Cardiac Catheterization and Coronary Intervention

by Mitchell, Andrew; Leeson, Paul; West, Nick; Banning, Adrian

• ISBN13: 9780199295791
• ISBN10: 0199295794
• Edition: 1st
• Format: Paperback
• Copyright: 2008-06-02
• Publisher: Oxford University Press

Summary

Cardiac Catheterization and Coronary Angiography is the first handbook-sized practical training guide for cardiology medical and technical personnel who want easily accessible, detailed information on how to perform a comprehensive left and/or right heart catheterization procedure, choose thecorrect catheter for coronary and graft angiography, perform a diagnostic coronary angiogram and interpret and understand their findings. Based on international cardiology and interventional society guidelines, it aims to demystify the investigations while remaining authoritative and concise.

Author Biography

Dr Andrew Mitchell is a Consultant Cardiologist in Jersey, Channel Islands, and is an Honorary Consultant at the John Radcliffe Hospital in Oxford. He has special interests in non-invasive imaging, with particular expertise in transoesophegeal and intracardiac echocardiography. Other interests include the role of device therapy for arrhythmia management. Paul Leeson studied Medicine at St Andrews and Cambridge before moving to Oxford for Cardiology training. He is now a British Heart Foundation Fellow at the University of Oxford with a clinical research programme that studies the development of cardiovascular disease. Dr West is a Consultant Interventional Cardiologist at Papworth Hospital, Cambridge, formerly Consultant Cardiologist at Gloucestershire Royal Hospital and Honorary Consultant Cardiologist at the John Radcliffe Hospital in Oxford. Dr West trained in interventional cardiology in Oxford and in Auckland, New Zealand; research leading to award of MD degree with prizes by the University of Cambridge was performed at Duke University, North Carolina and the University of Oxford. His specialist interests include percutaneous coronary intervention, diabetic coronary disease and saphenous vein graft disease. Dr Adrian Banning has been a Consultant Cardiologist at the John Radcliffe Hospital since 1999. He is an interventional cardiologist, interested in research into the use of drug eluting stents, left main coronary artery disease and mechanisms of myocardial injury during PCI. Dr Banning is a former council member of the British Cardiolovascular Intervention Society.

Table of Contents

Introduction

A brief history of the development of coronary angiography and its current roles

Vascular access

Seldinger technique - explanation and diagram

Which route to use?

How to obtain arterial access

Anticoagulation

Line removal

Complications

Left and right heart catheterization

Equipment

Ecg

Aortic and ventricular waveforms

Right heart waveforms

Cardiac output

Shunt quantification

Right heart pullback

Specific conditions

Complications

Coronary angiography

Equipment

Radiation safety

Contrast material

Choice of catheters

Catheter manipulation

Standard images

Use of medication - Nitrates

Quantification of stenoses

Tips for interpretation

Common pitfalls

Anomolous coronary anatomy

Complications

Graft angiography

Choice of catheters

Standard images

Additional procedures

Iabpivus

Flow wires

Pericardiocentesis

Temporary pacing

Endomyocardial biopsy

Coronary angioplasty (PTCA)

Table of Contents provided by Publisher. All Rights Reserved.