vessels
INTRODUCTION
STRAUB-ROTAREX (STRAUB MEDICAL)
STRAUB-ROTAREX THROMBECTOMY SYSTEM
HYDROLYZER
OASIS (BOSTON SCIENTIFIC INC.)
POSSIS ANGIOJET
AMPLATZ CLOT BUSTER
TREROTOLA DEVICE
THROMBOASPIRATION
Technique
DISCUSSION
CHAPTER 18:
Catheter-Based Thrombectomy and Thrombolysis: Case Examples
INTRODUCTION
CASE 1
Axillary Bifemoral, Left Femoropopliteal Graft Thrombolysis and Possis
A 50-year-old Woman: Post Multiple Grafts with Cold Feet
Procedure
Discussion
CASE 2
Possis Device Alone
A 67-year-old Man with Leg Pain
Procedure
Discussion
CASE 3
Possis Native Vessel
A 54-year-old Man with a Non-healing Wound on his Left Shin
Procedure
Discussion
CASE 4
Thrombolysis Graft
A 72-year-old with a Cold Left Foot
Procedure
Discussion
CASE 5
Thrombolysis of Vein
A 60-year-old Physician with Swollen Left Leg and Abnormal Venous Duplex
Procedure
Discussion
CONCLUSION
SECTION 6: AORTA
CHAPTER 19:
Aortic Aneurysm
INTRODUCTION
Etiology and Pathogenesis
THORACIC AORTIC ANEURYSM
Clinical Manifestations
Diagnosis
Management
Follow-up
ABDOMINAL AORTIC ANEURYSM
Clinical Features
Diagnosis
Natural History
Management
Medical Management
Genomics, Proteomics and Cellular Therapy in Aortic Aneurysms
CHAPTER 20:
Graft Limb Occlusion after Endovascular Aneurysm Repair: A Current Review*
INTRODUCTION
CURRENT PERSPECTIVES
PREVENTION AND MANAGEMENT
CONCLUSION
SUMMARY
CHAPTER 21:
Acute Dissection of Aorta
INTRODUCTION
EPIDEMIOLOGY
PATHOPHYSIOLOGY
PREDISPOSITIONS
GENETIC PREDISPOSITION
NATURAL HISTORY
CLINICAL PRESENTATION
CLASSIFICATION
DIAGNOSIS
Transthoracic Echocardiography
Transesophageal Echocardiography (TOE)
CT Imaging
Magnetic Resonance Imaging (MRI)
BIOMARKERS (Table 4)
D-Dimer and Fibrin Degradation Products
Smooth Muscle Myosin Heavy Chain
Matrix Metalloproteinase 9
Elastin Degradation Products
Transforming Growth Factor-beta (TGF-β)
MANAGEMENT
Medical Therapy
CONCLUSION
CHAPTER 22:
Coarctation of Aorta
INTRODUCTION
CLINICAL PRESENTATION
DIAGNOSIS
Antenatal Diagnosis
Chest Roentgenogram
Electrocardiography
Echocardiography
Magnetic Resonance Imaging
Cardiac Catheterization
MANAGEMENT
Interventional Management
SECTION 7: AORTA: MULTILAYER FLOW MODULATOR
CHAPTER 23:
The Multilayer Flow Modulator Stent for the Treatment of Arterial Aneurysms
INTRODUCTION
THE MULTILAYER FLOW MODULATOR
Description of the Device28-29 (Figs 1A and B)
IMPLANTATION TECHNIQUES: GUIDELINES AND HARD ENDPOINTS
CLINICAL RESULTS
Peripheral and Visceral Aneurysms35,36
Personal Series
Other Published Data
Thoracoabdominal Aortic Aneurysms-Abdominal Aortic Aneurysms
Moroccan Experience49,50
STRATO STUDY: FRENCH MULTICENTER PROSPECTIVE STUDY52
DISCUSSION
CONCLUSION
CHAPTER 24:
The Use of Multilayer Flow Modulator in the Endovascular Treatment of Thoracoabdominal Aortic Aneurysm and Aortic Dissection
INTRODUCTION
AORTIC DISSECTION
Materials and Methods
Results
DISCUSSION
CONCLUSION
CHAPTER 25:
Efficacy and Safety of Endovascular Treatment of a Thoracic Aortic Pseudoaneurysm Secondary to Behçet's Disease with a Multilayer Flow Modulator
INTRODUCTION
OBSERVATION
DISCUSSION
CONCLUSION
SECTION 8: VENOUS
CHAPTER 26:
Endovenous Laser Therapy for Varicose Veins
INTRODUCTION
DIAGNOSIS OF VARICOSE VEINS
ENDOVENOUS LASER ABLATION
Ablation of Veins by EVLT
Procedure of EVLT
Wavelength and Absorption Spectra
Necessary Accessories for Treatment
Further Applications of EVLT
Advantages of EVLT
DISCUSSION
COMPARISON OF ENDOVENOUS LASER AND RADIOFREQUENCY ABLATION
CONCLUSION
CHAPTER 27:
Interventional Management of Pulmonary Arteriovenous Fistula
INTRODUCTION
TYPES OF PULMONARY ARTERIOVENOUS MALFORMATION
DIAGNOSIS
TREATMENT
Indications for Transcatheter Embolization
TECHNIQUES FOR TRANSCATHETER EMBOLIZATION
STEPS OF DOING TRANSCATHETER EMBOLIZATION
A REPRESENTATIVE CASE
REVIEW OF LITERATURE
CONCLUSION
CHAPTER 28:
Endovascular Therapy of Venous Thromboembolism: An Update in 2015
CATHETER-BASED TREATMENT MODALITIES
CATHETER INTERVENTIONS WITH THROMBOLYSIS
CATHETER INTERVENTIONS WITHOUT THROMBOLYSIS
RECOMMENDATIONS ON INTERVENTIONAL TREATMENT
Pulmonary Embolism
Deep Vein Thrombosis
CONCLUSION
CHAPTER 29:
Management of Thromboembolism could become Cheaper and Simpler
INTRODUCTION
MECHANISM OF THROMBOSIS
INHERITED THROMBOPHILIAS
Factor V Leiden and Resistance to Activated Protein C
Antithrombin (III) Deficiency
Protein C Deficiency
Protein S Deficiency
Prothrombin Mutation G20210
Dysfibrinogenemia
Hyperhomocysteinemia
ACQUIRED THROMBOPHILIAS
Antiphospholipid Antibody Syndrome
Malignancy
INVESTIGATION AND ASSESSMENT
MANAGEMENT OF THROMBOSIS
ADVANCES IN ANTICOAGULATION THERAPY
Dabigatran
Rivaroxaban
Apixaban
Idrabiotaparinux
Edoxaban
PROSPECT OF NEW ANTICOAGULANTS
PROSPECT OF CHEAPER ANTICOAGULANTS
CONCLUSION
SECTION 9: RECENT ADVANCES
CHAPTER 30:
Penile Doppler Study
INTRODUCTION
PHYSIOLOGY OF ERECTION
Preparation of Patients and Technique
Interpretations
Analysis of PDS (Table 3)
Vasoactive Substances (Table 4)
Termination of Test
LIMITATIONS19-22
CHAPTER 31:
Pudendal Artery Stenting for Male Erectile Dysfunction
INTRODUCTION
ANATOMY
DIAGNOSIS
Penile Doppler
Angiography
PUDENDAL ARTERY STENTING
Our Protocol
Exclusion Criteria
Procedure
Follow-up
Results
DISCUSSION
CONCLUSION
CHAPTER 32:
Prostatic Artery Embolization for Benign Prostatic Hyperplasia
INTRODUCTION
PREPROCEDURE EVALUATION AND INDICATIONS
TECHNIQUE
FOLLOW-UP
RESULTS
CONCLUSION
CHAPTER 33:
Autonomic Dysfunction and Hypertension
INTRODUCTION
VASCULAR CIRCULATORY SYSTEM
CLINICAL CASE EXAMPLE
RENU-CA Research Institute, PC
AUTONOMIC NERVOUS SYSTEM TESTING—2012
AUTONOMIC NERVOUS SYSTEM TESTING—2013
AUTONOMIC NERVOUS SYSTEM TESTING—2014
AUTONOMIC NERVOUS SYSTEM TESTING—2015
CHAPTER 34:
Drug Eluting Technology: Current Status in the Endovascular Therapy of Peripheral Arterial Disease
DRUG ELUTING STENT
DRUG ELUTING BALLOON
DRUG ELUTING BIORESORBABLE SCAFFOLDS
CONCLUSION
CHAPTER 35:
Vascular Closure Devices: An Update and Current Indian Scenario
INTRODUCTION
CURRENT LITERATURE
Vascular Closure Device: Mechanisms of Action
Active Approximators
Suture-based Devices
Clip-based Devices
Passive Approximators
Collagen Plugs
Sealant- or Gel-based Devices
Compression-assist Devices
External Hemostatic Devices
RECENT LITERATURE
INDIAN OUTLOOK ON VASCULAR CLOSURE DEVICES
THE FUTURE
CHAPTER 36:
Axera: Implant Free Femoral Artery Closure Device
INTRODUCTION
THE CONCEPT
THE AXERA DEVICE
TECHNIQUE
DISCUSSION
LIMITATIONS
ADVANTAGES FOR THE PHYSICIAN AND PATIENT
ADVANTAGES FOR THE HOSPITAL
CONCLUSION
INDEX
TOC
Index
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