Index

Update in Interventional Cardiology Ashwin B Mehta, Nihar Mehta, Rahul Chhabria

CHAPTER 1:Vascular Access
- FEMORAL ACCESS
- ANATOMY OF FEMORAL ARTERY AND IDEAL LOCATION OF PUNCTURE
- PRACTICAL LANDMARKS FOR PUNCTURE
- COMPLICATIONS
- COMPLICATIONS
CHAPTER 2:Coronary Stents: Evolution and Advances
- PLAIN OLD BALLOON ANGIOPLASTY
- FIRST-GENERATION STENTS
- SECOND-GENERATION DES
- THIRD-GENERATION STENTS
  - Bioabsorbable Scaffolds
  - Evolution of Bioabsorbable Stents
- MAGMARIS STENT—PREVIOUS STUDIES
- CONCLUSION
CHAPTER 3:Slender Transradial Interventions
- INTRODUCTION
- DIAMETER OF RADIAL ARTERIES AND DEFINITION OF SMALL RADIAL ARTERY
  - Challenge of Transradial Interventions in Patients with Small Radial Arteries
- SHEATH-SIZING PROTOCOL BASED ON DIAMETER OF ACCESS ARTERY
  - New Techniques for Overcoming the Challenge of Small Access Arteries
- MARS PILOT REGISTRY: MINIMIZING ACCESS ARTERY OCCLUSIONS21
  - Study Findings
CHAPTER 4:Left Main Coronary Intervention
- INTRODUCTION
- INITIAL EXPERIENCE WITH PCI
- TRIALS COMPARING PCI WITH CABG
- ROLE OF IMAGING AND FFR
- OSTIAL LM PCI
- MANAGEMENT OF LM BIFURCATION
- WHAT GUIDELINES SAY?
- RECENTLY PUBLISHED TRIALS
- CONCLUSION
CHAPTER 5:Current Approach to Chronic Total Occlusions
- INTRODUCTION
- CLINICAL AND LESION-RELATED FACTS
CHAPTER 6:Ostial Lesions
- INTRODUCTION
- PECULIARITIES AND CHALLENGES OF OSTIAL LESION INTERVENTIONS1-3
- ACCESS
- FLUOROSCOPIC VIEWS (SEE figs. 2 and 3)
- EQUIPMENT GUIDING CATHETERS
- WIRES
- LESION PREPARATION
- STENT POSITIONING
  - How to Properly Position the Aorto-ostial Stent?
  - Stent Deployment
- SPECIAL SITUATIONS IN OSTIAL LESIONS
- RECOMMENDED READING
CHAPTER 7:Coronary Bifurcation Lesions
- INTRODUCTION
- DEFINITIONS AND CLASSIFICATIONS
- ANATOMICAL CONSIDERATIONS
- STENTING STRATEGY IN BIFURCATION LESIONS—ONE OR TWO STENTS?
- PROVISIONAL SIDE BRANCH STENTING STRATEGY
- EVIDENCE
- STEPS28
- ELECTIVE DOUBLE-STENT STRATEGY
- INDICATIONS
- TECHNIQUES33
- DEDICATED BIFURCATION STENT SYSTEM
- WHAT SHOULD AN IDEAL DEDICATED BIFURCATION STENT ACHIEVE?48
- CATEGORIES OF DEDICATED BIFURCATION STENTS
- CHALLENGES OF USING DEDICATED BIFURCATION STENT SYSTEMS49
- ADVANTAGES OF USING DEDICATED BIFURCATION STENT SYSTEMS
- PRELIMINARY CLINICAL RESULTS WITH DEDICATED BIFURCATION STENTS
- SUMMARY
CHAPTER 8:Calcified Lesions
- INTRODUCTION
- PROCEDURE PLANNING
- ASSESSMENT OF CAC
- CORONARY ANGIOGRAPHY
- CORONARY INTRAVASCULAR ULTRASOUND
- OPTICAL COHERENCE TOMOGRAPHY
- FRACTIONAL FLOW RESERVE
- RISK ASSESSMENT
- TREATMENT OF CALCIFIED SIGNIFICANT NARROWING
- LESION PREPARATION
- DEBULKING DEVICES
- CONCLUSION
CHAPTER 9:PCI in Patients Post Coronary Artery Bypass Grafts
- INTRODUCTION
- RECURRENCE OF ISCHEMIA IN POST CABG PATIENTS
- EARLY (IMMEDIATE POSTOPERATIVE PERIOD BEFORE DISCHARGE FROM HOSPITAL)
- INTERMEDIATE (1 MONTH TO 1 YEAR)
- LATE (MORE THAN 1 YEAR)
- ACUTE MYOCARDIAL INFARCTION
- TREATING RECURRENT ISCHEMIA
- PERCUTANEOUS CORONARY INTERVENTIONS
- NATIVE VESSEL PCI
  - Aorto-ostial Lesions
  - Native Vessel CTO
- GRAFT INTERVENTIONS
  - Vein Graft Interventions
- SVG STENTING
- ARTERIAL GRAFT INTERVENTIONS
- TAKE HOME MESSAGE
CHAPTER 10:Percutaneous Coronary Intervention in ST Elevation Myocardial Infarction
- INTRODUCTION
- PRIMARY ANGIOPLASTY
  - Challenges to Primary Angioplasty
    - Logistic Challenges
  - Pharmacoinvasive Strategy
- ANTIPLATELET DRUGS, WHICH TO CHOOSE?
- CHOICE OF ANTICOAGULANT: BIVALIRUDIN VERSUS UNFRACTIONATED HEPARIN
- NONADHERENCE TO P2Y12 INHIBITORS
  - EDUCATE Study
- CONCLUSION
CHAPTER 11:High-Risk Percutaneous Coronary Interventions
- DEFINING HIGH-RISK PCI CRITERIA
- MECHANICAL CIRCULATORY SUPPORT DEVICES (FIGs. 1 and 2, TABLEs 2 and 3)
- MAINTENANCE OF END-ORGAN PERFUSION
- OPTIMIZATION OF MYOCARDIAL PERFUSION
- INTRA-AORTIC BALLOON COUNTER PULSATION (IABP)
- EVIDENCE-BASED OBSERVATIONAL AND REGISTRY DATA
- EVIDENCE BASED RANDOMIZED TRIAL DATA
- IABP-SHOCK II (INTRA-AORTIC BALLOON PUMP IN CS II) TRIAL
  - Impella Device
- TANDEM HEART
- EXTRACORPOREAL MEMBRANE OXYGENATION
- CONCLUSION
CHAPTER 12:Complications during Percutaneous Coronary Interventions
- CORONARY ARTERY COMPLICATIONS
- VASCULAR ACCESS SITE RELATED COMPLICATIONS
- OTHER COMPLICATIONS
CHAPTER 13:Intracoronary Assessment: Role of IVUS and OCT
- INTRODUCTION
- LIMITATIONS OF CORONARY ANGIOGRAM
- IVUS
- OCT
CHAPTER 14:Role of FFR in Evaluation of Coronary Artery Disease
- INTRODUCTION
- TECHNIQUE OF FFR ESTIMATION
- COMMON PITFALLS DURING FFR ESTIMATION
- FFR IN INTERMEDIATE LESION
- FFR IN MULTIVESSEL DISEASE
- FFR IN LEFT MAIN DISEASE
- FFR IN SERIAL LESION AND DIFFUSE DISEASE
- FFR IN BIFURCATION LESIONS
- FFR IN ACUTE CORONARY SYNDROME (ACS)
- FFR IN GRAFT DISEASE
- IMPACT OF COLLATERALS ON THE ASSESSMENT OF FFR
- SUMMARY
CHAPTER 15:Cardiac MRI and Cardiac CT: Indispensable Tools for the Diagnosis of Coronary Artery Disease
- INTRODUCTION
- CARDIAC CT
- CA SCORING
- CORONARY ANGIOGRAPHY (CCA)
- CONCLUSION
CHAPTER 16:Radionuclide Studies in Cardiology
- INTRODUCTION
- MYOCARDIAL ISCHEMIA
- MYOCARDIAL VIABILITY
- MYOCARDIAL INNERVATION
- CONCLUSION
CHAPTER 17:Balloon Mitral Valvuloplasty
- INTRODUCTION
  - Keywords
- ANATOMIC CONSIDERATIONS
- BALLOON MITRAL VALVULOPLASTY
- PERIPROCEDURAL CARE
  - Preprocedural Planning
  - Role of Echocardiography in BMV: Valve Assessment and Case Selection
- PATIENT PREPARATION
- TECHNIQUES
- BMV IN DIFFICULT SCENARIOS
- COMPLICATIONS OF BMV
- CONCLUSION
CHAPTER 18:Pulmonary and Aortic Balloon Valvuloplasty
- PULMONARY BALLOON VALVULOPLASTY
- CLINICAL FEATURES
- DIFFERENTIAL DIAGNOSIS
- MANAGEMENT
- SALIENT FEATURES
- BALLOON AORTIC VALVULOPLASTY
  - Introduction
  - Indications
- INDICATIONS FOR BAV IN PATIENTS < 21 YEARS AGE
- INDICATIONS FOR BAV IN ADULTS
- PRE-CATHETERIZATION PLANNING
- CONSENT
- PROCEDURE
- ANTE-GRADE APPROACH
  - Post-Procedure Care
  - Complications
- SUMMARIZING
CHAPTER 19:Transcatheter Aortic Valve Replacement (TAVR)—Current Status
- INTRODUCTION
- INDICATIONS OF AORTIC VALVE REPLACEMENT (SAVR OR TAVR)3 (Table 1)
- INDICATIONS FOR TAVR4 (Table 2)
  - Prerequisites for TAVR
- RISK ASSESSMENT
- CONTRAINDICATIONS FOR TAVR (Table 4)
  - Types of TAVR Valves
  - Approaches for TAVR (Figs. 4A to E)
- PATIENT SPECIFIC SELECTION OF TAVR VALVE
- CURRENT STATUS OF EVIDENCE
- PROHIBITIVE SURGICAL RISK (INOPERABLE) GROUP: TAVR VERSUS MEDICAL MANAGEMENT
- THE COREVALVE PIVOTAL EXTREME RISK ILEOFEMORAL STUDY19
- HIGH SURGICAL RISK GROUP: TAVR VERSUS SAVR
- COREVALVE PIVOTAL HIGH RISK STUDY22
- INTERMEDIATE SURGICAL RISK GROUP: TAVR VERSUS SAVR
- LOW SURGICAL RISK GROUP: TAVR VERSUS SAVR
- BALLOON-EXPANDABLE VERSUS SELF-EXPANDING VALVES IN TAVR
  - COMPLICATIONS OF TAVR
- INDIAN SCENARIO
- CONCLUSION
CHAPTER 20:Transcatheter Closure of Congenital Heart Defects
- INTRODUCTION
- ATRIAL SEPTAL DEFECT
- VENTRICULAR SEPTAL DEFECT
- PATENT DUCTUS ARTERIOSUS
  - Indications and Contraindications3
- RUPTURED SINUS OF VALSALVA ANEURYSM
  - Procedure
- CORONARY ARTERIAL FISTULA
  - Procedure
- RETRIEVAL OF EMBOLIZED DEVICES
- CONCLUSION
CHAPTER 21:Interventions in Hypertrophic Cardiomyopathy
- EPIDEMIOLOGY AND PATHOPHYSIOLOGY
- ALCOHOL SEPTAL ABLATION
- ALTERNATIVE APPROACHES FOR SEPTAL ABLATION
- PERCUTANEOUS TREATMENT OF MITRAL VALVE FOR OBSTRUCTIVE HCM
- CONCLUSION
CHAPTER 22:Interventions in Pulmonary Embolism
- INTRODUCTION
- CLASSIFICATION OF PULMONARY EMBOLISM
- MANAGEMENT OF PE
CHAPTER 23:Recent Advances in Cardiac Electrophysiology
- MAPPING TECHNIQUES (Table 1)
- ABLATION ENERGY
- CATHETERS (Table 2)
- ATRIAL FIBRILLATION ABLATION
- VENTRICULAR TACHYCARDIA ABLATION
- REMOTE NAVIGATION SYSTEMS
CHAPTER 24:Newer Devices in Electrophysiology: Leadless Pacemakers and Subcutaneous ICD
- INTRODUCTION
- LEADLESS PACEMAKER
- MICRA TRANSCATHETER PACING SYSTEM (TPS)
- IMPLANT PROCEDURE (Fig. 5)
- CURRENT INDICATIONS FOR THE LEADLESS PACEMAKER
- CLINICAL EXPERIENCE
- SUMMARY ABOUT LEADLESS PACEMAKER
- SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD)
- IMPLANT PROCEDURE (Fig. 7)
- EFFICACY AND SAFETY OF THE DEVICE
- CURRENT INDICATIONS OF THE S-ICD
- LIMITATIONS OF THE S-ICD
- SUMMARY ABOUT SUBCUTANEOUS ICD
- CONCLUSION

INDEX

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Index

Chapter Notes