The Interventional Cardiac Catheterization Handbook 4th is the perfect hands-on resource for physicians, nurses, and technicians who need to understand and perform these complex procedures.
The discipline of interventional cardiology, an American Board of Internal Medicine–certified subspecialty since 1999, requires an understanding and application ofextensive specialty information and skills. Success in interventional cardiology requires the mastery of complex cognitive information coupled with the in-lab, minute-by-minute application of techniques used to implant coronary and peripheral stents, repair vascular injury and structural heart defects, and manage critically
ill patients, at times simultaneously. The interventional physician and his or her team should have a complete understanding of the indications and practice guidelines for percutaneous coronary intervention (PCI), coronary bypass graft surgery, and medical therapy for coronary, peripheral arterial, and structural heart disease. Specifically the physician and team should know:
• The chance of a successful procedure
• The benefit/risk to the patient if the procedure is successful/ unsuccessful
• The occurrence and management of various complications
These facts must also be integrated into judgments for a specific patient given a large variety of factors related to the comorbidities and underlying medical cardiac and noncardiac conditions.
In this third edition of The Interventional Cardiac Catheterization Handbook 4th, we have tried to provide the critical information to those beginning their journey into interventional cardiology. Of course this material is an extension of techniques and methods described for diagnostic catheterization and specially related techniques in The Cardiac Catheterization Handbook, fifth edition. Excellence in intervention begins with excellence in diagnostic catheterization. The ICCH third edition is a handbook and by design cannot include every aspect of the universe of interventional cardiology. Such detail is provided in larger reference textbooks in the field.
The ICCH third edition is new in several ways. Beyond a redesigned format with full color images, making the reading and diagrams easier and more instructional, the contents have been brought as up to date as possible given the nature of printed books. Many of the basic chapters discuss what PCI does and how to achieve best access, and angiographic images now reflect the modern approach with both thirdgeneration drug-eluting stents as the principal tool to open arteries and radial access highlighted to emphasize the increased safety of this method. Angiographic views for intervention, use of different contrast media, and identification of patients at high risk are fundamental reading for all students and physicians meeting the minimum knowledge requirements.