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

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.

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 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.

Guest edited by Dr. Daniel Levi, this issue of Interventional Cardiology Clinics will cover several key areas of interest related to Congenital Heart Disease Intervention. This issue is one of four selected each year by our series Editor-in-Chief, Dr. Matthew Price of Scripps Translational Science Center. Articles in this issue include, but are not limited to: Current Transcatheter Approaches for the Treatment of Aortic Coarctation in Children and Adults, Biodegradable Stents for Congenital Heart Disease, State of the Art ASD Closure Devices for Congenital Heart, New PDA Closure Devices and Techniques, Lymphatic Interventions, VSD Closure Devices, Techniques and Outcomes, Pulmonary Artery and Bronchial Stenting: Available Devices, Techniques and Outcomes, and Transcatheter Valve, and Interventions for Adults with Congenital Heart Disease.

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.

The only reference wholly dedicated to this complex topic, Diagnosis and Treatment of Mitral Valve Disease: A Multidisciplinary Approach provides authoritative, must-have information on the disease processes affecting the mitral valve, interpretation of diagnostic studies, and medical, transcatheter, and surgical treatments needed for mitral valve repair. Using a multidisciplinary approach, Drs. Scott Goldman and William Gray oversee a “who’s who team of contributing authors who offer a holistic view of the modern treatment of mitral valve disease for today’s cardiac surgeons, cardiologists, and other cardiac team members. Includes foundational chapters on anatomy and pathophysiology of the mitral valve—critically important topics when treating multiple complex and highly dynamic structures that function as a single unit. Covers diagnostic tools, medical treatments, surgical therapies, and transcatheter therapies, and provides tips for developing a successful mitral valve program (with baseline thresholds, common pitfalls, and a checklist for hospitals). Uses an accessible, quick-reference format that features takeaway chapter openers, bulleted key points, end-of-chapter summaries, a common nomenclature and glossary of terms, key references, and ample line drawings, photographs, tables, charts, and graphs throughout. Incorporates the essential role of imaging in structural transcatheter interventions, including echocardiography and transcatheter edge-to-edge repair (TEER), and their uses in diagnostic work-up, procedural planning, intra-procedural guidance, and follow-up. Features dozens of procedural videos, including transthoracic echocardiogram; cardiac MRI for mitral regurgitation; transcatheter mitral valve repair; transcatheter valvuloplasty; percutaneous mitral valve interventions; MitraClipTM positioning; and many more.

In this issue of Interventional Cardiology Clinics, Guest Editors Vasilis C. Babaliaros and Adam B. Greenbaum bring their considerable expertise to the topic of Tricuspid Valve Interventions. Top experts in the field cover key topics such as Orthotopic transcatheter tricuspid valve replacement, Surgical correction of tricuspid regurgitation, Anatomy of the tricuspid valve and pathophysiology of tricuspid regurgitation, and more. Provides in-depth, clinical reviews on Tricuspid Valve Interventions, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 10 relevant, practice-oriented topics including Echocardiographic Imaging of the tricuspid valve: pre-procedural planning and intra-procedural guidance; CT/MRI Imaging of the tricuspid valve: pre-procedural planning post procedural follow up; Transcatheter leaflet strategies for tricuspid regurgitation (Tri-Clip and CLASP); Approaches to recurrent tricuspid regurgitation following surgical repair or replacement (valve in valve and valve in ring); and more.

In this issue of Interventional Cardiology Clinics, guest editor Dr. Thomas Smith brings his considerable expertise to the topic of Multi-Modality Interventional Imaging. Top experts cover key topics such as 4D ICE, the next frontier in structural imaging: current technology and an IC needs assessment; tricuspid valve TEER guidance with transesophageal echocardiography and ICE; CT procedure planning for transcatheter mitral valve replacement; the use of CT for LAAO procedure planning and post-procedure assessment; and more. Contains 10 relevant, practice-oriented topics including 4D ICE guidance of left atrial appendage closure: risks and benefits of forgoing transesophageal echocardiography; CT procedure planning for closure of cardiac and great vessel pseudoaneurysms; multimodality fusion: where does it best fit in to structural heart guidance?; the interventional imager: how do we train the next imagers?; and more. Provides in-depth clinical reviews on multi-modality interventional imaging, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.