SECTION I GENERAL PRINCIPLES
1. Cardiac Catheterization History and Current Practice Standards
Mauro Moscucci
2. Cineangiographic Imaging, Radiation Safety, and Contrast Agents
Stephen Balter and Mauro Moscucci
3. Integrated Imaging Modalities in the Cardiac Catheterization Laboratory
Robert A. Quaife and John D. Carroll
4. Complications
Mauro Moscucci
5. Adjunctive Pharmacology for Cardiac Catheterization
Kevin Croce and Daniel I. Simon
SECTION II BASIC TECHNIQUES
6. Percutaneous Approach, Including Transseptal and Apical Puncture
Claudia A. Martinez and Mauro Moscucci
7. Radial Artery Approach
Mauricio G. Cohen and Sunil V. Rao
8. Cutdown Approach: Brachial, Femoral, Axillary, Aortic and Transapical
Ronald P. Caputo, G. Randall Green, and William Grossman
9. Diagnostic Catheterization in Childhood and Adult Congenital Heart Disease
Gabriele Egidy Assenza, James E. Lock, and Michael J. Landzberg
SECTION III HEMODYNAMIC PRINCIPLES
10. Pressure Measurement
Mauro Moscucci and William Grossman
11. Blood Flow Measurement: Cardiac Output and Vascular Resistance
Mauro Moscucci and William Grossman
12. Shunt Detection and Quantification
William Grossman and Mauro Moscucci
13. Calculation of Stenotic Valve Orifice Area
Blase A. Carabello and William Grossman
14. Pitfalls in the Evaluation of Hemodynamic Data
Zoltan G. Turi
SECTION IV ANGIOGRAPHIC TECHNIQUES
15. Coronary Angiography
Mauro Moscucci
16. Coronary Artery Anomalies
Paolo Angelini and Jorge Monge
17. Cardiac Ventriculography
Mauro Moscucci and Robert C. Hendel
18. Pulmonary Angiography
Kyung Cho and Nils Kucher
19. Angiography of the Aorta and Peripheral Arteries
Michael R. Jaff, John Rundback, and Kenneth Rosenfield
SECTION V EVALUATION OF CARDIAC FUNCTION
20. Stress Testing During Cardiac Catheterization: Exercise, Pacing, and Dobutamine Challenge
William Grossman and Mauro Moscucci
21. Measurement of Ventricular Volumes, Ejection Fraction, Mass, Wall Stress, and Regional Wall Motion
Michael A. Fifer and William Grossman
22. Evaluation of Systolic and Diastolic Function of the Ventricles and Myocardium
William Grossman and Mauro Moscucci
23. Evaluation of Tamponade, Constrictive, and Restrictive Physiology
Mauro Moscucci and Barry A. Borlaug
SECTION VI SPECIAL CATHETER TECHNIQUES
24. Evaluation of Myocardial and Coronary Blood Flow and Metabolism
Morton J. Kern and Michael J. Lim
25. Intravascular Imaging Techniques
Yasuhiro Honda, Peter J. Fitzgerald, and Paul G. Yock
26. Endomyocardial Biopsy
Sandra V. Chaparro and Mauro Moscucci
27. Percutaneous Circulatory Support: Intra-aortic Balloon Counterpulsation, Impella, TandemHeart, and Extracorporeal Bypass
Daniel Burkhoff, Mauro Moscucci, and Jose P.S. Henriques
SECTION VII INTERVENTIONAL TECHNIQUES
28. Percutaneous Balloon Angioplasty and General Coronary Intervention
Abhiram Prasad and David R. Holmes
29. Atherectomy, Thrombectomy, and Distal Protection Devices
Robert N. Piana and Jeffrey J. Popma
30. Intervention for Acute Myocardial Infarction
William O'Neill
31. Coronary Stenting
Ajay J. Kirtane and Gregg W. Stone
32. General Overview of Interventions for Structural Heart Disease
Mauro Moscucci, John D. Carroll, and John G. Webb
33. Percutaneous Therapies for Valvular Heart Disease
Ted Feldman and Mauro Moscucci
34. Peripheral Intervention
Mehdi H. Shishehbor and Samir R. Kapadia
35. Intervention for Pediatric and Adult Congenital Heart Disease
Robert J. Sommer
36. Cardiac Cell-Based Therapy: Methods of Application and Delivery Systems
Joshua M. Hare, Arnon Blum, and Alan W. Heldman
37. Aortic Endovascular Grafting
Arash Bornak, Gilbert R. Upchurch, and Omaida C. Velazquez
38. Pericardial Interventions: Pericardiocentesis, Balloon Pericardiotomy, and Epicardial Approach to Cardiac Procedures
Mauro Moscucci and Juan F. Viles-Gonzalez
39. Interventions for Cardiac Arrhythmias
Haris M. Haqqani and Francis E. Marchlinski
SECTION VIII CLINICAL PROFILES
40. Profiles in Valvular Heart Disease
Ted Feldman, William Grossman, and Mauro Moscucci
41. Profiles in Coronary Artery Disease
Robert N. Piana and Aaron Kugelmass
42. Profiles in Pulmonary Hypertension and Pulmonary Embolism
Scott H. Visovatti and Vallerie V. Mclaughlin
43. Profiles in Cardiomyopathy and Heart Failure
James C. Fang and Barry A. Borlaug
44. Profiles in Pericardial Disease
John F. Robb, Roger J. Laham, and Mauro Moscucci
45. Profiles in Congenital Heart Disease
Gabriele Egidy Assenza, Robert J. Sommer, and Michael J. Landzberg
46. Profiles in Peripheral Arterial Disease
Christopher J. White and Stephen R. Ramee
Website Table of Contents
Coronary Angiography
CASE 1 Coronary angiography-Simulated angiographic projection viewer
CASE 2 Coronary angiography-Posterior LM origin, value of RAO caudal
CASE 3 Coronary angiography-Superdominant RCA
CASE 4 Coronary angiography-Separate ostia of the LAD and Cx
CASE 5 Coronary angiography-Vascular left atrial myxoma
CASE 6 Coronary angiography-Coronary ectasia
CASE 7 Coronary angiography-Atherosclerotic coronary aneurysm
CASE 8 Coronary angiography-Coronary aneurysm-Kawasaki-1
CASE 9 Coronary angiography-Coronary aneurysm-Kawasaki-2
CASE 10 Coronary angiography-Non-obstructive coronary disease
CASE 11 Coronary angiography-Small coronary clot, use of pressure wire for borderline lesion
CASE 12 Coronary angiography-Ostial left main and RCA lesions
CASE 13 Coronary angiography-Lucent left main due to eccentric lesion
CASE 14 Coronary angiography-Borderline left main-IVUS evaluation
CASE 15 Coronary angiography-Muscle bridge
CASE 16 Coronary angiography-Coronary spasm
CASE 17 Coronary angiography-Coronary spasm post stent
CASE 18 Coronary angiography-Catheter tip-induced spasm
CASE 19 Coronary angiography-Pleating artifact-RCA
CASE 20 Coronary angiography-Pleating artifact-LAD
CASE 21 Coronary angiography-Spontaneous and catheter-induced dissections
CASE 22 Coronary angiography-Left main dissection-stent rescue
CASE 23 Coronary angiography-Bridging collaterals
CASE 24 Coronary angiography-Kugel collateral
CASE 25 Coronary angiography-Vieussens collateral
CASE 26 Coronary angiography-LAD collaterals
Coronary Anomalies
CASE 27 Coronary anomalies-Anomalous high anterior origin of RCA
CASE 28 Coronary anomalies-Anomalous Cx from the RCA-1
CASE 29 Coronary anomalies-Anomalous Cx from RCA-2
CASE 30 Coronary anomalies-Anomalous left coronary from RCA
CASE 31 Coronary anomalies-Coronary fi stula
CASE 32 Coronary anomalies- anomalous origin of a coronary artery from the "opposite" sinus of Valsalva (ACAOS) - IVUS
CASE 33 Coronary Anomalies-Dedicated Catheter for cannulation of ACAOS
CASE 34 Coronary anomalies-left coronary to coronary sinus fi stula.
CASE 35 Coronary anomalies-Myocardial bridge - IVUS
Left Ventriculography
CASE 36 Left Ventriculography-Cardiomyopathy
CASE 37 Left Ventriculography-Lateral MI with mitral regurgitation
CASE 38 Left Ventriculography-LV aneurysm with remodeling
CASE 39 Left Ventriculography-True aneurysm
CASE 40 Left Ventriculography-Pseudoaneurysm
CASE 41 Left Ventriculography-Post-MI VSD
CASE 42 Left Ventriculography-Post-MI VSD-StarFlex closure
CASE 43 Left Ventriculography-Tako-tsubo-1
CASE 44 Left Ventriculography-Tako-tsubo-2
CASE 45 Left Ventriculography-Obstructive HCM - alcohol septal ablation
CASE 46 Left Ventriculography-Mitral valve prolapse
CASE 47 Left Ventriculography-Papillary muscle rupture
Aorta and Aortic Valve
CASE 48 Aorta and aortic valve-Aortic dissection
CASE 49 Aorta and aortic valve-Aortic dissection-2
CASE 50 Aorta and aortic valve-Traumatic aortic transection
CASE 51 Aorta and aortic valve-Aortic dissection fenestration
CASE 52 Aorta and aortic valve-Right sinus of Valsalva aneurysm
CASE 53 Aorta and aortic valve-Left sinus of Valsalva aneurysm
CASE 54 Aorta and aortic valve-Aortic regurgitation
CASE 55 Aorta and aortic valve-Peri-valve aortic regurgitation
CASE 56 Aorta and aortic valve-Aortic stenosis-crossing issues
CASE 57 Aorta and aortic valve-Cinefl uoroscopy of mechanical valves
CASE 58 Aorta and aortic valve-Balloon aortic valvuloplasty
CASE 59 Aorta and aortic valve- Percutaneous aortic valve replacement--Edwards-Sapien valve - antegrade transseptal approach
CASE 60 Aorta and aortic valve- Percutaneous aortic valve replacement - Edwards-Sapien valve - retrograde approach
CASE 61 Aorta and aortic valve-Percutaneous aortic valve replacement-Corevalve
CASE 62 Aorta and aortic valve-Aortic coarctation stent repair
CASE 63 Aorta and aortic valve-Patent Ductus Arteriosus-Amplatz closure
CASE 64 Aorta and aortic valve-Patent DuctussArteriosus-coil closure
Mitral Valve
CASE 65 Mitral Valve-Transseptal Puncture
CASE 66 Mitral valve-Balloon mitral valvotomy
CASE 67 Mitral Valve-Edge to edge repair-evalve
CASE 68 Mitral valve-Annuloplasty approaches
CASE 69 Mitral Valve-Mechanical valve thrombosis
Pericardium
CASE 70 Pericardium-Heart border in tamponade
CASE 71 Pericardium-Pericardiocentesis
CASE 72 Pericardium-Balloon pericardiotomy
CASE 73 Pericardium-Pericardial approach to the epicardium
Pulmonary
CASE 74 Pulmonary-Congenital valvular pulmonic stenosis
CASE 75 Pulmonary-Pulmonary Embolus
CASE 76 Pulmonary-Selective balloon pulmonary angio
CASE 77 Pulmonary-IVC Filters
Congenital
CASE 78 Congenital-Coil closure of pulmonary AV fistula
CASE 79 Congenital-Patent foramen ovale, and RV biopsy from below
CASE 80 Atrial Septal Defect closure
CASE 81 Congenital-VSD- AR, RVH
CASE 82 Congenital-Mustard Baffl e Obstruction
Non Invasive Angiography
CASE 83 Noninvasive angiography-magnetic resonance
CASE 84 Noninvasive angiography-computerized tomography
IVUS
CASE 85 IVUS-Basics
CASE 86 IVUS-Hematoma
CASE 87 IVUS-Incomplete Stent Apposition
CASE 88 IVUS-Left Main Assessment
CASE 89 IVUS-Plaque Assessment
Stents
CASE 90 Stent issues-Ostial Cx plaque shift
CASE 91 Stent issues-Origin LAD stent
CASE 92 Stent issues-Cx bifurcation stent crush
CASE 93 Stent issues-Bifurcation kissing stents
CASE 94 Stent issues-Left Main stent-alternative approaches
CASE 95 Stent issues-Force-focused angioplasty approaches
CASE 96 Stent issues-Re-stenting of stent margin restenosis
CASE 97 Stent issues-Restenosis of Kissing left main stent
CASE 98 Stent issues-Failures of crush and T-stent for bifurcations
Post CABG
CASE 99 Post-CABG-Engagement of LIMA and SVG to RCA
CASE 100 Post-CABG-LAD endarterectomy with LIMA touchdown stenosis
CASE 101 Post-CABG-SVG venous valve
CASE 102 Post CABG-Ostial lesion in grafted OM
CASE 103 Post CABG-Complex native intervention for graft failure
CASE 104 Post-CABG-LIMA stent
CASE 105 Post-CABG-Percusurge embolic protection
CASE 106 Post CABG-FilterWire embolic protection
CASE 107 Post CABG-Proxis embolic protection
CASE 108 Post-CABG-Rapid progression of SVG disease
CASE 109 Post-CABG-Total occlusion of SVG
CASE 110 Post-CABG-Complex SVG lesion
CASE 111 Post-CABG-SVG no-refl ow
CASE 112 Post-CABG-Native vessel no refl ow
CASE 113 Post-CABG-total native LAD instead of SVG
CASE 114 Post-CABG-Fistula from SVG to coronary sinus
Total Occlusion
CASE 115 Total occlusion-Conventional stiff wires
CASE 116 Total occlusion-ILT SafeCross wire
CASE 117 Total occlusion in stent restenosis-Lumend
CASE 118 Total occlusion-Retrograde approach
Thrombus
CASE 119 Thrombus-SVG AngioJet
CASE 120 Thrombus-Thrombectomy and atherectomy animations
CASE 121 Thrombus-AMI AngioJet for large thrombus
CASE 122 Thrombus-Primary PCI, with in stent restenosis
Atherectomy
CASE 123 Atherectomy-Calcifi ed LAD, Rotablator, balloon withdrawal issue
CASE 124 Atherectomy-Rotablator of calcifi ed LAD
CASE 125 Atherectomy-Rotablator of calcifi ed RCA
CASE 126 Atherectomy-Calcifi ed ostial LAD Rota
Complications
CASE 127 Complications-Coronary angio dye stain-VF
CASE 128 Complications-Coronary air embolism
CASE 129 Complications-Massive fatal coronary air embolism
CASE 130 Complications-Guiding catheter dissection into sinus of
Valsalva
CASE 131 Complications-Left sinus of Valsalva dissection
CASE 132 Complications-DCA left main dissection-stented
CASE 133 Complications-LAD perforation-covered stent
CASE 134 Complications-Left main perforation
CASE 135 Complications-Subacute stent thrombosis,lretroperitoneal bleed
CASE 136 Complications-Thrombus on the guidewire
CASE 137 Complications-Retrieval of fractured pacemaker lead
CASE 138 Complications-Early post-CABG misadventures
CASE 139 Complications-Cerebral embolus-Neurovascular rescue
CASE 140 Complications-Fractured IVC Filter
Vascular Access
CASE 141 Vascular access-General issues
CASE 142 Vascular access-Calcifi ed femoral, occluded iliacs, radial catheterization
CASE 143 Vascular access-Femoral tips and misadventures
CASE 144 Vascular access-High stick-retroperitoneal bleed
CASE 145 Vascular access-Hypogastric artery laceration vs. ureter
CASE 146 Vascular access-Iliac laceration
CASE 147 Vascular access-Femoral arterio-venous fi stula
CASE 148 Vascular access-Thrombin injection of femoral pseudoaneurysm
CASE 149 Vascular access-Puncture of an AO-bifemoral graft
CASE 150 Vascular access-Groin Closure Animations
CASE 151 Vascular access-Thrombosis of an AngioSeal site
Peripheral
CASE 152 Peripheral-Renal artery stent-1
CASE 153 Peripheral-Renal artery stent-2
CASE 154 Peripheral-CHF with renal and subclavian stenosis
CASE 155 Peripheral-Renal accessory artery stent
CASE 156 Peripheral-Renal transplant stent
CASE 157 Peripheral-Renal fi bromuscular dysplasia
CASE 158 Peripheral-Iliac and Subclavian interventions
CASE 159 Peripheral-Subclavian occlusion with steal
CASE 160 Peripheral-Total occlusion of subclavian-ILT wire
CASE 161 Peripheral-Carotid Case 1
CASE 162 Peripheral-Carotid case 2
CASE 163 Peripheral-Carotid Case 3
CASE 164 Peripheral-SFA Intervention 1
CASE 165 Peripheral-Infra-popliteal atherectomy
Integrated Imaging Modalities
CASE 166 Integrated imaging modalities- Coronary artery disease: use of pre-procedure CTA for challenging coronary graft anatomy
CASE 167 Integrated imaging modalities- Congenital heart disease: pulmonic stenosis - use of C-Arm CTA and ICE totoptimize placement of valvuloplasty balloon and detect unsuspected ASD
CASE 168 Integrated imaging modalities- Congenital heart disease: secundumlatrial septal defect - CTA pre-procedural planning with transcatheter closure image guidance using realtime 3D TEE
CASE 169 Integrated imaging modalities- Valvular heart disease: mitral stenosis procedural guidance using real-time 3D TEE
CASE 170 Integrated imaging modalities- Valvular heart disease: aortic stenosis; CTA preplanning and 3D model generation prior to TAVR
CASE 171 Integrated imaging modalities- Valvular heart disease: Preplanning and image guidance of peri-valvular leak closure