Angioplasty And Stenting Procedures

Despite the fact that Interventional Radiology is steadily moving toward a cli- cal specialty with the need for broad medical training, daily craftsmanship will always remain fundamental to what an interventional radiologist does. Without basic catheter and wire skills IR would not be what it is today. When I watch ex- rienced colleagues work I am always surprised to see that, concerning the technique and the materials, we all make the same choices. There is apparently a common IR skill, which is universal and can be learned with experience. I always see this with new IR fellows, that it takes time to step away from improvising and letting the p- cedure take the lead to logic and standardized control over a procedure. Choosing the right materials for the right job and building a level of con dence with these materials is a very important part of any IR fellowship. Why can a supervisor get a stable catheter position with a new wire in no time, whereas the fellow almost gives up? The difference is knowing your materials for this speci c indication and c- bining routine and standardized operational procedures. Hands-on workshops are always very popular at every IR meeting because one can really learn about basic skills. Lectures with the title “How I do it,” can always count on a full audience.

This book provides a comprehensive, up-to-date summary of drug-coated balloon (DCB) technology and the role of DCBs in the treatment of coronary and peripheral arterial disease. In addition to clear explanation of how DCBs works, readers will find an enlightening analysis of the mistakes and successes of the past decade and the emergence of the latest delivery systems, which combine a more deliverable device with much improved drug delivery to the vessel wall. The full range of current applications of DCBs are reviewed in detail, drawing on the latest scientific evidence. Due attention is paid to newer devices, with provision of technical insights and documentation of the available clinical data. Ongoing research projects, remaining technical challenges, likely future directions, and reimbursement issues are also carefully considered. This book will be a useful tool for any interventional cardiologist, interventional radiologist, or vascular surgeon who wishes to acquire a deep knowledge of this technology and its application in both coronary and peripheral interventions.

This volume provides an overview of new concepts in neurovascular interventions based on clinical and scientific knowledge of cerebrovascular disorders. It especially focuses on subarachnoid hemorrhage and cerebrovascular malformations, e.g. aneurysms, arterio-venous malformations, and cavernomas. A separate part addresses cerebral revascularization for both complex aneurysms and ischemia. All contributions were written by recognized experts and cover original papers presented at the 7th European Japanese Stroke Surgery Conference, held in Verona, Italy in June 2014. The authors present new trends and strategies for managing emerging problems, as well as in-depth discussions on controversial issues in the field.

Angioplasty is defined as a medical procedure that widens obstructed arteries and veins in the human body. This book on angioplasty discusses techniques and methods followed during the surgical procedure. This book elucidates the concepts and innovative models around prospective developments with respect to angioplasty. While understanding the long-term perspective of the topics, the book makes an effort in highlighting their impacts as a modern tool for the growth of the discipline. This book on angioplasty will be useful to students, experts and professionals in the field of vascular surgery, cardiology and medical imaging.

This book is open access under a CC BY 4.0 license. This quick-reference handbook offers a concise and practical review of key aspects of the treatment of ST-segment elevation myocardial infarction (STEMI) in the era of primary percutaneous coronary intervention (PPCI). In the context of STEMI, PPCI is the preferred mode of emergency revascularization. Access to PPCI is rapidly increasing and is now routinely practiced in both general and specialist hospitals and there has been a recent emphasis on developing STEMI networks to enhance and expedite the referral pathway. This coupled with concurrent developments to enhance the safety and efficacy of the PPCI procedure has heralded an era where STEMI interventions are increasingly considered an important subspecialty within interventional cardiology. Written by leading cardiologists who have been instrumental in the adoption of PPCI in their respective institutions, the book provides junior and senior cardiologists alike with insightful and thought-provoking tips and tricks to enhance the success of PPCI procedures, which may in turn translate into direct improvements in outcomes. The book is also relevant for healthcare providers and emergency department physicians.

A comprehensive guide to the clinical use of lasers in cardiovascular disease. Describes techniques of laser angioplasty, covering topics that range from early results using bare fiber optics to percutaneous coronary laser thermal angioplasty. Extensively illustrated with photographs, x-rays, angiograms, drawings and diagrams.

This book presents a thorough review of coronary angioscopy, ranging from instructions on its use to the latest advances. Starting with the structure and fundamental principles of angioscopy, it shows readers how to apply the image to comprehensive care of coronary-artery patients. Plentiful color photos and illustrations will enable readers to investigate and classify plaques and thrombi and to evaluate coronary stent- and drug-based therapies. The authors are leading researchers on angioscopy. This book offers the perfect guide not only for new clinicians but also for cardiologists who have already adopted this technique for medical examination and treatment. Angioscopy is a unique medical technique for visualizing the interior of blood vessels and helps physicians not only to diagnose the pathology but also to measure the effectiveness of Percutaneous coronary intervention (PCI) or antiarteriosclerotic drugs. Furthermore, the recently developed molecular angioscopy approach allows us to observe Low-density lipoprotein (LDL) oxide, collagen, and macrophages, and is rapidly growing in importance.