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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 become efficient and confident practitioners. Written to provide readers with a solid grounding in the basics of percutaneous techniques by providing selective, practical knowledge and a full range of useful tools and tips, Essential Angioplasty is:
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. This makes Essential Angioplasty the perfect companion for trainees and others seeking a reliable guide to achieving success in the cardiac catheterization laboratory.
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
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