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Until the publication of this exciting volume, new treatment modalities in the rapidly growing field of interventional cardiology were described based on individual research findings. Now, a multidisciplinary team of international experts puts catheter-based treatment techniques in context by exploring the pathobiology of specific diseases alongside a discussion of imaging tools and functional tests, and a comparison to alternative treatment approaches provided by cardiovascular surgery. This comprehensive overview of interventional cardiology represents a landmark in the field.
Since the introduction of coronary angiography, a key technique in understanding coronary artery disease, a number of paradigms regarding its study and interpretation have taken place. Following an emphasis on improved angiographic and subsequent intracoronary imaging techniques, functional assessment of coronary circulation has demonstrated to have major implications for diagnosis and treatment of coronary artery disease. Fractional flow reserve, a pressure derived index of stenosis severity, constitutes the best example of the current importance of physiological assessment in clinical practice. However, the acceptance of FFR by cardiologists contrasts with important voids in knowledge on t...
This new volume offers a balanced and current presentation of the key topics that form the cornerstone of an Interventional Cardiology training program. Globally recognized editors and contributors draw on their years of experience to provide practical information emphasizing the basics of material selection and optimal angiographic setup for purposes of the interventional procedure. Comprehensive chapters address the different techniques of approaching complex coronary lesions such as chronic occlusions, bifurcations, and unprotected left main lesions.
In this issue of Interventional Cardiology Clinics, guest editor Dr. Yasuhiro Honda brings his considerable expertise to the topic of Intracoronary Imaging and Its Use in Interventional Cardiology. Intracoronary imaging has the capability of accurately measuring vessel and stenosis dimensions, assessing vessel integrity, characterizing lesion morphology, and guiding optimal percutaneous coronary intervention (PCI). In this issue, top experts bring you fully up to date with recent advances in this fast-changing field. - Contains 15 practice-oriented topics IVUS-guided PCI; IVUS+OCT hybrid catheter system; OCT in vulnerable plaque and ACS; NIRS-guided PCI; serial monitoring of disease progress...
This book comprehensively reviews LM revascularization, one of the most technically challenging and prognostically relevant topics for cardiologists. LM carries blood to 70-80% of the normal heart, and diseases affecting this coronary segment are a common cardiac condition. Beginning in the sixties, management was exclusively within the domain of cardiac surgeons, and recent dramatic changes in percutaneous techniques have led to huge improvements but have also brought significant surgical challenges. In the book, top cardiac surgeons describe current and future operative techniques, while leading interventional cardiologists discuss new bifurcation techniques. This book also investigates the recently released European Society of Cardiology Guidelines in detail. Featuring the latest scientific studies with long-term follow up, and detailed descriptions of the techniques used, this book provides comprehensive guidance for any clinician, and is a valuable resource for cardiologists, interventional cardiologists, cardiac surgeons and internists. This is an open access book.
Written by pioneers in the field of interventional cardiology, this critical text provides readers with the information and expert guidance needed to perform safe and effective transcatheter aortic valve implantations (TAVI). The book is supplemented by visual aids, including more than 200 color illustrations and downloadable resources with bonus footage that detail each preprocedural, intraprocedural, and postprocedural step of TAVI—enabling readers to utilize TAVI devices correctly to improve patient results. The book focuses on the CoreValve and Edwards devices, but also provides practical, basic information applicable to any transcatheter aortic valve device.
This book provides comprehensive information on transcatheter aortic valve implantation (TAVI), which was introduced for the treatment of aortic valve disease less than two decades ago. It explains how TAVI has delivered satisfactory results even in high and intermediate risk patients and outlines how it continues to evolve, thus requiring awareness of state of the art approaches to indication, risk stratification, device choice, procedure, and follow-up. In addition, it reports on the complex and multidisciplinary approach needed to maximize the efficacy, safety, and appropriateness of TAVI, providing detailed clinical, interventional and surgical perspectives focusing on the development of this cardiovascular intervention. Starting with the history of TAVI, addressing the interventional anatomy of aortic valve disease, and reporting on the expert authors’ day-to-day experiences, this highly informative book offers an essential update for all cardiologists and surgeons interested in transcatheter aortic valve implantation, as well as any clinician, decision-maker and stakeholder involved in patient selection, procedural management, and follow-up.
This book Clinical Trials in Vulnerable Populations has 12 chapters divided into 4 sections: Minority Patients, Women, Medically Compromised Patients and Clinical Trials. Contributing authors came from several countries, from Serbia to Turkey. The book was edited by Professor Milica Prostran MD, Ph.D., specialist in Clinical Pharmacology. The potential reader is shown a modern approach to clinical trials in vulnerable populations, from different points of view. The chapters deal at length and clarity with their topics. Finally, I believe, that this book I edited and reviewed with dedication will capture the attention of many readers, from medical students to practicing doctors and pharmacists. All of whom must consider this very important field of medicine: clinical trials in vulnerable patients.
Performing any diagnostic test in medicine is always a matter of trying to get the condition of the patient diagnosed properly with the least effort, exposure, discomfort and at the same time with the lowest possible error probability. Pre-test probability is helpful but often imprecise, effectively overestimating the patient's risk profile. In a broader prevention objective, the phases of a disease, its onset, progression, and complications must be taken into account. The negative predictive value, which is so important, has in turn its main limitation in identifying the healthy patient, that is, the one who does not belong to any cluster of patients in which we would act in terms of preven...