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Cath Lab Practicals
Sundeep Mishra
CHAPTER 1:
Slippery when Wet: Broken Guidewire, Ruptured Balloon in Cath Lab
INTRODUCTION
FRACTURED GUIDEWIRE
Etiology
Management
Anticipation
Avoidance
Amelioration
Masterly Inactivity
Guidewire Retrieval
Crushing onto Coronary Bed
Surgery
CASE EXAMPLE
Case 1
NONDEFLATION OF BALLOON
Management
CASE EXAMPLES
Case 2
Case 3
BALLOON RUPTURE
Etiology
Management
Trauma Inflicted Upon the Vessel Wall
Complications Associated with Retrieval of Ruptured Balloon Material
CASE EXAMPLES
Case 4
Case 5
CHAPTER 2:
If You Break it—You Own it: Embolization of Cath Lab Hardware
INTRODUCTION
STENT EMBOLIZATION
CASE EXAMPLES
Case 1
Case 2
Case 3
Case 4
Case 5
EMBOLIZATION OF OTHER CORONARY HARDWARE
CHAPTER 3:
Interventions for Left to Right Shunts—To Plug or not to Plug: That is not the Question
INTRODUCTION
DEVICE MALPOSITION AND EMBOLIZATION
Case Selection
Sizing of the Defect and Choosing Device Size
Device closure of the device
Recurrent Prolapse of the Device
Device Malalignment
CASE EXAMPLE
Case 1
Device Malposition
CASE EXAMPLE
Case 2
Device Embolization
CARDIAC PERFORATION AND EROSION
IMPINGEMENT OF ADJACENT CARDIAC STRUCTURES
ARRHYTHMIA AND CONDUCTION BLOCKS
AIR EMBOLISM AND THROMBOEMBOLISM
CONCLUSION
CHAPTER 4:
Delicate Sound of Thunder: Coronary Perforations
INTRODUCTION
TYPES OF PERFORATIONS
FACTORS PREDISPOSING TO PERFORATION
CLINICAL OUTCOMES OF PERFORATION
MANAGEMENT OF PERFORATION
CASE EXAMPLES
Case 1
Case 2
Case 3
Case 4
Case 5
GUIDEWIRE PERFORATION
CASE EXAMPLE
Case 6
CONCLUSION
CHAPTER 5:
Bark at the Moon: Technical Difficulties in Cath Lab
INTRODUCTION
WIRE NOT CROSSING
Acute Total Occlusions
Recent Total Occlusions
Older Chronic Occlusion
Lesions in Tortuous Arteries
Negotiating Acute Bends/Going through Stent Struts
Calcific Tight Lesions
WIRE CROSSING BUT BALLOON NOT CROSSING
CASE EXAMPLES
Case 1
Case 2
Case 3
Case 4
FAILURE OF THE BALLOON TO EXPAND
Balloon Crossing Stent not Crossing
CASE EXAMPLES
Case 5
Case 6
DIFFICULTY IN STENT POSITIONING
CASE EXAMPLE
Case 7
STENT NOT EXPANDING
CONCERTINA EFFECT AFTER GUIDEWIRE INSERTION
CASE EXAMPLES
Case 8
Case 9
CHAPTER 6:
Honey I shrunk the stent: Issues in Stent Implantation
HISTORY OF STENT TECHNOLOGY
DEFINITIONS
Stent Fracture
Introduction
Incidence
Classification of Stent Fracture
Predisposing Factors
Clinical Course
Stent Fracture and Coronary Aneurysm
Diagnostic Modalities
CASE EXAMPLES
Case 1
Case 2
Stent Longitudinal Deformation
Introduction
Effect of Stent Material and Design
Incidence
Predisposing Factors
Mechanism of Longitudinal Stent Distortion
Clinical Features
Management
CASE EXAMPLE
Case 3
Radial Stent Recoil
Acute Stent Recoil
Late Stent Recoil
Factors Contributing to Stent Recoil
Clinical Outcome
Management of Stent Recoil
CASE EXAMPLE
Case 4
CHAPTER 7:
Cannulation Blues: Issues with Guide Catheter
GUIDING CATHETERS
NATIVE CORONARY ARTERIES
Shepherd's Crook RCA
SAPHENOUS VEIN GRAFTS
INTERNAL MAMMARY ARTERY
ANOMALOUS ORIGIN OF ARTERY
CASE EXAMPLES
Case 1
Case 2
Case 3
Case 4
Case 5
Case 6
Case 7
Case 8
Case 9
EXCHANGE OF GUIDE CATHETER
Tips and Tricks
CHAPTER 8:
Valvular Interventions: Keep Your Eyes on the Door and Your Mind on the Procedure
INTRODUCTION
BALLOON MITRAL VALVOTOMY
At Groin
At Septum
At Mitral Valve
TACKLING COMPLICATIONS
Aortic Valve Balloon Dilatation
Pulmonary Valve Balloon Dilatation
CASE EXAMPLES
Case 1
Case 2
Case 3
Case 4
Case 5
CONCLUSION
CHAPTER 9:
Management of Resistant Thrombus: Catastrophe and the Cure
INTRODUCTION
HUGE THROMBUS BURDEN
PATHOPHYSIOLOGY OF THROMBUS CONTAINING LESIONS
EVALUATION OF THROMBUS CONTAINING LESIONS
Outcome of Thrombus Containing Lesions
CASE EXAMPLES
Case 1
Case 2
MANAGEMENT OF RESISTANT THROMBUS/DISTAL EMBOLIZATION: CURRENT STRATEGIES
Multiple Low Pressure Balloon Dilatations
Distal Protection Devices
Proximal Protection Devices
Direct extraction of thrombus via guide-catheter
Thrombectomy Devices
Plaque Trapping Devices
Covered Stents
Embolic Protection Stents – MGuard
Stentys Stent
Local Thrombolytic Therapy
Systemic (IV) Antithrombotic Therapy
Local Intracoronary Delivery
Local Therapy with Clear Way Rx Catheter
Laser
Persistent Thrombus
CASE EXAMPLES
Case 3
Case 4
Case 5
Case 6
Case 7
Case 8
CHAPTER 10:
Complications of Rotablation and its Management
CLINICAL COMPLICATIONS
ANGIOGRAPHIC COMPLICATIONS
Slow Flow/No Reflow
ADJUNCTIVE THERAPIES
Glycoprotein IIb/IIIa inhibitors
Vasodilators
Technique Modifications
DEVICE COMPLICATIONS
Burr entrapment: The Worst Nightmare for an interventionalist
CHAPTER 11:
Extremely Sick Patient: Role of Cardiac Assist Devices
INTRODUCTION
CASE EXAMPLES
Case 1
Case 2
Case 3
LEVELS OF CARDIOGENIC SHOCK
Suggested Devices
CHAPTER 12:
Complications of Radial Access: Children of a Lesser God
RADIAL ARTERY SPASM
CASE EXAMPLES
Case 1
Case 2
RADIAL ARTERY OCCLUSIONS
Asymptomatic Radial Artery Occlusion
Acute Symptomatic Occlusion
Nonocclusive Radial Artery Injury
Hematomas
CASE EXAMPLE
Case 3
Arteriovenous Fistula
CASE EXAMPLE
Case 4
Pseudoaneurysm
Difficulty in Catheter/Guidewire Advancement
CASE EXAMPLES
Case 5
Case 6
CHAPTER 13:
Momentary Lapse of Reason: Mortality in Cath Lab
INTRODUCTION
DEFINITION
BACKGROUND
FACTORS BEFORE THE PROCEDURE
CASE EXAMPLES
Case 1
Case 2
Case 3
FACTORS DURING THE PROCEDURE
CASE EXAMPLES
Case 4
Case 5
Case 6
Case 7
FACTORS AFTER THE PROCEDURE
CASE EXAMPLES
Case 8
Case 9
HOW TO PREVENT MORTALITY
INDEX
TOC
Index
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