Imaging and Intervention in Cardiology: 173 (Developments in Cardiovascular Medicine, 173) - Hardcover
Book 177 of 253: Developments in Cardiovascular Medicine
Synopsis
Less than 18 years have passed since the first coronary balloon angioplasty was performed in September 1977 by Andreas Gruntzig. In 1993, 185700 coronary angioplasties were performed in Europe and in many European countries, percutaneous transluminal coronary angioplasty is the most com- mon method of myocardial revascularization, well ahead of coronary bypass surgery. This explosive growth of interventional cardiology results from major technological advances. The balloons have been markedly improved with a better profile, excellent trackability, and good pushability. The steer- able guide wires are excellent and can reach the most difficult and the most distal parts of the coronary tree. The guiding catheters offer excellent support and good back-up in the ostium. Meanwhile, new tools have been proposed and designed for a "lesion specific" approach. Coronary stenting which is the "second wind" of angioplasty has dethroned most of the so-called new tools and stents are currently implanted in 30-60% of cases. Similar develop- ments have occurred in the field of mitral valvuloplasty, ablative techniques in electrophysiology, and in the field of interventions in congenital heart disease. However, these advances would not have been possible without the con- comitant development of cardiac imaging. For many interventions, cardiac imaging is an necessary pre-requisite: 1. Imaging is mandatory to identify the lesions needing an intervention. Coronary bypass surgery or angioplasty cannot be performed without prior coronary angiography. However, scintigraphic stress testing is also needed to identify perfusion defects in the area supplied by the diseased artery.
"synopsis" may belong to another edition of this title.
Synopsis
The aim of this work is to give clinicians and interventionalists an overview of the use of cardiac imaging techniques in combination with modern interventional procedures such as thrombolysis, catheter-based coronary revascularization, valvuloplasty and interventions in congenital heart disease. The book is divided into sections reflecting the types of interventions listed above. Each section contains several chapters describing how each imaging modality can be used before, during or after intervention to improve outcome, select the optimal interventional strategy or to simply foster our understanding of the interaction between disease and interventional therapy. The idea of the book is to select a number of interventions and imaging techniques stressing scintigraphic and ultrasound techniques rather than producing an encyclopaedia which would combine all possible imaging modalities with every type of cardiac intervention.
The conjunction of interventional cardiology and an appropriate imaging modality is an interesting concept not only for diagnostic purposes and for the objective documentation of success or failure, but may also provide a significant contribution to quality control and thus indirectly to cost containment in the era of interventional cardiology."About this title" may belong to another edition of this title.
