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Women and Invasive Diagnostic Procedures
Pages 3-21
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.
Women and Invasive Diagnostic Procedures
Pages 3-21
Intracoronary Imaging and Intracoronary Functional Tests
Pages 23-35
Interventional Treatment of Stable Coronary Artery Disease in Women
Pages 37-49
Interventional Treatment of Acute Coronary Syndrome (ACS): Non-ST Elevation ACS (NSTE-ACS)
Pages 51-59
Interventional Treatment of Acute Coronary Syndrome: ST-Segment Elevation Myocardial Infarction (STEMI)
Pages 61-71
Peri- and Post-procedural Antithrombotic Therapy in Women
Pages 73-100
Aortic Valve Valvuloplasty
Pages 103-110
Transcatheter Aortic Valve Implantation
Pages 111-125
Mitral Valvuloplasty for Mitral Stenosis
Pages 127-137
Treatment of Mitral Regurgitation
Pages 139-144
Surgical and Percutaneous Treatment of Tricuspid Valve Insufficiency
Pages 145-155
Left Atrial Appendage Closure
Pages 157-165
Closure of Atrial Septal Defect and Patent Foramen Ovale
Pages 167-179
Ablation of Atrial Fibrillation in Women
Pages 183-188
Biventricular Pacing in Women for Heart Failure
Pages 189-201
Thoracic and Abdominal Aorta Percutaneous Treatment
Pages 205-217
Treatment of Peripheral Arteriopathy in Women
Pages 219-227
Gender Differences in CAS
Pages 229-247
Percutaneous Treatment During Pregnancy
Pages 251-262
Left Ventricular Assist Devices
Pages 263-275
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