Percutaneous Approaches To Valvular Heart Disease An Issue Of Interventional Cardiology Clinics

Among the most recently developed procedures for treating heart disease in a minimally invasive way are the techniques for percutaneous treatment of valvular heart disease. These are important advances because the only alternative is open heart surgery, which is not an option for many high-risk patients. This issue provides a detailed description of several percutaneous procedures, including trans-catheter aortic valve implantation.

Among the most recently developed procedures for treating heart disease in a minimally invasive way are the techniques for percutaneous treatment of valvular heart disease. These are important advances because the only alternative is open heart surgery, which is not an option for many high-risk patients. This issue provides a detailed description of several percutaneous procedures, including trans-catheter aortic valve implantation.

This issue of Cardiology Clinics covers several interventional procedures for structural cardiac problems, including aortic and mitral valvuloplasty, percutaneous defect closure, percutaneous mitral repair, percutaneous perivalvular leak closure, and transcatheter aortic valve implantation. Anesthesia and imaging for structural heart intervention are also discussed, making this issue a valuable resource for cardiologists who perform interventional procedures or manage patients who undergo these procedures.

This issue of Interventional Cardiology Clinics, guest edited by Dr. Susheel Kodali, will cover several key topics of importance surrounding Transcatheter Aortic Valve Replacement. The series is overseen by the Editor-in-Chief, Dr. Matthew Price of Scripps Translational Science Center. Subjects discussed in the issue include: Embolic protection during TAVR; Impact of Atrial Fibrillation on Outcomes Following TAVR; When to Intervene; Innovations in Transcatheter Valve Technology; Paravalvular Regurgitation; Challenges and Pitfalls of Bicuspid Valves; Tips and Tricks for Valve in Valve, and When to Choose Surgery in the Era of TAVR, among others.

This issue of Interventional Cardiology Clinics will explore Transcatheter mitral valve repair and replacement. Curated by the series Editor-in-Chief, Dr. Matthew J. Price, this issue will cover topics and advances in the field that are relevant for practicing clinicians. This issue is one of four selected each year by Dr. Price. The volume will include articles on: Transcatheter Mitral Valve Direct Annuloplasty With the Millipede Device, Transcatheter Mitral Valve Replacement with Intrepid, Transcatheter Mitral Valve Replacement with Tendyne, Treatment of functional mitral regurgitation with transcatheter edge-to-edge repair, Transcatheter Edge-to-Edge repair for Degenerative Mitral Regurgitation, Predicting Left Ventricular Outflow Tract Obstruction Following Transcatheter Mitral Valve Replacement, Prevention and Treatment of Left Ventricular Outflow Tract Obstruction after Transcatheter Mitral Valve Replacement, and Transatrial implantation of transcatheter heart valve for mitral disease, among others.

A comprehensive survey of nonsurgical treatment for a variety of heart diseases that affect the cardiac valves, the heart muscle, and the structure of the heart. The authors describe who these procedures are useful for, how to do them, and how well they work. Major topics of discussion include percutaneous techniques for valvular heart disease, septal defects at both the atrial and ventricular levels, adjunctive therapies during coronary interventions, and angioplasty to treat extracardiac vascular disease, as well as reviews of the cutting-edge imaging modalities now being used in interventional procedures. An accompanying CD-ROM contains video demonstrations of catheterization and and the imaging portions of these procedures.

This issue of Interventional Cardiology Clinics covers congenital and structural heart disease. Expert authors review the most current information available about treating a variety of conditions, including coarctation of the aorta, transcatheter pulmonary valve replacement, percutaneous mitral valve interventions, and catheter interventions for pulmonary artery stenosis. Complex interventions for adults with congenital heart disease are also discussed. Keep up-to-the-minute with the latest developments in this important aspect of interventional cardiology practice.

Over the last three decades, major advances in the management of diseases of the valves have been seen. While cardiac catheterization was in the 1970s, the only means for con?rming the diagnosis, Doppler echocardiography has become the corner stone for accurate assessment of valve disease, even in fetuses. Now not only the disease can be identi?ed but also the rate of disease progression (e. g. lea?et calci?cation and stiffness) can be accurately measured and quanti?ed by echocardiography and multislice/electron beam CT imaging. Surgical treatment of valve disease has also w- nessed great advances, having moved from traditional valve replacement to sophisticated repair procedures and the use of extracorporeal pump support in some patients. Robotic valve surgery has also proved a great success, in well selected cases, and is expected to have a fruitful future. Furthermore, in special circumstances, conventional surgical valve excision has now been replaced by percutaneous catheter-based valve replacement for aortic and pulmonary disease. This approach reduces the risk from the surgery itself, avoids general ana- thesia and many potential post-operative complications. This book discusses the practicalities of the diagnosis and treatment of the various aspects of common heart valve d- eases, covering most clinical and surgical issues. It is designed to assist clinicians in the management of patients with valve disease and provide them with answers to many of the clinical questions that arise.