Essential Angioplasty

Preface, viii

Acknowledgments, x

List of Abbreviations, xi

Chapter 1 Fundamentals, 1

Standards of Excellence in Interventional Cardiology, 1

Introduction to Interventional Procedures, 4

Vascular Access, 8

Coronary Anatomy and Projections, 25

Anomalies, 41

Left Ventriculography and Aortography, 51

Radiation Safety, 58

Chapter 2 Devices in Practice, 66

Guiding Catheters, 66

Guide Wires, 92

Balloons, 99

Stents, 110

Closure Devices, 122

Chapter 3 The Interventional Patient, 129

Elective PCI for Stable Coronary Artery Disease, 129

PCI in Acute Coronary Syndromes, 133

The Diabetic Patient, 162

Chapter 4 Interventional Pharmacotherapy, 167

Antiplatelet Agents in PCI, 167

Antithrombotic Agents in PCI, 182

Chapter 5 Techniques in Specifi c Lesions, 189

Left Main Coronary Artery, 189

Bifurcation Lesions, 203

Ostial Lesions, 238

Chronic Total Occlusion, 252

Grafts and Conduits, 273

Chapter 6 Complications, 288

Contrast Reactions, 288

Femoral Access Site Problems, 289

Radial Access Site Problems, 293

Air Injection, 294

No-Refl ow/Slow-Refl ow Phenomenon, 294

Coronary Spasm, 296

Pseudostenoses, 296

Coronary Perforation, 296

Coronary Dissection, 299

Stent Thrombosis, 303

Restenosis, 307

Stent Loss, 310

Hypotension, 311

Hypoglycemia, 312

Contrast-Induced Nephropathy, 312

New ST Elevation or Marked ST Depression, 317

Cardiac Arrest, 317

Emergency CABG, 319

Death, 319

Chapter 7 Intracoronary Imaging, 320

Intravascular Ultrasonography, 320

Virtual Histology, 335

Fractional Flow Reserve (FFR), 336

Optical Coherence Tomography, 339

List of Trials and Studies, 345

References, 348

Trials, 348

Guidelines, 357

Other Resources, 357

Index, 359