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Atlas of FFR-Guided Percutaneous Coronary Interventions

https://libcat.nshealth.ca/en/permalink/provcat41074
Tommaso Gori, Massimo Fineschi, editors. --Cham: Springer , c2016.
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This book details the theory and practice of fractional flow reserve (FFR)-guided coronary intervention, a technique that, even with complex results, gives sense and a rationale to daily decisions in the interventional suite. FFR guidance provides detailed information on coronary hemodynamics for the interventional cardiologist. This technique has profound practical implications for therapeutic decisions and for the prognosis of patients. This Atlas of FFR-Guided Percutaneous Coronary Intervent…
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Other Authors
Gori, Tommaso
Fineschi, Massimo
Responsibility
Tommaso Gori, Massimo Fineschi, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xvi, 211 p.) : 136 illus., 104 illus. in color
ISBN
9783319471167
9783319471143 (print ed.)
Subjects (MeSH)
Fractional Flow Reserve, Myocardial
Percutaneous Coronary Intervention - methods
Abstract
This book details the theory and practice of fractional flow reserve (FFR)-guided coronary intervention, a technique that, even with complex results, gives sense and a rationale to daily decisions in the interventional suite. FFR guidance provides detailed information on coronary hemodynamics for the interventional cardiologist. This technique has profound practical implications for therapeutic decisions and for the prognosis of patients. This Atlas of FFR-Guided Percutaneous Coronary Interventions provides practicing physicians clear information to understand both the complexity of the technique and the correct way to apply it. It is designed both to assist younger faculty and those in training, and to act as a clinical resource for more experienced practitioners. Using the clinical cases outlined, the reader can learn to appreciate the pitfalls, tips and tricks that simplify the performance and interpretation of FFR and iFR.
Contents
Part I. Setting the Stage -- 1. Setting the Stage: How to Perform Intracoronary Pressure Measurements -- Part II. Clinical Cases -- 2. Starting Easy: FFR in a High-Grade Stenosis -- 3. Another Easy one: This Time in the Other Direction -- 4. A False-Positive FFR: Drift and Failure to Equalize may cause Troubles! -- 5. A Negative FFR (Intracoronary Adenosine Bolus) -- 6. The Assessment of Diffuse Disease -- 7. Decision-Making in a Long Lesion: Full Metal Jacket or Spot Stenting? -- 8. When the Pd/Pa Is Already Significant: A “Quick and Clean” FFR -- 9. Contrast-Induced Hyperemia and FFR: Slightly Slower but still “Quick and Clean” -- 10. Reproducibility of FFR -- 11. Long-Term Repeatability of FFR: Twin Measurements with Two Years In-Between -- 12. A Positive FFR in the Absence of Visible Stenosis: Where Is the Problem? -- 13. Instantaneous Wave-Free Ratio Assessment -- 14. Simplifying Angioplasty: From Three- Vessel to One-Vessel Disease -- 15. FFR to Determine Stent Length: When the Play Gets Tough -- 16. Multiple Lesions, Multiple Measures -- 17. Sequential Lesions and Bioresorbable Scaffolds -- 18. FFR for a Lesion in the Left Main: No One Is So Blind As Those Who Will Not See -- 19. Imaging of Ostial Lesions: How Reliable Is It? -- 20. A Complex Left Main Disease -- 21. Bifurcation Lesions: A Quicker Solution for Re-entry -- 22. A Bifurcation with Surprise -- 23 A Wire in Jail -- 24. Mismatch Between Imaging and Functional Relevance of Coronary Stenoses: Seeing Is Not Believing -- 25. FFR or IVUS for Small Vessels? -- 26. Same IVUS, Same Vessel, Different FFR -- 27 In-Stent Restenosis -- 28. In-Stent Restenosis with a Twist -- 29. Using FFR to Detect Ischemia in Myocardial Bridge Lesions -- 30. ACS–NSTEMI -- 31. A Normal Fractional and Coronary Flow Reserve -- 32. Impaired Fractional and Coronary Flow Reserve -- 33. High-Grade Epicardial Stenosis with Microvascular Compensation -- 34. Threshold FFR, Impaired CFR, and IMR: Macrovascular or Microvascular Disease? -- 35. Coronary Slow Flow in a Patient with Myocarditis -- 36. A Complex Combination of Microvascular and Macrovascular Diseases -- 37. The Impact of Venous Pressure on FFR: Do Diuretics Affect FFR? -- 38. FFR Provides Indication on Myocardial Viability -- 39. FFR in a Bypass -- 40. Heart Failure: Really Idiopathic?
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e-Book
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Online
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Atlas of percutaneous edge-to-edge mitral valve repair

https://libcat.nshealth.ca/en/permalink/provcat32335
Ted Feldman, Olaf Franzen, Reginald Low ... [et al.], editors. --London: Springer , c2013.
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The field of structural heart disease interventions is experiencing a stage of rapid growth with the development of percutaneous mitral valve repair therapies and percutaneous aortic valve replacement therapies. The MitraClip represents a new therapeutic frontier for mitral regurgitation and is expected to revolutionize repair of the mitral valve. For the first time in the world, physicians now have the capability to repair the mitral valve percutaneously without the need for a sternotomy or ca…
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Feldman, Ted
Responsibility
Ted Feldman, Olaf Franzen, Reginald Low ... [et al.], editors
Place of Publication
London
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xvii, 591 p. : 669 ill., 587 ill. in color)
ISBN
9781447142942
Subjects (MeSH)
Mitral Valve Annuloplasty - methods
Mitral Valve Insufficiency - surgery
Mitral Valve - surgery
Percutaneous Coronary Intervention - methods
Radiography, Interventional - Atlases
Subjects (LCSH)
Interventional radiology
Cardiology
Abstract
The field of structural heart disease interventions is experiencing a stage of rapid growth with the development of percutaneous mitral valve repair therapies and percutaneous aortic valve replacement therapies. The MitraClip represents a new therapeutic frontier for mitral regurgitation and is expected to revolutionize repair of the mitral valve. For the first time in the world, physicians now have the capability to repair the mitral valve percutaneously without the need for a sternotomy or cardiopulmonary bypass. However, as with all new endeavors, there is a steep learning curve, not just for the individual operator but also for the entire field. The MitraClip technology and technique is technically complex and is guided by echocardiography and fluoroscopy. It is an imaging intensive procedure that requires deep 3-dimensional understanding of normal and abnormal cardiac anatomy. Not all mitral regurgitation cases are suitable and not all cases are straightforward. It is therefore crucially important for physicians in this specialty to communicate their experience, successes, failures and complications with each other. Written by the leaders in this breakthrough field, the Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair is the first of its kind for the new percutaneous MitraClip procedure. The Editors have designed the book to be a comprehensive reference manual and to provide cardiologists with true examples of basic and complex cases of percutaneous mitral valve repair using the technology. In addition, this book provides step-by-step guides to the procedure and complications as well as steps to recover from them are discussed. The Atlas is anticipated to be a very valuable reference for both novice and experienced interventional cardiologists and echocardiologists. As percutaneous valve repair becomes more common it will also be of great interest to general cardiologists and surgeons.
Contents
Foreword. Introduction.Mitral Valve Anatomy and Current Surgical and Percutaneous Approaches to Mitral Regurgitation.Device description and procedural overview. Room Set-up.Summary of MitraClip Clinical Data and Approach to Patient Selection. Echocardiographic Evaluation of Patients Before and After MitraClip Mitral Valve Repair.MitraClip Procedural Echocardiography. Transseptal puncture. Venous Access Management -- Hemodynamic perspectives of edge-to-edge mitral valve repair -- Situational Steering Techniques -- Case example: EVEREST II: Basic Degenerative. Case example: EVEREST II: Basic Functional. Case example: Barlow's disease -- Case example: EVEREST II : Large left atrium -- Case example: Approach to Mitral Regurgitation requiring multiple MitraClips -- Case example: Two Clips. Case example: EVEREST II: Delayed second clip for early recurrent mitral regurgitation. Case example: Secondary mitral regurgitation due to ischaemic mitral valve disease and mild rheumatic mitral valve involvement. Case example: The dilemma of reducing functional mitral regurgitation versus development of mitral stenosis. Case example: Infective endocarditis associated with the Mitraclip -- Case example: EVEREST II: MitraClip after failed surgical mitral valve repair. Case example: EVEREST II: Functional Mitral Regurgitation. Case example: Chiari Network Complicating a MitraClip Procedure. Case example: EVEREST II: Two MitraClip Procedure with Partial Detachment of Second Device -- Case example: Mitraclip Procedure in Unusual Heart Position -- Interatrial Septal Tear: A rare complication during MitraClip procedure and successful transcatheter closure. Case example: Percutaneous double-valve treatment in a patient with degenerative aortic stenosis and functional mitral regurgitation -- Case example: Percutaneous mitral valve repair after previous mitral valve reconstruction -- Case example: Delayed functional Mitral Regurgitation in high risk patients and Complex degenerative mitral regurgitation (anterior leaflet prolapsed) with commissural impingement -- Case example: Severe functional mitral regurgitation with missing leaflet coaptation -- Case example: Severe Ischemic Heart Failure with Functional Improvement After MitraClip Therapy -- Case example: Severe left-to-right shunting from iatrogenic atrial septal defect -- Case example: MitraClip implantation in chronic degenerative mitral regurgitation with extensive calcification -- Case example: 3D Transesophageal Echo Guided MitraClip Treatment of P3 Mitral Valve Prolapse -- Case example: Failure and complications of a MitraClip implantation for severe functional mitral regurgitation: a combination of unexpected findings and early experience -- Case example: Mitral valve repair using the MitraClip system in a patient with severe mitral regurgitation in the A3/P3 region due to chordae rupture during transapical TAVI -- Case example: MitraClip implantation in a patient with severe mitral annulus calcifications and a small orifice area.Çô Case example: Functional Mitral Regurgitation treatment with Mitraclip: Difficult transseptal puncture with anterior approach complicated by right atrial thrombus -- Case example: MitraClip in a patient with dextrocardia and scoliosis complicated by delayed clip detachment. Case example: Massive air embolism during MitraClip insertion -- Case example: The degree and type of mitral regurgitation present at the baseline is not always a good predictor of the procedural technical needs and of the final result -- Case example: Functional mitral regurgitation with a wide extension of the central regurgitant jet -- Case example: Percutaneous edge-to-edge mitral valve repair for functional mitral regurgitation in a high surgical risk patient -- Case example: Mitral stenosis after MitraClip therapy and a partial solution for treatment -- Case Example: MitraClip Therapy for Functional Mitral Regurgitation: Importance of jet localization to direct MitraClip placement -- Case Example: MitraClip: Acute thrombus formation during guide insertion -- MitraClip Placement in a Patient with Severe Kyphoscoliosis and Bileaflet Prolapse.
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e-Book
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Online
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Atrial Fibrillation and Percutaneous Coronary Intervention : A Case-based Guide to Oral Anticoagulation, Antiplatelet Therapy and Stenting

https://libcat.nshealth.ca/en/permalink/provcat41420
Andrea Rubboli, Gregory Y. H. Lip, editors. --Cham: Springer , 2017.
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This book considers paradigmatic clinical cases in order to cast light on key issues relating to elective or emergency stent implantation and the use of oral anticoagulation (OAC) in patients with atrial fibrillation. The topics addressed include the optimal periprocedural antithrombotic treatment (uninterrupted vs interrupted OAC, intraprocedural use of heparin and glycoprotein IIb/IIIa inhibitors, etc.), the most appropriate type of stent (bare metal vs drug eluting vs "bioactive"), the optim…
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Rubboli, Andrea
Lip, Gregory Y. H.
Responsibility
Andrea Rubboli, Gregory Y. H. Lip, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (viii, 212 pages) : 52 illus., 30 illus. in color
ISBN
9783319424002
9783319423982 (print ed.)
Subjects (MeSH)
Anticoagulants - therapeutic use
Atrial Fibrillation - drug therapy
Atrial Fibrillation - surgery
Percutaneous Coronary Intervention - methods
Vitamin K - therapeutic use
Abstract
This book considers paradigmatic clinical cases in order to cast light on key issues relating to elective or emergency stent implantation and the use of oral anticoagulation (OAC) in patients with atrial fibrillation. The topics addressed include the optimal periprocedural antithrombotic treatment (uninterrupted vs interrupted OAC, intraprocedural use of heparin and glycoprotein IIb/IIIa inhibitors, etc.), the most appropriate type of stent (bare metal vs drug eluting vs "bioactive"), the optimal regimen (e.g., triple therapy of OAC, aspirin, and clopidogrel vs the combination of OAC and a single antiplatelet agent), and the most suitable duration of the antithrombotic treatment prescribed at discharge (1 vs 6-12 months). The case-based management recommendations will be of wide practical value in the current health care context, where percutaneous coronary intervention is available even to patients with relevant co-morbidities, such as those warranting long-term OAC, and the indications for OAC are much broader than in the past. The book will appeal especially to clinical and interventional cardiologists, internal medicine specialists, hematologists, and family physicians and will also be of interest to cardiology and internal medicine residents and fellows.
Contents
Atrial fibrillation on vitamin K-antagonists undergoing elective coronary artery stenting for stable effort angina -- Atrial fibrillation on NOAC (dabigatran) undergoing elective coronary artery stenting for stable effort angina -- Atrial fibrillation on vitamin K-antagonist undergoing urgent coronary stenting for non ST-elevation acute coronary syndrome -- Atrial fibrillation on NOAC (rivaroxaban) undergoing urgent coronary stenting for non ST-elevation acute coronary syndrome -- Atrial fibrillation on vitamin K-antagonist undergoing emergency primary coronary stenting for ST-elevation acute myocardial infarction -- Atrial fibrillation on NOAC (apixaban) undergoing emergency primary coronary stenting for ST-elevation acute myocardial infarction -- Atrial fibrillation early complicating acute coronary syndrome treated with coronary artery stenting -- New-onset atrial fibrillation in a stable patient with remote coronary artery stenting -- Urgent surgery early after coronary stenting in a patient with atrial fibrillation on triple therapy of warfarin, aspirin and clopidogrel -- Urgent surgery early after coronary stenting in a patjent with atrial fibrillation on triple therapy of NOAC (a factor Xa-inhibitor), aspirin and clopidogrel -- Major bleeding early after coronary stenting in a patient with atrial fibrillation on triple therapy of warfarin, aspirin and clopidogrel -- Major bleeding early after coronary stenting in a patient with atrial fibrillation on triple therapy of NOAC (dabigatran), aspirin and clopidogrel.
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e-Book
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Online
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Cases in Structural Cardiac Intervention

https://libcat.nshealth.ca/en/permalink/provcat41216
Anitha Varghese, Neal Uren, Peter Ludman, editors. --London: Springer , 2017.
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This book utilizes case studies to illustrate a variety of percutaneous strategies to treat important cardiac pathology that would previously have mandated cardiac surgery. A desire to minimize the invasiveness of interventions and reduce patient exposure to risk have been the main drivers in developing catheter-based techniques in preference to established surgical methods. Cases in Structural Cardiac Interventions discusses how procedures will continue to increase in popularity as operator ex…
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Varghese, Anitha
Uren, Neal
Ludman, Peter
Responsibility
Anitha Varghese, Neal Uren, Peter Ludman, editors
Place of Publication
London
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (ix, 75 pages) : 46 illus., 33 illus. in color
ISBN
9781447149811
9781447149804 (print ed.)
Subjects (MeSH)
Cardiac Catheters
Cardiac Surgical Procedures - methods
Heart Diseases - surgery
Minimally Invasive Surgical Procedures - methods
Percutaneous Coronary Intervention - methods
Abstract
This book utilizes case studies to illustrate a variety of percutaneous strategies to treat important cardiac pathology that would previously have mandated cardiac surgery. A desire to minimize the invasiveness of interventions and reduce patient exposure to risk have been the main drivers in developing catheter-based techniques in preference to established surgical methods. Cases in Structural Cardiac Interventions discusses how procedures will continue to increase in popularity as operator expertise grows and technology advances. It provides a useful resource for imaging and interventional cardiologists to work together in developing an inter-disciplinary team skill set that can be adapted towards specific percutaneous intervention in order to ensure optimal patient outcome. .
Contents
Transcatheter aortic valve implantation -- Mitral valve repair: clips and balloons -- Paravalvular leak closures -- Septal ablation In hypertrophic cardiomyopathy -- Atrial fibrillation ablation -- Left atrial appendage occluders -- Pulmonary valve implantation -- Device closure in patent foramen ovale and atrial septal defects -- Percutaneous aortic coarctation repair -- Percutaneous coronary intervention -- Computed tomography angiography -- Perfusion cardiovascular magnetic resonance -- Myocardial contrast & stress echocardiography.
Format
e-Book
Publication Type
Case Reports
Location
Online
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Complications of Percutaneous Coronary Intervention : The Survival Handbook

https://libcat.nshealth.ca/en/permalink/provcat39679
Alistair Lindsay, Kamal Chitkara, Carlo Di Mario, editors. --London: Springer , c2016.
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This book serves as a reference manual for all cardiologists, particularly those in training, who face life-threatening complications of percutaneous coronary intervention (PCI) on a day-to-day basis. From its initial conception, PCI has evolved to become a very complex procedure. Knowledge of what complications can occur during PCI and how to deal with them is vital for the practicing cardiologist, and can mean the difference between life and death. Drawing on the background and experience of …
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Lindsay, Alistair
Chitkara, Kamal
Di Mario, Carlo
Responsibility
Alistair Lindsay, Kamal Chitkara, Carlo Di Mario, editors
Place of Publication
London
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xiii, 310 p. : 109 illus., 52 illus. in color)
ISBN
9781447149590
9781447149583 (print ed.)
Subjects (MeSH)
Intraoperative Complications
Percutaneous Coronary Intervention - methods
Stents
Abstract
This book serves as a reference manual for all cardiologists, particularly those in training, who face life-threatening complications of percutaneous coronary intervention (PCI) on a day-to-day basis. From its initial conception, PCI has evolved to become a very complex procedure. Knowledge of what complications can occur during PCI and how to deal with them is vital for the practicing cardiologist, and can mean the difference between life and death. Drawing on the background and experience of an international team of cardiologists, Complications of Percutaneous Coronary Intervention: The Survival Handbook is a valuable, practical, and readable resource for the interventional cardiologist. The principles and practices described within are relevant to all practitioners of interventional catheter procedures, including interventional radiologists, vascular surgeons, and cardiologists.
Contents
[publisher supplied] Femoral pseudoaneurysm -- Superficial Femoral Artery Dissection -- Vagal reaction -- Unable to find femoral pulse -- Find radial pulse but actually blocked and stick ulnar -- Unable to find radial pulse -- Femoral dissection -- Femoral bleeds Radial injury, perforation, need for glue, etc -- Radial spasm -- Radial: Unable to negotiate aorta -- Unable to negotiate subclavian/aorta junction -- Unable to intubate left coronary system -- Unable to intubate right coronary -- Unable to Intubate grafts -- Unable to intubate LIMA -- Conus branch injection - VF -- Brachial injury - no flow -- Stroke on table -- Aortic Dissection - Subclavian dissection -- Left main stem pressure damping cf. ventriculisation -- Coronary air embolism -- Coronary rupture -- Distal wire perforation -- Lost stent/Stent embolization -- Wire breakage, trapping -- Acute dissection/vesssel closure -- Femoral haematoma -- Retro-peritoneal haemorrhage -- Stent fracture -- Acute pericardial effusion -- Left main stem dissection -- Unable to withdraw wire past newly inserted stent -- No-reflow phenomenon -- Unable to pass wire -- Unable to pass balloon.-áUnable to pass stent -- Stented underprepared lesion -- Acute onset hypotension Chest pain -- Hypertension -- Pulmonary oedema onátable -- Unable to cross aortic valve -- Pigtail or end hole punctures ventricle -- Sheared rotablator wire/retained tip -- Wire under stent -- Atheroembolism of leg -- Failed vascular closure device -- Intramural haematoma -- Failure of stent deployment -- Dissection after rotablation -- Wire fracture -- Perforated side branch needing coils.
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e-Book
Location
Online
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Current Trend and Techniques of Percutaneous Coronary Intervention for Chronic Total Occlusion

https://libcat.nshealth.ca/en/permalink/provcat45347
Toshiya Muramatsu, editor. --Singapore: Springer , c2020.
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This book discusses the clinical indications for chronic total occlusion (CTO) recanalization using percutaneous coronary intervention (PCI) and illustrates the recent academic findings on this constantly developing field of study. In addition to exploring the indications for revascularization and reading angiographies, the authors examine new strategies and techniques using innovative materials and equipment employing the antegrade, retrograde and their hybrid approaches, with a particular foc…
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Other Authors
Muramatsu, Toshiya
Responsibility
Toshiya Muramatsu, editor
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (v, 126 p.) : 45 illus. in color
ISBN
9789811530692
9789811530685 (Print ed.)
9789811530708 (Print ed.)
9789811530715 (Print ed.)
Subjects (MeSH)
Coronary Occlusion - surgery
Percutaneous Coronary Intervention - methods
Specialty
Cardiovascular Surgical Procedures
Abstract
This book discusses the clinical indications for chronic total occlusion (CTO) recanalization using percutaneous coronary intervention (PCI) and illustrates the recent academic findings on this constantly developing field of study. In addition to exploring the indications for revascularization and reading angiographies, the authors examine new strategies and techniques using innovative materials and equipment employing the antegrade, retrograde and their hybrid approaches, with a particular focus on the settings and management as well as the prevention of complications. They also describe the future potential of CTO PCI, with emphasis on how the latest advances in clinical science may be integrated into current and future therapies. Current Trend and Techniques of Percutaneous Coronary Intervention for Chronic Total Occlusion is an informative book providing academic insights for interventional cardiologists, vascular surgeons, clinical residents, medical students and scholars in the field of peripheral arterial CTO interventions.
Contents
1. Clinical indications of CTO revascularization -- 2. CTO PCI in clinical readings of angiography -- 3. Trends in CTO PCI dedicated intravascular ultrasound -- 4. Antegrade wire escalation and parallel wire -- 5. Antegrade dissection re-entry -- 6. How to read and find the appropriate collateral channel for retrograde approach -- 7. Channel tracking guidewire and technique for retrograde approach -- 8. How to cross CTO lesion from retrograde approach -- 9. The concept of algorithm approach in CTO PCI -- 10. CTO PCI complications: prevention and management -- 11. Providing education about PCI for CTO -- 12. Future perspectives of PCI for CTO.
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e-Book
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Online
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Edge-to-Edge Mitral Repair : From a Surgical to a Percutaneous Approach

https://libcat.nshealth.ca/en/permalink/provcat39348
Ottavio Alfieri, Michele De Bonis, Giovanni La Canna, editors. (1st ed.) --Cham: Springer , c2015.
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This is the first comprehensive review of the edge-to-edge technique for mitral repair, which was introduced into the surgical armamentarium in 1991 by one of the authors, Ottavio Alfieri. The surgical technique employed in edge-to-edge repair today provides the basis for the only reliable method of percutaneous correction of degenerative mitral regurgitation. The book traces the evolution of the edge-to-edge technique from a surgical to a percutaneous approach, documenting indications, contrai…
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Other Authors
Alfieri, Ottavio
De Bonis, Michele
La Canna, Giovanni
Responsibility
Ottavio Alfieri, Michele De Bonis, Giovanni La Canna, editors
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (viii, 166 p. : 94 illus., 66 illus. in color)
ISBN
9783319198934
9783319198927 (print ed.)
Subjects (MeSH)
Mitral Valve Insufficiency - surgery
Mitral Valve - surgery
Percutaneous Coronary Intervention - methods
Radiography, Interventional
Abstract
This is the first comprehensive review of the edge-to-edge technique for mitral repair, which was introduced into the surgical armamentarium in 1991 by one of the authors, Ottavio Alfieri. The surgical technique employed in edge-to-edge repair today provides the basis for the only reliable method of percutaneous correction of degenerative mitral regurgitation. The book traces the evolution of the edge-to-edge technique from a surgical to a percutaneous approach, documenting indications, contraindications, technical aspects, controversies, and clinical outcomes. Detailed attention is devoted to the MitraClip procedure, which reproduces the Alfieri stitch percutaneously and has to date been used in more than 20,000 patients worldwide. The state of the art in MitraClip therapy is described, with clear explanation of when and how to use the MitraClip system. The reader will learn all aspects of percutaneous edge-to-edge repair, which is recommended for use in carefully selected patients in the new ESC/EACTS guidelines for the management of valvular heart disease and in the ESC guidelines on heart failure. The group at San Raffaele Hospital, Milan, has accumulated by far the largest experience in the world with the technique and over the years has been very active in its promotion and scientific evaluation. This book reflects that depth of knowledge and will be of great interest to cardiac surgeons and interventional and clinical cardiologists.
Contents
1. The genesis of the edge-to-edge technique -- 2. The principle: from computational model to clinical validation -- 3. Technical aspects: sternotomy and minimally invasive surgery -- 4. Is there a role for the edge-to-edge technique in robotic mitral valve repair? -- 5. Echocardiographic assessment of a double orifice mitral valve: tips and tricks -- 6. The early phase of clinical application: lessons learned -- 7. Early and long-term results of the EE repair -- 8. Transaortic edge-to-edge technique in patients with hyperthrophic obstructive cardiomyopathy -- 9. Mitral stenosis after EE repair: is it an issue? -- 10. Current surgical indications and contraindications -- 11. The case of surgical EE repair without annuloplasty: now we know -- 12. Evolution of EE repair: from surgery to percutaneous -- 13. State of the art in Mitraclip therapy: who, when and how -- 14. Clinical results of the percutaneous EE repair: lights and shadows -- 15. Future perspectives on percutaneous EE repair -- 16. Conclusions.
Format
e-Book
Location
Online
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The Interventional Cardiology Training Manual

https://libcat.nshealth.ca/en/permalink/provcat43415
Aung Myat, Sarah Clarke, Nick Curzen, Stephan Windecker, Paul A. Gurbel, editors. --Cham: Springer , c2018.
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This textbook is a readily accessible educational tool for all fellows undertaking subspecialty training in interventional cardiology, while also serving as a refresher to early career interventional cardiologists. The key objective is to equip the reader with an evidence-based expert-led resource focussed primarily on pre-procedural planning, peri-procedural decision-making, and the salient technical aspects of performing safe and effective coronary intervention, the intention being to support…
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Other Authors
Myat, Aung
Responsibility
Aung Myat, Sarah Clarke, Nick Curzen, Stephan Windecker, Paul A. Gurbel, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xi, 537 p.) : 236 illus., 172 illus. in color
ISBN
9783319716350
9783319716336 (print ed.)
9783319716343 (print ed.)
Subjects (MeSH)
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - therapy
Percutaneous Coronary Intervention - methods
Specialty
Cardiology
Cardiovascular Surgical Procedures
Abstract
This textbook is a readily accessible educational tool for all fellows undertaking subspecialty training in interventional cardiology, while also serving as a refresher to early career interventional cardiologists. The key objective is to equip the reader with an evidence-based expert-led resource focussed primarily on pre-procedural planning, peri-procedural decision-making, and the salient technical aspects of performing safe and effective coronary intervention, the intention being to support the therapeutic decision-making process in the emergency room, coronary care unit or cath lab in order to optimize patient outcome. The Interventional Cardiology Training Manual provides readers with a step-by-step guide to the basic principles underpinning coronary intervention and facilitates rapid access to best practice from the experts, presented in a pragmatic, digestible and concise format. Uniquely, each chapter has been written in a heart center-specific manner, affording the reader an opportunity to learn how individual institutions perform a specific procedure, which algorithms and guidelines they follow and what evidence they draw on to instigate the best possible care for their patients.
Contents
1. Coronary Heart Disease -- 2. Clinical Assessment of Coronary Heart Disease -- 3. Noninvasive Imaging Assessment of Coronary Heart Disease -- 4. Left Heart Catheterization -- 5. Vascular Access for Left Heart Catheterization -- 6. Right Heart Catheterization -- 7. Radiation Exposure and Safety -- 8. Planning Coronary Intervention: The “Golden Rules”—Patient Checklist and Troubleshooting -- 9. Guide Catheters: Selection, Support, Extension and Guide Wire Selection -- 10. Balloon Technology -- 11. Stent Technology -- 12. Percutaneous Coronary Intervention: Adjunctive Pharmacology -- 13. Adjunctive Technologies (Rotablation, Excimer Laser, Aspiration Thrombectomy, Distal Embolic Protection) -- 14. Intracoronary Imaging -- 15. Physiologic Lesion Assessment: Fractional Flow Reserve -- 16. Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction -- 17. Percutaneous Coronary Interventions for NSTEMI and Unstable Angina -- 18. Percutaneous Coronary Intervention for Stable Ischemic Heart Disease -- 19. Percutaneous Coronary Intervention for Left Ventricular Systolic Dysfunction -- 20. Percutaneous Coronary Intervention: Special Considerations in Women -- 21. Coronary Intervention in the Chronic Kidney Disease, Diabetic and Elderly Populations -- 22. Stent Thrombosis -- 23. Cardiogenic Shock and Mechanical Circulatory Support -- 24. Out-of-Hospital Cardiac Arrest -- 25. Mechanical Complications of Acute Myocardial Infarction -- 26. Contemporary Treatment of Coronary Bifurcation Lesions -- 27. Left Main Coronary Artery Intervention -- 28. Chronic Total Occlusions -- 29. Multivessel Coronary Artery Disease -- 30. Secondary Percutaneous Revascularization After Coronary Artery Bypass Graft Surgery -- 31. In-Stent Restenosis -- 32. Percutaneous Coronary Intervention: Management of Complications -- 33. Bleeding Associated with Angiography and Percutaneous Coronary Intervention.
Format
e-Book
Location
Online
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Manual of percutaneous coronary interventions

https://libcat.nshealth.ca/en/permalink/provcat50897
--London, England: Academic Press , 2021.
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Location
Online
Available Online
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Place of Publication
London, England
Publisher
Academic Press
Date of Publication
2021
ISBN
9780128193679
Subjects (MeSH)
Percutaneous Coronary Intervention - methods
Stents
Notes
Access to this online resource is restricted to IWK Health Centre employees working from inside the hospital network.
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e-Book
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Online
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Non-Pushing PCI Techniques

https://libcat.nshealth.ca/en/permalink/provcat46456
Kazuaki Mitsudo. --Singapore: Springer , c2021.
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NEW Springer 2021
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Online
This book provides an in-depth review of non-pushing percutaneous coronary intervention (PCI). With abundant, clear figures, the chapters logically describe retrograde wiring techniques, including the stenting of bifurcation lesions, right coronary artery ostial lesions, and left main trunk (LMT) lesions, and then go on to illustrate Mitsudo’s non-pushing PCI techniques. Short columns between chapters offer tips and tricks to help readers gain a better understanding. Given its scope, this book …
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Author
Mitsudo, Kazuaki
Responsibility
Kazuaki Mitsudo
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2021
Physical Description
1 online resource (xvii, 273 p.)
ISBN
9789811570438
9789811570421 (Print ed.)
9789811570445 (Print ed.)
9789811570452 (Print ed.)
Subjects (MeSH)
Coronary Artery Disease - surgery
Percutaneous Coronary Intervention - methods
Stents
Specialty
Cardiovascular Surgical Procedures
Abstract
This book provides an in-depth review of non-pushing percutaneous coronary intervention (PCI). With abundant, clear figures, the chapters logically describe retrograde wiring techniques, including the stenting of bifurcation lesions, right coronary artery ostial lesions, and left main trunk (LMT) lesions, and then go on to illustrate Mitsudo’s non-pushing PCI techniques. Short columns between chapters offer tips and tricks to help readers gain a better understanding. Given its scope, this book is not only a valuable resource for by coronary interventionalists dealing with PCI for complex lesions including chronic total occlusion (CTO), but also serves as a practical and informative for cardiologists.
Contents
1. Mitsudo’s PCI Techniques for CTO -- 2. Stenting of Bifurcation Lesions -- 3. Stenting of RCA Ostial Lesions -- 4. Stenting of Left Main Coronary Artery (LM) Lesions -- 5. Mitsudo’s Non-pushing PCI Techniques.
Access
NEW Springer 2021
Format
e-Book
Location
Online
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Percutaneous Intervention for Coronary Chronic Total Occlusion : The Hybrid Approach

https://libcat.nshealth.ca/en/permalink/provcat39854
Stéphane Rinfret, editor. (1st ed.) --Cham: Springer , c2016.
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This is a practical handbook providing readers with a step-by-step description of how to perform some of the percutaneous coronary intervention (PCI) techniques for treating chronic total occlusion (CTO) and how to troubleshoot some of the problems along the way. PCI has emerged as a very effective procedure to help patients with CTOs, with high success and low complications rates. However, it remains a very challenging procedure with multiple challenges, both in managing specific cases, but al…
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Other Authors
Rinfret, Stéphane
Responsibility
Stéphane Rinfret, editor
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xiv, 231 p. : 102 illus., 53 illus. in color)
ISBN
9783319215631
9783319215624 (print ed.)
Subjects (MeSH)
Arterial Occlusive Diseases
Chronic Disease
Coronary Occlusion - surgery
Percutaneous Coronary Intervention - methods
Abstract
This is a practical handbook providing readers with a step-by-step description of how to perform some of the percutaneous coronary intervention (PCI) techniques for treating chronic total occlusion (CTO) and how to troubleshoot some of the problems along the way. PCI has emerged as a very effective procedure to help patients with CTOs, with high success and low complications rates. However, it remains a very challenging procedure with multiple challenges, both in managing specific cases, but also in the learning process. Percutaneous Intervention for Coronary Chronic Total Occlusion: The Hybrid Approach represents a practical book formatted to assist the busy interventional cardiologist in learning the techniques. Numerous examples are provided, with a vast selection of still images and over 150 angiographic video loops. The concept of the book is to provide a quick reference tool to help identify the most common problems encountered with instruction on the most effective method of counteracting them. It will become a "must have" for operators who want a quick reference for the procedure.
Contents
How to Justify CTO Revascularization -- How to Set Up a Chronic Total Occlusion Angioplasty Program -- What Equipment Should be Available -- Specific Basic Techniques to Master in CTO PCI -- When and How to Perform an Antegrade Approach Using a Wire Escalation Technique -- When and How to Perform an Antegrade Dissection/Re-entry Approach using the CrossBoss and Stingray Catheters -- How to Deal with Difficult Antegrade Issues -- Intra-occlusion Microinjection of Contrast: When, Why and How -- How and When to Perform the Retrograde Approach -- How to Recanalize In-Stent Chronic Total Occlusions -- How to Fix Common Problems Encountered in CTO PCI: The Expanded Hybrid Approach -- How to Improve Catheter Support during CTO PCI -- When and How to Perform a Transradial Approach for CTO PCI -- How to Manage Radiation and Contrast during Chronic Total Occlusion Percutaneous Coronary Intervention -- Complications of Chronic Total Occlusion Percutaneous Coronary Intervention -- How to Prevent Perforation during CTO PCI -- How to Prevent and Manage Ischemic Complications during CTO PCI -- Managing Entrapped Gear during Chronic Total Occlusion Interventions -- How to Start and Build Your CTO Practice and Maintain Referrals in a Competitive Environment.
Format
e-Book
Location
Online
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Percutaneous Treatment of Cardiovascular Diseases in Women

https://libcat.nshealth.ca/en/permalink/provcat41346
Patrizia Presbitero, Julinda Mehilli, Anna Sonia Petronio, editors. --Cham: Springer , 2017.
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Online
This book describes a wide range of interventional procedures currently employed in the treatment of cardiac diseases in women with the aim of enabling not only interventional cardiologists but also cardiologists and cardiac surgeons to refine their approach to female patients and thus improve outcomes. The book reflects the increasing awareness of gender differences with regard to coronary artery disease and structural valve heart disease. Examples include myocardial infarction, which carries …
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Other Authors
Presbitero, Patrizia
Mehilli, Julinda
Petronio, Anna Sonia
Responsibility
Patrizia Presbitero, Julinda Mehilli, Anna Sonia Petronio, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (viii, 275 pages) : 58 illus., 50 illus. in color
ISBN
9783319396118
9783319396095 (print ed.)
Subjects (MeSH)
Cardiovascular Diseases - surgery
Cardiovascular Surgical Procedures - methods
Percutaneous Coronary Intervention - methods
Sex Factors
Treatment Outcome
Women
Abstract
This book describes a wide range of interventional procedures currently employed in the treatment of cardiac diseases in women with the aim of enabling not only interventional cardiologists but also cardiologists and cardiac surgeons to refine their approach to female patients and thus improve outcomes. The book reflects the increasing awareness of gender differences with regard to coronary artery disease and structural valve heart disease. Examples include myocardial infarction, which carries a worse prognosis in women in part because they suffer from this disease mostly in the 7th decade of life, present more frequently with hemodynamic instability and later from symptom onset, and have fragile, small and tortuous coronary arteries that are more technically demanding in the context of primary percutaneous coronary intervention. Another example is symptomatic aortic stenosis, which carries a better prognosis in women who undergo trans-catheter aortic valve implantation partially due to a better annulus-prosthesis match, which leads to less residual paravalvular regurgitation, better left ventricular function and lower aggregation of comorbidities. Further, in women left ventricular response to aortic stenosis is typified by muscle hypertrophy with a small ventricular cavity. These differences are reflected in the clinical manifestations and their impact on diagnosis, treatment, and choice of tools and devices for use in interventional procedures. By explaining the at times subtle variances in disease and treatment techniques for female and male patients, this book will help practitioners select the most appropriate procedures and materials in a range of settings.
Contents
Part I: Coronary Artery Disease -- 1. Women and invasive diagnostic procedures -- 2. Intracoronary imaging and intracoronary functional tests -- 3. Interventional treatment of stable coronary artery disease in women -- 4. Interventional treatment of Acute Coronary Syndrome (ACS): non-ST-elevation ACS (NSTE-ACS) -- 5. Interventional treatment of acute coronary syndrome: ST-segment elevation myocardial infarction -- 6. Peri- and Post-procedural Antithrombotic Therapy in Women -- Part II: Structural Heat Disease -- 7. Aortic valve valvuloplasty -- 8. Transcatheter aortic valve implantation -- 9. Mitral valvuloplasty for mitral stenosis -- 10.Treatment of mitral regurgitation -- 11. Surgical and percutaneous treatment of tricuspid valve insufficiency -- 12. Left atrial appendage closure -- 13. Closure of atrial septal defect and patent foramen ovale -- Part III: Arrhythmia and Conduction Disease -- 14. Ablation of atrial fibrillation in women -- 15. Biventricular pacing in women for heart failure -- Part IV: Peripheral Artery Disease -- 16. Thoracic and abdominal aorta percutaneous treatment -- 17. Treatment of peripheral arteriopathy in women -- 18. Gender Differences in Carotid Artery Stenting -- Part V: Complex Clinical Scenarios -- 19. Percutaneous treatment during pregnancy -- 20. Left ventricular assist devices.
Format
e-Book
Location
Online
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Slender PCI : Extremely Minimally Invasive Percutaneous Coronary Intervention

https://libcat.nshealth.ca/en/permalink/provcat45351
Fuminobu Yoshimachi, editor. --Singapore: Springer , c2020.
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This book offers a valuable contribution to the field of minimally invasive coronary intervention, presenting the latest developments in slender catheters, their development and the related research findings. With the growing interest in trans-radial interventions (TRIs) and distal radial approach, Slender PCI has been popular in Japan. Although Slender PCI started with using a small diameter catheter of a 5Fr Guiding Catheter, recently it becomes a generic term for all minimally invasive cathe…
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Other Authors
Yoshimachi, Fuminobu
Responsibility
Fuminobu Yoshimachi, editor
Place of Publication
Singapore
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (x, 219 p.) : 108 illus., 64 illus. in color
ISBN
9789811537776
9789811537769 (Print ed.)
9789811537783 (Print ed.)
9789811537790 (Print ed.)
Subjects (MeSH)
Endovascular Procedures
Minimally Invasive Surgical Procedures
Percutaneous Coronary Intervention - methods
Specialty
Cardiovascular Surgical Procedures
Abstract
This book offers a valuable contribution to the field of minimally invasive coronary intervention, presenting the latest developments in slender catheters, their development and the related research findings. With the growing interest in trans-radial interventions (TRIs) and distal radial approach, Slender PCI has been popular in Japan. Although Slender PCI started with using a small diameter catheter of a 5Fr Guiding Catheter, recently it becomes a generic term for all minimally invasive catheter Interventions. Slender PCI not only makes less painful but also reduces exposure to radiation and contrast agents. In addition, the book highlights the distal radial approach, 5Fr guiding catheter for treating complex lesion, 4Fr guiding catheters, 3Fr diagnosis catheters. The authors share their experiences and know-how throughout, providing abundant illustrations to enhance readers’ understanding.
Contents
1. Introduction -- 2. What Is Slender PCI? -- 3. Evidence for Slender Percutaneous Coronary Intervention -- 4. Less Invasive Intervention: From a Forearm Radial to Distal Radial Approach -- 5. Distal Transradial Access for Arterial Angiography and Interventions: An Overview of Knowledge -- 6. Ultimate Less Radial Artery Occlusion Hemostasis Method on Slender PCI -- 7. Distal Radial Approach for ST Elevation Myocardial Infarction -- 8. Backup Support of Slender Percutaneous Coronary Intervention Guiding Catheter -- 9. Radial Artery Puncture and Hemostasis -- 10. Usefulness of Low-Concentration Contrast Medium in Coronary Angiography -- 11. Minimum Contrast PCI -- 12. Usefulness of Fractional Flow Reserve Measurement with the Four FRench Diagnostic Catheter (FFRFFR) -- 13. 4 Fr. Guiding Catheter -- 14. 3 Fr Diagnostic Catheter -- 15. Sheathless Slender in the United Kingdom -- 16. Slender Sheathless in Japan -- 17. Slender PCI for Bifurcation Lesions -- 18. Use of Slender PCI in Undilatable Calcified Coronary Lesions -- 19. Slender PCI for Chronic Total Occlusion: Microchannel Tracking Technique -- 20. Histological Insight into the Pathology of Coronary Chronic Total Occlusion and Intervention -- 21. Slender CTO: 1P1G and Chameleon Technique -- 22. CTO: Retrograde Approach.
Format
e-Book
Location
Online
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Transradial access : techniques for diagnostic angiography and percutaneous intervention

https://libcat.nshealth.ca/en/permalink/provcat25434
--Minneapolis, MN: Cardiotext Publishing , c2013.
Call Number
WG 500 T772 2013
Location
Halifax Infirmary
Call Number
WG 500 T772 2013
Other Authors
Cohen, Howard A
Place of Publication
Minneapolis, MN
Publisher
Cardiotext Publishing
Date of Publication
c2013
Physical Description
209 p.
ISBN
9781935395416
Subjects (MeSH)
Angiography - methods
Catheterization, Peripheral - methods
Percutaneous Coronary Intervention - methods
Vascular Access Devices
Forearm
Format
Book
Location
Halifax Infirmary
Loan Period
3 weeks
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