Drug-Eluting Coronary Stents
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…
Cardiac Anatomy for the Interventionalist
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…
Intracardiac Echocardiography in the Catheterization Laboratory
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…
Coronary and Left Ventriculographic Procedures: Special Considerations
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…
Peripheral Angiography
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…
Operational Radiation Management for Patients and Staff
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…
Adjunctive Diagnostic Techniques: Intravascular Ultrasound, Optical Coherence Tomography, and Spectroscopy
INTRODUCTION Print Section Listen The limitations inherent to angiography served as a technological springboard for the development of other devices in search of better visualization, quantification, and identification of the…
Basic Stent Deployment Techniques
INTRODUCTION Print Section Listen The technical goal of coronary stenting should be to eliminate or lessen ischemic symptoms in the short/intermediate term and possibly reduce the risk of death or…
Computed Tomography of the Coronary Arteries
HISTORICAL PERSPECTIVE Print Section Listen Computed tomography (CT) was developed in the early 1970s. The first computed axial tomography (CAT) scanners developed by Sir Geoffrey Hounsfield and colleagues required long…
Coronary Guidewire Manipulation
INTRODUCTION Print Section Listen Appropriate selection and manipulation of equipment is critical to successful percutaneous coronary intervention (PCI) outcomes and low complication rates. The guidewire is the first piece of…
