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Kern's Cardiac Catheterization Handbook
- 7th Edition - October 29, 2019
- Authors: Paul Sorajja, Michael J Lim, Morton J. Kern
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 5 9 7 7 3 - 9
For portable, quick access to information needed at the point of care in today’s cath lab, look no farther than Kern’s Cardiac Catheterization Handbook, 7th Edition. Thi… Read more
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Institutional subscription on ScienceDirect
Request a sales quoteFor portable, quick access to information needed at the point of care in today’s cath lab, look no farther than Kern’s Cardiac Catheterization Handbook, 7th Edition. This detailed, authoritative guide is ideal for cardiologists who need a quick clinical primer on cardiac catheterization, as well as for all members of the cardiac cath team. Highly readable and accessible, it helps you provide optimal patient care with reliable information on the latest diagnostic and treatment advances in this fast-paced field.
- Provides clear instructions on what to expect, what to avoid, and how to manage complications for every procedure you’ll encounter – including coverage of new techniques and technologies that affect virtually all aspects of familiar procedures.
- Covers all the newest catheterization techniques for vascular closure and expansion of large-bore access procedures, including TAVR, ECMO, mitraclip, and TMVR.
- Features a new chapter on intracardiac echocardiography and intraprocedural imaging.
- Discusses key topics such as intra-procedural imaging, management of complications with algorithms that expedite the approach to these patients, adjunctive hemodynamic support, and maintaining quality in the laboratory.
- Incorporates an increased emphasis on indications and contraindications for procedures in the context of a multidisciplinary heart team approach.
- Includes numerous clear illustrations to enhance your understanding of the material, as well as videos of Dr. Kern demonstrating various procedures in the cath lab.
- 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.
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of contributors
- Preface
- Dedication and in memoriam
- 1. The cardiac catheterization laboratory
- Indications for cardiac catheterization
- Contraindications
- Complications and risks
- Catheterization laboratory data
- Preparation of the patient
- Cautionary note
- Special preparations for cardiac catheterization
- Team approach to cardiac catheterization
- Equipment in the catheterization laboratory
- Training requirements
- Medications used in coronary angiography
- Anticoagulation and antiplatelet agents for cardiac catheterization
- Bivalirudin (angiomax)
- Antiplatelet drugs
- Oral antiplatelet agents for percutaneous coronary intervention (other than aspirin)
- Intravenous antiplatelet agents
- Environmental safety in the catheterization laboratory
- Integrity in the catheterization laboratory
- References
- Suggested readings
- 2. Arterial and venous access
- Vascular access
- Arterial access site selection
- Femoral artery access
- Micropuncture access
- Ultrasound imaging
- Sheath removal and manual pressure hemostasis
- Mechanical compression and vascular closure devices
- Vascular closure devices
- Radial artery access
- Radial artery access and sheath introduction
- Ultrasound imaging
- Complications: Radial artery spasm
- Bleeding and vascular complications
- Brachial artery access
- Femoral vein access
- Brachial vein access
- Tips and tricks: Options to achieve success
- Access and hemostasis: Nurse-technician viewpoint
- Equipment used for access
- Suggested readings
- 3. Coronary angiography and ventriculography
- Indications
- Patient preparation for coronary angiography
- Angiographic projections made simple: An easy way to understand oblique views
- Bypass graft angiography
- Left internal mammary angiography
- Right internal mammary coronary angiography
- Saphenous graft angiography
- Right gastroepiploic artery
- Contrast media injection techniques: Power versus hand injection
- Coronary angiography: Common problems and solutions
- Angiography of common coronary anomalies
- Ventriculography
- Ascending aortography
- Allergy to iodinated contrast media
- LVEDP guidance for fluids
- Suggested readings
- 4. Invasive hemodynamics
- Pressure waves in the heart
- Right- and left-sided heart catheterization
- Indicator dilution cardiac output principle
- Computations for hemodynamic measurements
- Computations of valve areas from pressure gradients and cardiac output
- Examples of aortic and mitral valve area calculations
- Use of valve resistance for aortic stenosis
- Measurement of cardiac output
- Intracardiac shunts
- Equipment used for hemodynamic study
- Hemodynamic recording techniques
- Hemodynamic examples and artifacts
- Hypertrophic cardiomyopathy
- Invasive measures of ventricular performance: Pressure and volume recordings
- Invasive hemodynamics with exercise and pharmacologic challenges
- Basic electrocardiography in the cardiac catheterization laboratory
- Cardiac electrical system
- Components of the electrocardiogram
- Typical electrocardiographic changes seen in the cardiac catheterization laboratory
- Suggested readings
- 5. Peripheral arterial disease and angiography
- Noninvasive diagnostic testing
- Noninvasive imaging for anatomic assessment
- Endovascular revascularization
- Iliac interventions
- Femoropopliteal interventions
- Infrapopliteal interventions
- Acute limb ischemia
- Renal artery disease
- Subclavian and brachiocephalic intervention
- Noninvasive testing
- Revascularization
- Carotid disease
- Vertebral artery disease
- Conclusion
- Suggested readings
- 6. Interventional cardiology procedures
- Percutaneous coronary interventions
- Percutaneous coronary intervention pharmacology
- Stenosis assessment in the catheterization laboratory by pressure sensor guidewire: Fractional flow reserve and instantaneous wave-free ratio
- Orbital atherectomy (diamondback 360-degree orbital atherectomy system)
- Structural heart disease: Valvuloplasty and percutaneous valve replacement
- Alcohol septal ablation for hypertrophic obstructive cardiomyopathy
- Technique of alcohol septal ablation
- Suggested readings
- 7. The electrophysiology laboratory and electrophysiologic procedures
- Equipment
- Pacemaker troubleshooting
- Electrocardiogram assessment
- Causes of absent pacing output
- Pulse generator output failure causes
- Noncapture causesa
- Undersensing causes (undersensing causes overpacing)
- Oversensing causes (oversensing causes underpacing)
- Pacemaker syndrome
- Pacemaker-mediated tachycardia
- Cross talk
- Clinical evaluations of the patient before electrophysiology procedures
- Premedication
- Arterial and venous access
- Study protocol
- Positioning of catheters
- Measurement of conduction intervals
- Sequence of activation
- Programmed electrical stimulation
- Assessment of sinus node function
- Assessment of atrioventricular nodal and his-purkinje system function
- Determination of refractory periods
- Atrioventricular nodal function curves
- Ventricular stimulation
- Complications
- Utility of electrophysiologic study for specific diagnosis
- Catheter ablation
- Suggested readings
- 8. High-risk cardiac catheterization
- High-risk patient: Definition
- Impella
- TandemHeart
- VA ECMO
- Arrhythmias
- Tamponade
- Vascular access complications and bleeding
- Thromboembolic complications
- Contrast media related complications
- Radiation injury
- Medication-related
- Anticoagulants
- Treating other risk factors
- References
- 9. Special techniques
- Transseptal heart catheterization
- Direct left ventricular puncture
- Endomyocardial biopsy
- Pericardiocentesis
- Intravascular foreign body retrieval
- Suggested readings
- 10. Research techniques
- Attitude toward research in the catheterization laboratory
- Quantitative coronary and left ventricular angiography
- Quantitative coronary flow
- Invasive coronary imaging for research
- Optical coherence tomography
- Combined hemodynamic and echocardiographic modalities
- Myocardial metabolism
- High-fidelity micromanometers
- Exercise in the catheterization laboratory
- Other physiologic maneuvers
- Nurse and technician viewpoint
- Suggested readings
- 11. Optimization of quality in the cardiac catheterization laboratory
- Quality improvement/assurance
- Documentation
- Patient safety
- Suggested reading
- Appendix A: Invasive cardiovascular examination and procedures
- Appendix B: Heart diagrams
- Appendix C: Functional anatomy of the heart
- Appendix D: Tables of units calculations and conversions
- Appendix E: Radiologic configuration of prosthetic heart valves
- Appendix F: Basic electrocardiography
- Appendix G: Methods for common drugs
- Index
- No. of pages: 736
- Language: English
- Edition: 7
- Published: October 29, 2019
- Imprint: Elsevier
- Paperback ISBN: 9780323597739
PS
Paul Sorajja
Dr. Sorajja joined Allina Health Minneapolis Heart Institute – Minneapolis in 2013. He was previously a professor of medicine at Mayo Clinic before he left to join Minneapolis Heart Institute®. Dr. Sorajja is the author of over 100 published manuscripts and book chapters, and is a national speaker in the areas of valvular heart disease, hypertrophic cardiomyopathy and complex hemodynamics. Dr. Sorajja's special interest is structural heart interventions, such as transcatheter aortic replacement (TAVR), balloon valvuloplasty, paravalvular leak repair, percutaneous valve implantation, and other similar therapies.
Affiliations and expertise
Director, Center for Valve and Structural Heart Disease, Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, MinnesotaML
Michael J Lim
Michael Lim, M.D. is a board certified interventional cardiologist with 20 years of and is Chief of the Cardiac Catheterization Lab at Hackensack University Medical Center. Prior to joining Hackensack Meridian Medical Group, Dr. Lim served as the Jack Ford Shelby Endowed Professor in Cardiology and Professor of Internal Medicine at Saint Louis University in St. Louis, Missouri. Dr. Lim has held the role of principal investigator on numerous clinical trials for conditions including mitral valve disease, cardiogenic shock and coronary artery disease. Since 1990, he has contributed more than 100 publications to medical literature, including more than 30 book chapters. He has also served as an invited faculty member at numerous national conferences.
Affiliations and expertise
Co-Director, Center for Comprehensive Cardiovascular Care
Director, Division of Cardiology
Professor of Internal Medicine
Jack Ford Shelby Endowed Professor of Cardiology
Director, Cardiac Catheterization Laboratory
Director, Cardiovascular Diseases and Interventional Cardiovascular Diseases Fellowship Programs
St Louis University School of Medicine
St Louis, MissouriMK
Morton J. Kern
Morton J. Kern, MD, FSCAI, FAHA, FACC, Professor de Medicina da Universidade da Califórnia, Irvine, Orange, Califórnia; Chief of Medicine, Health Care System Veterans Long Beach, Long Beach, Califórnia;
Affiliations and expertise
Professor of Medicine, University of California, Irvine, Orange, California; Chief of Medicine, Long Beach Veterans Health Care System, Long Beach, California