Cardiology Procedures

This book provides a single reference that describes the application and performance of techniques and procedures performed by cardiologists. It includes descriptions of the technical aspects, clinical application and interpretation of the data generated during these testing modalities. The authors have provided a clinically focused guide to cardiac procedures aimed at clinical trainees and practitioners, including physicians as well as affiliated clinicians. Case studies are presented to further illustrate how these techniques are used in clinical practice.

This extensively revised edition is a single compact reference that describes a wide variety of diagnostic and therapeutic procedures performed by cardiologists. The focus is on the clinical application of these procedures with descriptions of their technical aspects, as well as contraindications and potential complications. The book provides detailed instruction on the interpretation of clinical data generated during these procedures and includes case presentations to illustrate how they are utilized in clinical practice. Cardiology Procedures: A Clinical Primer contains distilled clinical information and data important to those involved in the clinical care of cardiac patients. Comprising practical material designed to help in learning the diagnostic and therapeutic cardiology procedures performed in clinical practice, it will also be useful for trainees and practitioners in related disciplines.

This book is published for doctors, especially juniors, working in all specialties of cardiology (clinical, noninvasive, and invasive). It is an up-to-date, practical, and user-friendly book that contains almost all the information needed by cardiologists in their day-to-day clinical work. It derives its contents from the latest international cardiology guidelines and practices and the most recent literature in the specialization. I am sure cardiologists of all different experience levels will find it useful.

The book provides a clear overview of the various research stages of cardiac surgery, interventional cardiology, and cardiac anesthesia. It also deals with recent advances in minimally invasive surgery, robotic surgery, and many other innovations introduced in this field. However, aim of this volume is not only to describe the evolution of the discipline, but also to give the occasion of revisiting old and forgotten ideas that could be used successfully also nowadays if supported by modern technologies. With contributions by renowned international experts, the volume will be a very useful tool for students, residents, cardiac surgery and anesthesia professionals, cardiologists, biomedical engineers, and researchers.

The motivation for this book was the recognition by two of us (RL and TL) that, despite our training as cardiologists, we had a limited understand ing of many aspects of the surgical management of our patients. Conversa tions with other cardiologists at our own institution and at other medical centers around the country convinced us that many of our colleagues shared our uncertainty about the details of surgical procedures and the factors that determine decisions in the perioperative period. As surgical techniques continue to evolve, this knowledge gap can become only more severe. We therefore compiled information about cardiac surgery that might be useful for cardiologists and other nonsurgeons. We asked cardiologists what questions they would like to ask their surgical colleagues and provided these questions to the authors of the chapters. Thus, the goal of these chapters is to help nonsurgeons answer their own questions about common cardiac procedures, and to help prepare these physicians to address the questions raised by their patients. In addition, we hope that insight into these issues will improve communication between surgeons and their col leagues-and, ultimately, lead to better patient care. Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi 1 Chapter 1. Anesthesia for Cardiac Surgery JONATHAN B. MARK Chapter 2. Cardiopulmonary Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 DANIEL FITZGERALD Chapter 3. Myocardial Protection in Cardiac Surgery . . . . . . . . . . . . . . . . . . 23 JEFFREY SELL Chapter 4. Coronary Artery Bypass Grafting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 HENDRICK B. BARNER Chapter 5. Surgery for Left Ventricular Outflow Obstruction: Aortic Valve Replacement and Myomectomy . . . . . . . . . . . . . .

INTERVENTIONAL CARDIOLOGY The updated guide to understanding and implementing today’s interventional cardiology procedures Minimally invasive methods of cardiovascular intervention are developing apace, propelled by unprecedented advancements in technology and procedural expertise. Bearing exciting implications for a broad range of adjacent fields of surgery and patient care, these innovative techniques are of ever-increasing importance, not only within cardiology, but across medicine as a whole. This third edition of Interventional Cardiology is designed to equip practitioners of all levels with a working knowledge of today’s best and most up-to-date practices, as well as the fundamental principles that underlie their use. Expertly revised to span coronary interventions, interventional pharmacology, structural heart interventions, endovascular therapy, and more, its modular sections are accompanied by multiple-choice questions to help aid learning and self-assessment. The new edition of Interventional Cardiology features: A thorough survey of the field, including atherogenesis and inflammation, vascular access controversies, radiation protection concepts, acute and chronic interventional pharmacology recommendations for high risk subjects/procedures Evaluations with imaging and physiology, including physiologic assessment in the cardiac catheterization lab, intravascular ultrasound, and optical coherence tomography Discussions of revascularization in various clinical settings, including stable coronary heart disease, acute myocardial infarction, he management of cardiogenic shock, and hemodynamic support devices and techniques Examinations of coronary interventions in various lesion types, including complex lesions, left main, bifurcations, CTO Heart valve disease and relevant percutaneous interventions, including preop imaging and clinical evaluations and outcomes assessment in great depth and with technical details; left atrial interventions are an expanding frontier Peripheral vascular, carotid and aorta/branch diseases are covered in greater detail than previous editions; venous disease treatments have become well established Accompanied by a companion website featuring videos illustrating key procedures and interactive multiple choice questions Whether studying for certification or already working in advanced practice, medical professionals of all kinds will benefit greatly from the practical instruction and cutting-edge knowledge found within this vital third edition.

Significant changes have taken place in the realm of cardiac, thoracic, and vascular surgery during the last five to ten years. Many new operative procedures have been developed which remain relatively unknown to cardiothoracic surgeons. This practical manual covers a wide variety of these new processes, several of which are interventions offered to cardiologists practicing in the field of electrophysiology who are unaware that these interventions exist and can help them in situations they cannot solve. It includes general practical techniques; cardiac, thoracic, and vascular surgery procedures; and advances in cardiology and electrophysiology. Throughout the book, illustrations accompany the technical descriptions and show in step-by-step detail how to perform the operations and various procedures using proper equipment. Cardiothoracic Surgical Procedures and Techniques: A Practical Manual is an essential resource for physicians and related professionals, residents, fellows, physician assistants (PA), and graduate students in cardiology, cardiac surgery, thoracic surgery, and vascular surgery.