Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention


Book Description

Transradial Access: Discover the Benefits, Understand the Procedure Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention offers a single source for both novice and experienced interventional cardiologists for safely and effectively performing transradial catheterization procedures. First described in 1989, the transradial approach for coronary angiography and percutaneous interventions has seen a constant and progressive increase around the world as a result of significantly reduced procedural complications, shorter hospital stays, increased patient satisfaction, and lower associated costs compared with the transfemoral approach. Yet despite its apparent benefits, adoption of this technique in the United States has been slow, largely due to the increased technical aspects of entering a smaller artery, accessing the central circulation and engaging the coronary arteries from this approach. In addition, until recently the technique was not routinely taught in the majority of training programs. This book flattens that learning curve by highlighting the technical aspects of transradial diagnostic and interventional procedures, and includes detailed discussion of: Normal vascular anatomy of the hand and arm Indications and contraindications for transradial access procedures Patient and catheter selection Tips and tricks for both beginner and advanced operators Procedural pitfalls and potential complications Techniques are demonstrated in detail using both still images and video. Whether you are an experienced transfemoral operator who wants to refine and expand your technique or a new transradial operator looking to master the technique, this comprehensive text holds the key to mastering this revolutionary procedure.




Primary Angioplasty


Book Description

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.




Transradial Approach for Percutaneous Interventions


Book Description

This book outlines the state of the art in transradial intervention and illustrates case-based learning for the transradial access (TR access) technique, especially in complex lesions. Offering a practical guide, it includes essential tips and tricks on how to overcome anatomical complexities, how to avoid radial complications, multiple case-based learning for very complex PCI, etc. It also discusses the advantages of the TR intervention, such as reduced vascular access site complications and immediate patient mobilization. The authors, who work at respected transradial centers, share their extensive experience with TR intervention, providing a comprehensive review of current percutaneous interventions for cardiac surgeons and cardiothoracic surgical residents. Editor Yujie Zhou is a Professor at the department of Cardiology, Anzhen Hospital, Beijing, China. Editor Wei Liu is a physician at the same department. Editor Ferdinand Kiemeneij is an interventional cardiologist at Department of Cardiology, Tergooi Hospital, Blaricum, the Netherlands. Editor Shigeru Saito, FACC, FSCAI, FJCC, is the director of cardiology and Catheterization Laboratories, Shonan Kamakura General Hospital, Kamakura, Japan.




Practical Handbook of Advanced Interventional Cardiology


Book Description

Continued advances in cardiology have led to unprecedentedscientific progress in recent years. However, no matter howadvanced the science, the successful application of interventionalcardiology relies upon a practitioner’s ability to approachinterventional techniques competently and confidently in everysituation. Fully updated and featuring new chapters and additional tips andtricks, this latest edition of Dr Nguyen, Colombo, Hu, Grines, andSaito’s celebrated book provides a complete yet concise guideto practical interventional cardiology that deserves a place inevery cardiac laboratory. Culled from the personal experience ofover fifty international experts, the book incorporates more than500 practical tips and tricks for performing interventionalcardiovascular procedures. Each strategic or tactical move isgraded by complexity level and described in a simple, step-by-stepapproach that includes guidance on how to overcome practicaldifficulties, providing a comprehensive resource that can benefitboth beginner or experienced operators. As well as covering the latest developments in interventionalcardiology, this third edition includes technical tips that promoteuser-friendly performance, low complication rates, cost- andtime-efficient approaches and cost- and time-effective selection ofdevices to help optimize the practice of modern interventionalcardiology.




Slender PCI


Book Description

This book offers a valuable contribution to the field of minimally invasive coronary intervention, presenting the latest developments in slender catheters, their development and the related research findings. With the growing interest in trans-radial interventions (TRIs) and distal radial approach, "Slender PCI" has been popular in Japan. Although "Slender PCI" started with using a small diameter catheter of a 5Fr Guiding Catheter, recently it becomes a generic term for all minimally invasive catheter Interventions. "Slender PCI" not only makes less painful but also reduces exposure to radiation and contrast agents. In addition, the book highlights the distal radial approach, 5Fr guiding catheter for treating complex lesion, 4Fr guiding catheters, 3Fr diagnosis catheters. The authors share their experiences and know-how throughout, providing abundant illustrations to enhance readers’ understanding.




Practical Manual of Interventional Cardiology


Book Description

This practical handbook is based on an internal working manual developed by staff and fellows at Mount Sinai Heart Cardiovascular Catheterization Laboratory, renowned for its high-volume and low complication complex coronary procedures. The Practical Handbook of Interventional Cardiology captures the knowledge and methodological know-how from leaders in interventional cardiology, it intends to guide users in a stepwise, methodical and practical approach through various cardiac interventional procedures in order to achieve maximum patient safety and improved outcomes. From patient selection, preoperative work-up, setting up equipment to step-by-step illustrations of various procedural details and troubleshooting, this handbook captures all the details necessary to perform the simplest to the most complex cardiac interventions. The book is designed for cardiologists and trainees who desire an efficient way to review the steps of various cardiac interventional procedures and a quick, reliable reference for everyday use.




Transradial Access in Interventional Radiology


Book Description

This book provides how-to recommendations and detailed guides for using transradial access in interventional radiology. A relatively new and growing technique, transradial access is most commonly found within interventional cardiology. This book approaches those cardiac uses of transradial access while extending its use to other body sites and disease states. The book details the interventional radiologist’s transition to using transradial access across a broad spectrum of clinical applications, allowing them to better introduce it into their practice and to their patients. The text is divided into three sections: overview, clinical applications, and novel applications and techniques. The first section covers the history of transradial access, the initial patient assessment, and how to prepare for a procedure. The second section is divided into different diseases and interventional situations where transradial access could be considered, including subclavian artery stenosis and endovascular neurosurgery. The third section includes coverage of how to perform the latest techniques and projections for future procedures. This guide provides a manual of operations to assist in the setup of the practice, from office visit to procedure room to recovery across a variety of service lines and patient populations. Key take home points and equipment summaries accompany each chapter, allowing the user to easily navigate the book to accelerate his or her practice. This is an ideal guide for interventional radiologists.




Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention


Book Description

Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention, 8e is the premier reference on cardiac catheterization, and appeals to seasoned practitioners, residents and cardiology fellows. This title reflects the rapid evolution and growing clinical use of hemodynamic data and of imaging and interventional techniques.




PanVascular Medicine


Book Description

​Vascular management and care has become a truly multidisciplinary enterprise as the number of specialists involved in the treatment of patients with vascular diseases has steadily increased. While in the past, treatments were delivered by individual specialists, in the twenty-first century a team approach is without doubt the most effective strategy. In order to promote professional excellence in this dynamic and rapidly evolving field, a shared knowledge base and interdisciplinary standards need to be established. Pan Vascular Medicine, 2nd edition has been designed to offer such an interdisciplinary platform, providing vascular specialists with state-of-the art descriptive and procedural knowledge. Basic science, diagnostics, and therapy are all comprehensively covered. In a series of succinct, clearly written chapters, renowned specialists introduce and comment on the current international guidelines and present up-to-date reviews of all aspects of vascular care.




Oxford Textbook of Interventional Cardiology


Book Description

Cardiac catheterization and coronary angiography remain key tools in the management of patients with coronary heart disease. Although this is the most frequently used method of coronary revascularization, general training in cardiology rarely offers more than the opportunity to assist a more senior operator to perform angioplasty procedures. This textbook, covering key procedures and fully revised and updated to include the latest trials, technology, and new techniques, is essential reading. The Oxford Textbook of Interventional Cardiology, 2nd edition spans the whole spectrum of interventional cardiology procedures, including a novel section on the future of interventional cardiology, and multiple new chapters covering special devices in percutaneous coronary intervention. Written by an expert team of international authors, this book offers guidance on all aspects of interventional cardiology according the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.