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Handbook of Structural Heart Interventions
- 1st Edition - December 1, 2020
- Authors: Charanjit S Rihal, Claire Raphael
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 6 7 2 7 8 - 8
Advances in structural heart disease (SHD) is occurring at a rapid rate, and the Mayo Clinic is at the forefront of developing procedural techniques in this fast-changing field.… Read more
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Request a sales quoteAdvances in structural heart disease (SHD) is occurring at a rapid rate, and the Mayo Clinic is at the forefront of developing procedural techniques in this fast-changing field. Handbook of Structural Heart Interventions provides practical, focused coverage of SHD, bringing you up to date with today’s evidence-based techniques and approaches for common and uncommon SHD procedures. Ideal for both SHD trainees and established practitioners, attendings, and fellows in interventional cardiology, this easy-to-use handbook is a unique educational and clinical resource in a quickly expanding field.
- Uses a consistent format for procedures, clearly guiding you through the scope of the problem, procedure/technique, and outcomes.
- Employs a “building blocks” approach pioneered at Mayo as an effective training method for procedural learning.
- Includes training tips and pitfalls from leading structural heart authorities.
- Contains 550 full-color illustrations, including anatomy and step-by-step procedures.
- Features separate sections on aortic valve interventions, mitral valve interventions, ventricular septal interventions, tricuspid valves, pulmonary valves, ACHD interventions, and miscellaneous/variable anatomic positions.
- Covers key procedures such as TAVR; valvuloplasty, valve-in-valve, and valve-in-ring; left atrial appendage closure; VSD closure, paravalvular leak closure, and more.
- Provides access to 20 videos of interventional procedures, including PFO and ASD closure, assessment of patients for MitraClip, and aortic coarctation stenting.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Interventional cardiologists, including attendings and fellows; structural heart disease trainees
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of contributors
- Preface
- Video contents
- List of Tables
- List of Illustrations
- SECTION 1. Building Blocks of Structural Intervention
- 1. Building blocks of structural intervention: An approach for procedural training
- Structured procedural training
- Modular training using the building-blocks approach
- Cognitive training in structural intervention
- Interdisciplinary learning
- Structured training schemes using the building-blocks approach
- Summary
- References
- 2. Access and pitfalls
- Introduction
- Preprocedural planning
- Transfemoral access and closure technique
- Complications: Preparation
- Complications: Management
- Summary and take-home messages
- References
- 3. Imaging for SHD interventions
- Introduction
- Transcatheter aortic valve replacement
- Tee guidance for transseptal puncture
- Percutaneous left atrial appendage occlusion
- Transcatheter closure of paravalvular regurgitation
- Transcatheter edge-to-edge mitral repair
- References
- 4. Hemodynamics for the structural interventionalist
- Introduction
- Procedural considerations
- Volumetric flow
- Shunt calculation
- Intracardiac pressures to diagnose structural heart disease
- Pressure gradients and valve areas
- Summary and key points
- References
- 5. Techniques of transseptal puncture
- Transseptal puncture toolbox
- Transseptal catheterization step by step
- Complications of transseptal catheterization
- Competency in transseptal puncture
- Conclusion
- References
- SECTION 2. Aortic Valve Interventions
- 6. Balloon aortic valvuloplasty
- Background
- Indications
- Other potential indications
- Young patients with congenital aortic stenosis
- Patients with calcific degenerative aortic stenosis
- Contraindications to BAV
- Procedural risks
- Technique
- Consent and preplanned bail-out strategy
- Vascular access and temporary pacemaker insertion
- Procedural steps
- Insertion of the valvuloplasty balloon
- Choice of valvuloplasty balloon
- Risk of heart block post-BAV
- Summary and take-home messages
- References
- 7. Transcatheter aortic valve implantation: Work up and indications for intervention
- Background
- TAVR for aortic stenosis
- Assessment and risk stratification of patients
- Contraindications to TAVR
- Workup for transcatheter aortic valve replacement
- Coronary angiography
- Computed tomographic scan
- Assessment and sizing of the aortic annulus
- Aortic root
- Deciding on TAVR
- Anesthesia and procedural medications
- Consent for TAVR
- Further reading
- 8. Balloon expandable transcatheter aortic valve replacement
- Introduction
- Edwards sapien balloon-expandable heart valve prosthesis
- Edwards S3 valve
- Patient selection
- CT assessment of access routes for TAVR with the edwards S3
- Valve sizing of edwards S3 on CT
- Procedure
- Initial procedural steps
- Aortic angiography
- Insertion of the edwards esheath
- Balloon aortic valvuloplasty
- Valve insertion, positioning, and deployment
- Access site closure
- Summary and take-home points
- 9. Transcatheter aortic valve replacement using self-expanding valve
- Self-expanding transcatheter aortic valve replacement: The medtronic corevalve system
- Patient selection
- Procedural planning
- Planning valve-in-valve therapy using the self-expanding valve
- Procedure steps
- Complications
- Key points
- References
- 10. Transfemoral TAVR complications
- Complications
- Cardiac perforation/lv rupture
- Pacemaker requirement after TAVR
- Summary and take-home messages
- 11. TAVR alternate access sites
- Background
- Transapical
- Transaortic
- Transaxillary
- Transcarotid
- Transcaval
- Conclusions
- Summary and take-home points
- References
- 12. Aortic valve-in-valve TAVR
- Indications
- AHA recommendations
- Contraindications
- Specific considerations for valve-in-valve TAVR
- Procedural planning
- Procedural considerations
- Summary and take-home messages
- References
- 13. Aortic paravalvular leak closure
- Clinical impact of aortic PVL
- AHA guidelines
- Multimodality assessment of the paravalvular leak
- Percutaneous closure techniques
- Outcomes of aortic PVL closure
- Conclusions and take-home points
- References
- SECTION 3. Mitral Valve Interventions
- 14. Percutaneous balloon mitral valvuloplasty
- Introduction
- Indications and patient selection
- Contraindications to PBMV
- PBMV with the inoue balloon
- PBMV with other balloon systems
- Outcomes of PBMV
- Conclusion and take-home messages
- References
- 15. Percutaneous edge-to-edge mitral valve repair using the mitraclip®
- Introduction
- Evidence and indications
- Preprocedural planning
- Procedural details and optimization
- Pre- and intraprocedural imaging
- Hemodynamic considerations
- Emerging percutaneous mitral valve repair technologies
- Summary and take-home points
- References
- 16. Percutaneous mitral valve-in-valve and valve-in-ring
- Introduction
- Evaluation and procedural planning
- Echocardiography
- Computed tomography angiography
- Transseptal balloon-expandable mitral valve implantation technique
- Step by step: Mitral valve-in-valve/valve-in-ring
- Transapical technique
- Procedural complications
- Postprocedural care
- Clinical outcomes
- Summary and take-home points
- References
- Further suggested reading
- 17. Mitral paravalvular leak closure
- Introduction
- Indications for paravalvular leak closure
- Contraindications for paravalvular leak closure
- Preprocedural planning
- The procedure
- Antegrade transseptal approach
- Retrograde approach
- Mitral PVL closure after transcatheter mitral valve replacement
- Pitfalls and managing complications
- Procedural steps for paravalvular leak closure
- Future directions
- Conclusions
- References
- 18. Mitral valve-in-MAC
- Introduction
- Indications
- Preprocedural planning, sizing, and other anatomic considerations
- Role of cardiac computed tomography
- Delivery access types
- Transatrial ViMAC technique
- Transapical technique
- Transseptal ViMAC technique
- Procedural steps
- Clinical outcomes and complications
- Summary and take-home points
- References
- SECTION 4. Atrial Septal Interventions
- 19. Atrial septal defect, patent foramen ovale, and atrial septostomy
- Atrial septal defect
- Procedural steps for ASD closure
- Patent foramen ovale
- Atrial septostomy
- Further reading
- SECTION 5. Ventricular Septal Interventions
- 20. Transcatheter closure of post myocardial infarction, iatrogenic, and congenital ventricular septal defects
- Introduction
- AHA guidelines
- Additional indications
- General technique and approach
- Other defect-specific considerations
- Outcomes
- Summary and take-home messages
- References
- 21. Alcohol septal ablation for obstructive hypertrophic cardiomyopathy
- Background
- AHA guidelines
- Temporary pacemaker insertion
- ASA technique and tips
- Monitoring and complications
- Risks of arrhythmias postprocedure
- Outcomes
- Summary and take-home points
- References
- SECTION 6. Left Atrial Interventions
- 22. Left atrial appendage occlusion
- Left atrial appendage occlusion devices
- AHA recommendations
- Patient selection
- Preprocedural planning
- Procedure
- Procedural steps
- Procedural complications
- Postprocedural follow-up
- Summary and take-home points
- References
- 23. Pulmonary vein stenosis: Management and outcomes
- Introduction
- Procedural steps
- Procedural outcomes
- Conclusions
- Summary and take-home messages
- References
- Further reading
- SECTION 7. Tricuspid Valve
- 24. Tricuspid valve-in-valve/valve-in-ring therapy
- Background
- Indications
- Contraindications
- Workup for valve-in-valve procedure
- Valve selection
- Procedure: Step-by-step approach
- Tips, tricks, and pitfalls
- Outcomes
- Complications
- Postprocedural management
- Summary and key points
- Further reading
- 25. Novel percutaneous tricuspid repair techniques
- Introduction
- Tricuspid valve anatomy and pathophysiology
- Percutaneous repair for native tricuspid regurgitation (spacer therapy, edge-to-edge plication, percutaneous annuloplasty)
- Summary and take-home points
- References
- SECTION 8. ACHD Interventions
- 26. Coarctation and PDA closure
- Clinical presentation
- Noninvasive imaging assessment
- AHA guidelines
- Workup for transcatheter intervention
- Interventional techniques
- Procedural steps
- Complications
- Conclusions
- Patent ductus arteriosus
- Initial assessment
- AHA guidelines
- Morphology of PDA
- Percutaneous device closure of PDA
- Procedural steps
- Complications
- Conclusions and future directions
- Conclusions
- References
- 27. Closure of abnormal coronary communications: Coronary, fistulae, congenital, and iatrogenic
- Introduction
- Clinical assessment
- AHA guidelines
- Procedural planning
- Procedural approaches and equipment
- Procedural steps
- Choice of delivery sheath
- Use of amplatzer vascular plugs
- Coil embolization
- Procedural steps
- Potential complications of coronary fistula closure
- Outcomes and potential complications
- Conclusions
- References
- 28. Pulmonary valve interventions: Valvuloplasty and transcatheter pulmonary valve replacement
- Pulmonary valvuloplasty
- Indications for intervention
- AHA recommendations
- Preprocedural imaging
- Basic procedure
- Postprocedure
- Transcatheter pulmonary valve replacement
- AHA guidelines
- Preprocedure planning
- Basic procedure
- Potential procedural complications
- Postprocedure management
- Summary
- Further reading
- 29. Pseudoaneurysm diagnosis and management
- Introduction
- Incidence, presentation, and natural history
- Diagnosis
- Guidelines and patient selection
- Conservative management
- Percutaneous closure of pseudoaneurysms
- Complications
- Surgical management
- Follow-up
- Conclusions
- References
- 30. Pulmonary balloon angioplasty for chronic thromboembolic pulmonary hypertension
- Clinical presentation
- Diagnosis and testing
- How to perform pulmonary angiography
- Case selection
- Procedural planning
- Step-by-step planning
- Procedural steps
- What is an acceptable result?
- Postoperative care
- Complications
- Outcomes of the procedure
- Summary and take-home points
- References
- 31. Transcatheter biopsy for intracardiac masses
- Introduction
- AHA guidelines
- Selection
- Planning
- Technique
- Complications
- Applications
- Future
- Summary and take-home points
- References
- Index
- No. of pages: 400
- Language: English
- Edition: 1
- Published: December 1, 2020
- Imprint: Elsevier
- Paperback ISBN: 9780323672788