Handbook of Structural Heart Interventions

Description:

Advances in structural heart disease (SHD) is occurring at a rapid rate, and the Mayo Clinic is at the forefront of developing procedural techniques in this fast-changing field. Handbook of Structural Heart Interventions provides practical, focused coverage of SHD, bringing you up to date with today’s evidence-based techniques and approaches for common and uncommon SHD procedures. Ideal for both SHD trainees and established practitioners, attendings, and fellows in interventional cardiology, this easy-to-use handbook is a unique educational and clinical resource in a quickly expanding field.

Uses a consistent format for procedures, clearly guiding you through the scope of the problem, procedure/technique, and outcomes.

Employs a “building blocks” approach pioneered at Mayo as an effective training method for procedural learning. 

Includes training tips and pitfalls from leading structural heart authorities.

Contains 550 full-color illustrations, including anatomy and step-by-step procedures. 

Features separate sections on aortic valve interventions, mitral valve interventions, ventricular septal interventions, tricuspid valves, pulmonary valves, ACHD interventions, and miscellaneous/variable anatomic positions. 

Covers key procedures such as TAVR; valvuloplasty, valve-in-valve, and valve-in-ring; left atrial appendage closure; VSD closure, paravalvular leak closure, and more. 

Provides access to 20 videos of interventional procedures, including PFO and ASD closure, assessment of patients for MitraClip, and aortic coarctation stenting.

 

Table of Contents:

 

SECTION 1. Building Blocks of Structural Intervention

1.  Building blocks of structural intervention: An approach for procedural training

Structured procedural training

Modular training using the building-blocks approach

Cognitive training in structural intervention

Interdisciplinary learning

Structured training schemes using the building-blocks approach

Summary

References

2.  Access and pitfalls

Introduction

Preprocedural planning

Transfemoral access and closure technique

Complications: Preparation

Complications: Management

Summary and take-home messages

References

3.  Imaging for SHD interventions

Introduction

Transcatheter aortic valve replacement

Tee guidance for transseptal puncture

Percutaneous left atrial appendage occlusion

Transcatheter closure of paravalvular regurgitation

Transcatheter edge-to-edge mitral repair

References

4.  Hemodynamics for the structural interventionalist

Introduction

Procedural considerations

Volumetric flow

Shunt calculation

Intracardiac pressures to diagnose structural heart disease

Pressure gradients and valve areas

Summary and key points

References

5.  Techniques of transseptal puncture

Transseptal puncture toolbox

Transseptal catheterization step by step

Complications of transseptal catheterization

Competency in transseptal puncture

Conclusion

References

SECTION 2. Aortic Valve Interventions

6.  Balloon aortic valvuloplasty

Background

Indications

Other potential indications

Young patients with congenital aortic stenosis

Patients with calcific degenerative aortic stenosis

Contraindications to BAV

Procedural risks

Technique

Consent and preplanned bail-out strategy

Vascular access and temporary pacemaker insertion

Procedural steps

Insertion of the valvuloplasty balloon

Choice of valvuloplasty balloon

Risk of heart block post-BAV

Summary and take-home messages

References

7.  Transcatheter aortic valve implantation: Work up and indications for intervention

Background

TAVR for aortic stenosis

Assessment and risk stratification of patients

Contraindications to TAVR

Workup for transcatheter aortic valve replacement

Coronary angiography

Computed tomographic scan

Assessment and sizing of the aortic annulus

Aortic root

Deciding on TAVR

Anesthesia and procedural medications

Consent for TAVR

Further reading

8.  Balloon expandable transcatheter aortic valve replacement

Introduction

Edwards sapien balloon-expandable heart valve prosthesis

Edwards S3 valve

Patient selection

CT assessment of access routes for TAVR with the edwards S3

Valve sizing of edwards S3 on CT

Procedure

Initial procedural steps

Aortic angiography

Insertion of the edwards esheath

Balloon aortic valvuloplasty

Valve insertion, positioning, and deployment

Access site closure

Summary and take-home points

9.  Transcatheter aortic valve replacement using self-expanding valve

Self-expanding transcatheter aortic valve replacement: The medtronic corevalve system

Patient selection

Procedural planning

Planning valve-in-valve therapy using the self-expanding valve

Procedure steps

Complications

Key points

References

10.  Transfemoral TAVR complications

Complications

Cardiac perforation/lv rupture

Pacemaker requirement after TAVR

Summary and take-home messages

11.  TAVR alternate access sites

Background

Transapical

Transaortic

Transaxillary

Transcarotid

Transcaval

Conclusions

Summary and take-home points

References

12.  Aortic valve-in-valve TAVR

Indications

AHA recommendations

Contraindications

Specific considerations for valve-in-valve TAVR

Procedural planning

Procedural considerations

Summary and take-home messages

References

13.  Aortic paravalvular leak closure

Clinical impact of aortic PVL

AHA guidelines

Multimodality assessment of the paravalvular leak

Percutaneous closure techniques

Outcomes of aortic PVL closure

Conclusions and take-home points

References

SECTION 3. Mitral Valve Interventions

14.  Percutaneous balloon mitral valvuloplasty

Introduction

Indications and patient selection

Contraindications to PBMV

PBMV with the inoue balloon

PBMV with other balloon systems

Outcomes of PBMV

Conclusion and take-home messages

References

15.  Percutaneous edge-to-edge mitral valve repair using the mitraclip®

Introduction

Evidence and indications

Preprocedural planning

Procedural details and optimization

Pre- and intraprocedural imaging

Hemodynamic considerations

Emerging percutaneous mitral valve repair technologies

Summary and take-home points

References

16.  Percutaneous mitral valve-in-valve and valve-in-ring

Introduction

Evaluation and procedural planning

Echocardiography

Computed tomography angiography

Transseptal balloon-expandable mitral valve implantation technique

Step by step: Mitral valve-in-valve/valve-in-ring

Transapical technique

Procedural complications

Postprocedural care

Clinical outcomes

Summary and take-home points

References

Further suggested reading

17.  Mitral paravalvular leak closure

Introduction

Indications for paravalvular leak closure

Contraindications for paravalvular leak closure

Preprocedural planning

The procedure

Antegrade transseptal approach

Retrograde approach

Mitral PVL closure after transcatheter mitral valve replacement

Pitfalls and managing complications

Procedural steps for paravalvular leak closure

Future directions

Conclusions

References

18.  Mitral valve-in-MAC

Introduction

Indications

Preprocedural planning, sizing, and other anatomic considerations

Role of cardiac computed tomography

Delivery access types

Transatrial ViMAC technique

Transapical technique

Transseptal ViMAC technique

Procedural steps

Clinical outcomes and complications

Summary and take-home points

References

SECTION 4. Atrial Septal Interventions

19.  Atrial septal defect, patent foramen ovale, and atrial septostomy

Atrial septal defect

Procedural steps for ASD closure

Patent foramen ovale

Atrial septostomy

Further reading

SECTION 5. Ventricular Septal Interventions

20.  Transcatheter closure of post myocardial infarction, iatrogenic, and congenital ventricular septal defects

Introduction

AHA guidelines

Additional indications

General technique and approach

Other defect-specific considerations

Outcomes

Summary and take-home messages

References

21.  Alcohol septal ablation for obstructive hypertrophic cardiomyopathy

Background

AHA guidelines

Temporary pacemaker insertion

ASA technique and tips

Monitoring and complications

Risks of arrhythmias postprocedure

Outcomes

Summary and take-home points

References

SECTION 6. Left Atrial Interventions

22.  Left atrial appendage occlusion

Left atrial appendage occlusion devices

AHA recommendations

Patient selection

Preprocedural planning

Procedure

Procedural steps

Procedural complications

Postprocedural follow-up

Summary and take-home points

References

23.  Pulmonary vein stenosis: Management and outcomes

Introduction

Procedural steps

Procedural outcomes

Conclusions

Summary and take-home messages

References

Further reading

SECTION 7. Tricuspid Valve

24.  Tricuspid valve-in-valve/valve-in-ring therapy

Background

Indications

Contraindications

Workup for valve-in-valve procedure

Valve selection

Procedure: Step-by-step approach

Tips, tricks, and pitfalls

Outcomes

Complications

Postprocedural management

Summary and key points

Further reading

25.  Novel percutaneous tricuspid repair techniques

Introduction

Tricuspid valve anatomy and pathophysiology

Percutaneous repair for native tricuspid regurgitation (spacer therapy, edge-to-edge plication, percutaneous annuloplasty)

Summary and take-home points

References

SECTION 8. ACHD Interventions

26.  Coarctation and PDA closure

Clinical presentation

Noninvasive imaging assessment

AHA guidelines

Workup for transcatheter intervention

Interventional techniques

Procedural steps

Complications

Conclusions

Patent ductus arteriosus

Initial assessment

AHA guidelines

Morphology of PDA

Percutaneous device closure of PDA

Procedural steps

Complications

Conclusions and future directions

Conclusions

References

27.  Closure of abnormal coronary communications: Coronary, fistulae, congenital, and iatrogenic

Introduction

Clinical assessment

AHA guidelines

Procedural planning

Procedural approaches and equipment

Procedural steps

Choice of delivery sheath

Use of amplatzer vascular plugs

Coil embolization

Procedural steps

Potential complications of coronary fistula closure

Outcomes and potential complications

Conclusions

References

28.  Pulmonary valve interventions: Valvuloplasty and transcatheter pulmonary valve replacement

Pulmonary valvuloplasty

Indications for intervention

AHA recommendations

Preprocedural imaging

Basic procedure

Postprocedure

Transcatheter pulmonary valve replacement

AHA guidelines

Preprocedure planning

Basic procedure

Potential procedural complications

Postprocedure management

Summary

Further reading

29.  Pseudoaneurysm diagnosis and management

Introduction

Incidence, presentation, and natural history

Diagnosis

Guidelines and patient selection

Conservative management

Percutaneous closure of pseudoaneurysms

Complications

Surgical management

Follow-up

Conclusions

References

30.  Pulmonary balloon angioplasty for chronic thromboembolic pulmonary hypertension

Clinical presentation

Diagnosis and testing

How to perform pulmonary angiography

Case selection

Procedural planning

Step-by-step planning

Procedural steps

What is an acceptable result?

Postoperative care

Complications

Outcomes of the procedure

Summary and take-home points

References

31.  Transcatheter biopsy for intracardiac masses

Introduction

AHA guidelines

Selection

Planning

Technique

Complications

Applications

Future

Summary and take-home points

References

Index

 

An aparitie	19 Jan. 2021
Autor	Charanjit S Rihal, Claire Raphael
Dimensiuni	20 x 14 x 4 cm
Editura	Elsevier
Format	Paperback
ISBN	9780323672788
Limba	Engleza
Nr pag	400