HISTORICAL DEVELOPMENT Print Section Listen The surgeon’s use of saphenous veins and a variety of arterial conduits to bypass obstructive coronary atherosclerotic disease preceded percutaneous revascularization by about a decade….
INTRODUCTION Print Section Listen Transcatheter aortic valve replacement (TAVR) has been shown to improve mortality and quality of life in patients with severe aortic stenosis who are designated inoperable or…
PREVALENCE OF DIABETES MELLITUS Print Section Listen Diabetes mellitus affects a significant portion of the population; 1 in 10 adults in the United States has diabetes, with 90% to 95%…
INTRODUCTION Print Section Listen Despite innovations in stent design, including reduction in strut thickness, novel antiproliferative agents, and more recently, the development of bioresorbable polymers, permanent metallic stents remain a…
INTRODUCTION Print Section Listen Several major leaps in technology and immense research and development have led to the current wide use of drug-eluting stents (DES). Stents were initially developed to…
INTRODUCTION Print Section Listen This chapter on cardiac anatomy takes a practical approach for operators who are going to perform various procedures associated with structural heart disease. Rather than assume…
INTRODUCTION Print Section Listen Intracardiac echocardiography (ICE) is an intravascular ultrasound (IVUS) modality that provides diagnostic imaging of cardiac structures from within the heart and has become widely used for…
INTRODUCTION Print Section Listen Prior to Gruentzig’s seminal development of balloon angioplasty, coronary arteriograms were largely used to discriminate patients with and without coronary artery disease and to select those…
INTRODUCTION Print Section Listen Atherosclerosis is a systemic vascular disease that often affects multiple vascular territories and leads to peripheral artery disease (PAD). The age-adjusted prevalence of peripheral atherosclerotic disease…
INTRODUCTION Print Section Listen Fluoroscopic radiation is a carcinogen that can also cause severe injury (“radiation burns”) in patients and practitioners. Figures 11-1,11-2,11-3,11-4 illustrate the severe effects of radiation. All…
