A vast choice of techniques and technology confronts today's interventional cardiologists, and those who are new to angioplasty need clear and practical guidance in order to develop good habits, avoid common pitfalls and complications, and become efficient and confident practitioners. This new book supplies a solid grounding in the basics of percutaneous techniques by providing selective, practical knowledge and a full range of useful tools and tips. Throughout, the authors follow the motto "keep it simple" and focus only on the information that will help the reader learn and master the relevant technique. The book is designed for ease of use in the cath lab or other situations where the reader needs to access information quickly.
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Foreword, vii Preface, viii Acknowledgments, x List of Abbreviations, xi Chapter 1 Fundamentals, 1 Standards of Excellence in Interventional Cardiology, 1 Introduction to Interventional Procedures, 4 Vascular Access, 8 Coronary Anatomy and Projections, 25 Anomalies, 41 Left Ventriculography and Aortography, 51 Radiation Safety, 58 Chapter 2 Devices in Practice, 66 Guiding Catheters, 66 Guide Wires, 92 Balloons, 99 Stents, 110 Closure Devices, 122 Chapter 3 The Interventional Patient, 129 Elective PCI for Stable Coronary Artery Disease, 129 PCI in Acute Coronary Syndromes, 133 The Diabetic Patient, 162 Chapter 4 Interventional Pharmacotherapy, 167 Antiplatelet Agents in PCI, 167 Antithrombotic Agents in PCI, 182 Chapter 5 Techniques in Specifi c Lesions, 189 Left Main Coronary Artery, 189 Bifurcation Lesions, 203 Ostial Lesions, 238 Chronic Total Occlusion, 252 Grafts and Conduits, 273 Chapter 6 Complications, 288 Contrast Reactions, 288 Femoral Access Site Problems, 289 Radial Access Site Problems, 293 Air Injection, 294 No-Refl ow/Slow-Refl ow Phenomenon, 294 Coronary Spasm, 296 Pseudostenoses, 296 Coronary Perforation, 296 Coronary Dissection, 299 Stent Thrombosis, 303 Restenosis, 307 Stent Loss, 310 Hypotension, 311 Hypoglycemia, 312 Contrast-Induced Nephropathy, 312 New ST Elevation or Marked ST Depression, 317 Cardiac Arrest, 317 Emergency CABG, 319 Death, 319 Chapter 7 Intracoronary Imaging, 320 Intravascular Ultrasonography, 320 Virtual Histology, 335 Fractional Flow Reserve (FFR), 336 Optical Coherence Tomography, 339 List of Trials and Studies, 345 References, 348 Trials, 348 Guidelines, 357 Other Resources, 357 Index, 359
