Manual of Percutaneous Coronary Interventions
A Step-by-Step Approach
- 1st Edition - October 17, 2020
- Imprint: Academic Press
- Author: Emmanouil Brilakis
- Language: English
- Paperback ISBN:9 7 8 - 0 - 1 2 - 8 1 9 3 6 7 - 9
- eBook ISBN:9 7 8 - 0 - 1 2 - 8 1 9 3 6 8 - 6
Manual of Percutaneous Coronary Interventions: A Step by Step Approach is a practical, easy to read reference guide on how to perform percutaneous coronary. Written by recogn… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteManual of Percutaneous Coronary Interventions: A Step by Step Approach is a practical, easy to read reference guide on how to perform percutaneous coronary. Written by recognized experts in the field, this reference compiles the necessary steps, lists pitfalls to watch out for, and provides tactics on troubleshooting percutaneous coronary interventions. Written to bring a practical and easy to read approach, this book is perfect for interventional cardiologists, interventional and general cardiology fellows, cardiology researchers, physicians, cardiac catheterization laboratory personnel, technical staff, industry professionals and anyone interested in understanding the cutting-edge and rapidly evolving field of coronary PCI.
- Provides a practical, case-oriented and easy to read reference with four color illustrations and step-by-step guidance for percutaneous coronary intervention
- Includes expert guidance from leaders with large clinical experience
- Includes access to a companion website that houses videos that demonstrate various PCI techniques, including narration
Interventional cardiologists, interventional and general cardiology fellows, cardiology researchers, physicians, cardiac catheterization laboratory personnel, technical staff, industry professionals and everyone else interested in understanding the cutting edge and rapidly evolving field of coronary PCI
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of contributors
- PCI cases online links
- CTO PCI cases online links
- Introduction
- Part A: The steps
- Chapter 1. Planning
- Abstract
- 1.1 Planning
- 1.2 Monitoring
- 1.3 Pharmacology
- 1.4 Access
- 1.5 Engagement
- 1.6 Angiography
- 1.7 Determine target lesion(s)
- 1.8 Wiring
- 1.9 Lesion preparation
- 1.10 Stenting
- 1.11 Access closure
- 1.12 Physiology
- 1.13 Imaging
- 1.14 Hemodynamic support
- References
- Chapter 2. Monitoring
- Abstract
- 2.1 Patient
- 2.2 Electrocardiogram
- 2.3 Pressure waveform
- 2.4 Oxygen saturation
- 2.5 Radiation dose—X-ray system and shield positioning
- 2.6 Contrast volume
- 2.7 Access site
- 2.8 Medication administration (anticoagulation—ACT, sedation, other medications)
- 2.9 Operator and team performance
- 2.10 Cath lab environment
- 2.11 Sterile field and equipment
- 2.12 Equipment position within the body
- Chapter 3. Medications
- Abstract
- 3.1 Sedatives and analgesics
- 3.2 Vasodilators
- 3.3 Contrast media
- 3.4 Anticoagulants
- 3.5 Antiplatelet agents
- 3.6 Vasopressors and inotropes
- 3.7 Antiarrhythmics
- References
- Chapter 4. Access
- Abstract
- 4.1 Choosing access site
- 4.2 Femoral access
- 4.3 Radial access
- 4.4 Other access sites
- References
- Chapter 5. Coronary and graft engagement
- Abstract
- 5.1 Step 1. Catheter selection
- 5.2 Step 2. Advance guidewire to aortic root
- 5.3 Step 3. Advance catheter to aortic root
- 5.4 Step 4. Aspirate guide catheter
- 5.5 Step 5. Connect with manifold
- 5.6 Step 6. Ensure there is good pressure waveform
- 5.7 Step 7. Manipulate catheter to engage coronary ostia
- 5.8 Step 8. Ensure there is good pressure waveform
- 5.9 Step 9. Proceed with contrast injection as described in Chapter 6
- References
- Chapter 6. Coronary angiography
- Abstract
- 6.1 Step 1. Ensure there is good pressure waveform
- 6.2 Step 2. Test contrast injection
- 6.3 Step 3. Administer intracoronary nitroglycerin
- 6.4 Step 4. Optimally position patient, image receptor, shields, and operator
- 6.5 Step 5. Assess pressure and ECG
- 6.6 Step 6. Perform cineangiography
- 6.7 Step 7. Assess pressure and ECG
- 6.8 Step 8. Angiogram interpretation
- References
- Chapter 7. Selecting target lesion(s)
- Abstract
- 7.1 Stable angina - Chronic Coronary Syndromes
- 7.2 Acute coronary syndromes
- 7.3 PCI timing
- 7.4 PCI lesion sequence selection
- References
- Chapter 8. Wiring
- Abstract
- 8.1 Step 1. Determine whether a microcatheter is needed
- 8.2 Step 2. Guidewire selection
- 8.3 Step 3. Shape the guidewire tip
- 8.4 Step 4. Insert the guidewire into the guide catheter
- 8.5 Step 5. Advance the guidewire to the tip of the guide catheter
- 8.6 Step 6. Advance the guidewire from the tip of the guide catheter to the target lesion
- 8.7 Cross lesion with the guidewire
- 8.8 Advance guidewire distal to the target lesion
- 8.9 Remove microcatheter (if used)
- 8.10 Monitor wire position
- References
- Chapter 9. Lesion preparation
- Abstract
- 9.1 Goal
- 9.2 When is lesion preparation needed?
- 9.3 Confirm successful wiring
- 9.4 Large thrombus
- 9.5 Severe calcification
- 9.6 Degenerated SVG or thrombus
- 9.7 Balloon angioplasty
- 9.8 Good flow?
- 9.9 Balloon expansion
- 9.10 Stenting
- References
- Chapter 10. Stenting
- Abstract
- 10.1 When to stent?
- 10.2 How to stent
- References
- Chapter 11. Access closure
- Abstract
- 11.1 Femoral access
- 11.2 Radial access
- References
- Chapter 12. Coronary physiology
- Abstract
- 12.1 When should coronary physiology be used?
- 12.2 How to do coronary physiologic assessment?
- 12.3 Physiologic assessment in various lesion and patient subsets
- References
- Chapter 13. Coronary intravascular imaging
- Abstract
- 13.1 When to do coronary intravascular imaging?
- 13.2 Imaging modality selection
- 13.3 OCT step-by-step
- 13.4 IVUS step-by-step
- References
- Chapter 14. Hemodynamic support
- Abstract
- 14.1 Hemodynamic support: when and what device
- 14.2 Hemodynamic support: device comparison
- 14.3 IABP insertion: step-by-step
- 14.4 Impella insertion: step-by-step
- 14.5 VA-ECMO insertion: step-by-step
- 14.6 Tandem Heart: step-by-step
- 14.7 Mechanical chest compression systems
- References
- Part B: Complex lesion subsets
- Chapter 15. Ostial lesions
- Abstract
- 15.1 Aorto-ostial lesions
- 15.2 Branch ostial lesions
- References
- Chapter 16. Bifurcations
- Abstract
- 16.1 Bifurcation algorithm
- 16.2 Bifurcation PCI: step-by-step
- References
- Chapter 17. Left main
- Abstract
- 17.1 Planning
- 17.2 Monitoring
- 17.3 Medications
- 17.4 Access
- 17.5 Engagement
- 17.6 Angiography
- 17.7 Selecting target lesion(s)
- 17.8 Wiring
- 17.9 Lesion preparation
- 17.10 Stenting
- 17.11 Closure
- 17.12 Physiology
- 17.13 Imaging
- 17.14 Hemodynamic support
- References
- Chapter 18. Bypass grafts—prior CABG patients
- Abstract
- 18.1 Planning
- 18.2 Monitoring
- 18.3 Medications
- 18.4 Access
- 18.5 Engagement
- 18.6 Angiography
- 18.7 Selecting target lesion(s)
- 18.8 Wiring
- 18.9 Lesion preparation
- 18.10 Stenting
- 18.11 Closure
- 18.12 Physiology
- 18.13 Imaging
- 18.14 Hemodynamic support
- References
- Chapter 19. Calcification
- Abstract
- 19.1 Planning
- 19.2 Monitoring
- 19.3 Medications
- 19.4 Access
- 19.5 Engagement
- 19.6 Angiography
- 19.7 Selecting target lesion(s)
- 19.8 Wiring
- 19.9 Lesion preparation
- 19.10 Stenting
- 19.11 Closure
- 19.12 Physiology
- 19.13 Imaging
- 19.14 Hemodynamic support
- References
- Chapter 20. Acute coronary syndromes—thrombus
- Abstract
- 20.1 Planning
- 20.2 Monitoring
- 20.3 Medications
- 20.4 Access
- 20.5 Engagement
- 20.6 Angiography
- 20.7 Determine target lesion(s)
- 20.8 Wiring
- 20.9 Lesion preparation
- 20.10 Stenting
- 20.11 Closure
- 20.12 Physiology
- 20.13 Imaging
- 20.14 Hemodynamic support
- References
- Chapter 21. Chronic total occlusions
- Abstract
- 21.1 Planning
- 21.2 Monitoring
- 21.3 Medications
- 21.4 Arterial access
- 21.5 Engagement
- 21.6 Angiography
- 21.7 Determine target lesion(s)
- 21.8 Wiring
- 21.9 Lesion preparation
- 21.10 Stenting
- 21.11 Closure
- 21.12 Physiology
- 21.13 Imaging
- 21.14 Hemodynamic support
- References
- Chapter 22. Other complex lesions
- Abstract
- 22.1 Spontaneous coronary artery dissection
- 22.2 Stent failure
- 22.3 Small and large vessels
- 22.4 Long lesions
- References
- Chapter 23. Balloon uncrossable and balloon undilatable lesions
- Abstract
- 23.1 Balloon uncrossable lesions
- 23.2 Balloon undilatable lesions
- References
- Chapter 24. Complex patient subgroups
- Abstract
- 24.1 TAVR patients
- 24.2 Cardiogenic shock patients
- References
- Part C: Complications
- Part C. Complications
- Chapter 25. Acute vessel closure
- Abstract
- 25.1 Maintain guidewire position
- 25.2 Determine the cause of acute vessel closure and treat accordingly
- 25.3 Hemodynamic support
- References
- Chapter 26. Perforation
- Abstract
- 26.1 Perforation classification, causes, and prevention
- 26.2 General treatment of perforations
- 26.3 Large vessel perforation
- 26.4 Distal vessel perforation
- 26.5 Collateral vessel perforation
- 26.6 Perforation in patients with prior coronary artery bypass graft surgery carries very high risk
- References
- Chapter 27. Equipment loss and entrapment
- Abstract
- 27.1 Stent loss or entrapment
- 27.2 Guidewire entrapment and fracture
- 27.3 Balloon entrapment and fracture
- 27.4 Microcatheter entrapment and fracture
- References
- Chapter 28. Other complications: hypotension, radiation skin injury, contrast-induced acute kidney injury
- Abstract
- 28.1 Hypotension
- 28.2 Radiation skin injury
- 28.3 Contrast-induced acute kidney injury
- References
- Chapter 29. Vascular access complications
- Abstract
- 29.1 Femoral access complications
- 29.2 Radial access complications
- References
- Part D: Equipment
- Chapter 30. Equipment
- Abstract
- Introduction
- 30.1 Sheaths
- 30.2 Catheters
- 30.3 Guide catheter extensions
- 30.4 Support catheters
- 30.5 Y-connectors with hemostatic valves
- 30.6 Microcatheters
- 30.7 Guidewires
- 30.8 Embolic protection devices
- 30.9 Balloons
- 30.10 Atherectomy
- 30.11 Laser
- 30.12 Thrombectomy devices
- 30.13 Aorto-ostial lesion equipment
- 30.14 Stents
- 30.15 Vascular closure devices
- 30.16 CTO PCI dissection/reentry equipment
- 30.17 Intravascular imaging
- 30.18 Complication management
- 30.19 Radiation protection
- 30.20 Hemodynamic support devices
- 30.21 Contrast management
- 30.22 Brachytherapy
- 30.23 The “CTO–Complex PCI cart”
- References
- Index
- Edition: 1
- Published: October 17, 2020
- Imprint: Academic Press
- No. of pages: 606
- Language: English
- Paperback ISBN: 9780128193679
- eBook ISBN: 9780128193686
EB
Emmanouil Brilakis
Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI Dr. Brilakis is Director of the Center for Complex Coronary Interventions at the Minneapolis Heart Institute and the Center for. After graduating from Lycee Leonin de Patissia, Dr. Brilakis received his medical degree from the National Kapodistrian University of Athens, Greece. He trained in Internal Medicine, Cardiovascular Diseases and Interventional Cardiology at the Mayo Clinic. He also completed a Masters in Clinical Research at the Mayo Clinic and a PhD in Clinical Research at the National Kapodistrian University of Athens, Greece. He served as Director of the VA North Texas Healthcare System Cardiac Catheterization Laboratories from 2004 to 2016. Dr. Brilakis leads a large clinical trial group investigating treatment of chronic total occlusions, prevention and treatment of saphenous vein graft disease, prevention and management of complications, intracoronary imaging, antiplatelet treatment optimization post coronary stenting, radiation safety in the catheterization laboratory, and implementation of novel technologies in healthcare. He is Associate Editor for Circulation and on the editorial board of several other journals and on the Board of Directors of the Cardiovascular Innovations Foundation. He has authored or co-authored over 600 manuscripts and the Manual of CTO Interventions, now in its 2nd edition. He and is lecturing and proctoring at several institutions in the United States and abroad.
Affiliations and expertise
Director, Center for Complex Coronary Interventions, Minneapolis Heart Institute, Minneapolis, Minnesota; Chairman, Center for Coronary Artery Disease, Minneapolis, MN, USARead Manual of Percutaneous Coronary Interventions on ScienceDirect