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Book Details
Abstract
This one-of-a-kind handbook again provides step-by-step instructions on what to expect, what to avoid, and how to manage complications in the cath lab, with valuable updates on safety requirements, new technology, and new techniques. It takes you through a detailed review of equipment, specific laboratory techniques, and lab safety, as well as the limitations, complications, and medical-surgical implications of cardiac catheterization and angiography findings. The book's portable size make it the preferred pocket reference!
- Presents clear instructions on what to expect, what to avoid, and how to manage complications.
- Features a straightforward, easy-to-understand approach and a pocket-sized format that are ideal for reference by practitioners on the go.
- Covers all of the newest interventional techniques, including the use of drug-coated stents, carotid stenting, and renal stenting.
- Presents brand-new coverage of vascular closure devices and radial artery catheterization.
- Features an increased emphasis on congenital heart disease.
- Incorporates new material on patient preparation, laboratory setup, and the digital lab.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| The Cardiac Catheterization Handbook | iii | ||
| Copyright Page | iv | ||
| Table of Contents | xi | ||
| Contributors | v | ||
| Dedication | vii | ||
| Preface | ix | ||
| Chapter 1. Introduction to the Catheterization Laboratory | 1 | ||
| Indications for Cardiac Catheterization | 1 | ||
| Contraindications | 2 | ||
| Complications and Risks | 2 | ||
| Catheterization Laboratory Data | 3 | ||
| Preparation of the Patient | 4 | ||
| Special Preparations for Cardiac Catheterization | 14 | ||
| Team Approach to Cardiac Catheterization | 18 | ||
| Equipment in the Catheterization Laboratory | 21 | ||
| Training Requirements | 24 | ||
| Environmental Safety in the Catheterization Laboratory | 27 | ||
| Chapter 2. Arterial and Venous Access | 37 | ||
| The Radial Versus Femoral Vascular Access Debate | 37 | ||
| Radial Artery Catheterization | 39 | ||
| Radial Artery Access and Sheath Introduction | 42 | ||
| Complications—Radial Artery Spasm | 47 | ||
| Complications—Arm Bleeding | 48 | ||
| Catheterization from the Percutaneous Femoral Artery Approach | 49 | ||
| External Compression and Vascular Closure Devices | 57 | ||
| Percutaneous Femoral Vein Puncture | 64 | ||
| Percutaneous Brachial Artery Approach | 65 | ||
| Percutaneous Brachial Vein Puncture | 66 | ||
| Other Vascular Access | 66 | ||
| Anticoagulation and Cardiac Catheterization | 67 | ||
| Problems of Vascular Access | 68 | ||
| Arterial and Venous Access: Nurse- Technician Viewpoint | 75 | ||
| Equipment Used for Access | 78 | ||
| Chapter 3. Hemodynamic Data and Basic Electrocardiography | 91 | ||
| Section I Hemodynamic Data: | 91 | ||
| Pressure Waves in the Heart | 91 | ||
| Right- and Left-Sided Heart Catheterization | 93 | ||
| Computations for Hemodynamic Measurements | 96 | ||
| Computations of Valve Areas from Pressure Gradients and Cardiac Output | 97 | ||
| Examples of Aortic and Mitral Valve Area Calculations | 99 | ||
| Use of Valve Resistance for Aortic Stenosis | 101 | ||
| Measurement of Cardiac Output | 106 | ||
| Indicator Dilution Cardiac Output Principle | 107 | ||
| Angiographic Cardiac Output | 109 | ||
| Intracardiac Shunts | 109 | ||
| Equipment Used for Hemodynamic Study | 114 | ||
| Hemodynamic Recording Techniques | 116 | ||
| Hemodynamic Examples and Artifacts | 117 | ||
| Section II: Basic Electrocardiography in the Cardiac Catheterization Laboratory | 136 | ||
| Cardiac Electrical System | 136 | ||
| Components of the Electrocardiogram | 138 | ||
| Typical Electrocardiographic Changes Seen in the Cardiac Catheterization Laboratory | 141 | ||
| Chapter 4. Angiographic Data | 145 | ||
| Coronary Angiography | 145 | ||
| Problems and Solutions in the Interpretation of Coronary Angiograms | 165 | ||
| Ventriculography | 173 | ||
| Other Cardiovascular Angiographic Studies | 182 | ||
| Abdominal Aortography | 185 | ||
| Pulmonary Angiography | 186 | ||
| The X-Ray Image | 191 | ||
| Radiation Safety | 201 | ||
| Angiographic Equipment | 204 | ||
| Angiographic Catheters | 210 | ||
| Medications Used in Coronary Angiography | 210 | ||
| Pacemakers During Angiography | 214 | ||
| Chapter 5. Peripheral Artery Disease and Peripheral Artery Angiography | 219 | ||
| Lower Extremity Peripheral Arterial Disease | 219 | ||
| Nonselective Abdominal Angiography | 227 | ||
| Selective Angiography | 230 | ||
| Aortic Arch Angiography | 231 | ||
| Carotid and Vertebral Artery Angiography | 231 | ||
| Carotid Artery Intervention | 232 | ||
| Renal Arteriography | 236 | ||
| Chapter 6. The Electrophysiology Laboratory and Electrophysiologic Procedures | 243 | ||
| Personnel | 243 | ||
| Equipment | 245 | ||
| Defibrillators, and Resynchronization Therapy Devices | 254 | ||
| Clinical Evaluations of the Patient before Electrophysiology Procedures | 256 | ||
| Arterial and Venous Access | 258 | ||
| Study Protocol | 258 | ||
| Positioning of Catheters | 258 | ||
| Measurement of Conduction Intervals | 260 | ||
| Sequence of Activation | 261 | ||
| Programmed Electrical Stimulation | 261 | ||
| Assessment of Sinus Node Function | 262 | ||
| Assessment of Atrioventricular Nodal and His-Purkinje System Function | 262 | ||
| Determination of Refractory Periods | 264 | ||
| Atrioventricular Nodal Function Curves | 264 | ||
| Ventricular Stimulation | 264 | ||
| Complications | 268 | ||
| Utility of Electrophysiologic Study for Speci.c Diagnosis | 268 | ||
| Catheter Ablation | 273 | ||
| Chapter 7. Special Techniques | 289 | ||
| Transseptal Heart Catheterization | 289 | ||
| Direct Transthoracic Left Ventricular Puncture | 295 | ||
| Endomyocardial Biopsy | 297 | ||
| Pericardiocentesis | 302 | ||
| Intravascular Foreign Body Retrieval | 304 | ||
| Transluminal Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy | 306 | ||
| Special Conditions | 308 | ||
| Chapter 8. High-Risk Cardiac Catheterization | 312 | ||
| High-Risk Patient: Definition | 312 | ||
| Management of Arrhythmias | 321 | ||
| Chapter 9. Research Techniques | 336 | ||
| Quantitative Coronary and Left Ventricular Angiography | 336 | ||
| Quantitative Coronary Flow | 338 | ||
| Invasive Coronary Imaging | 346 | ||
| Optical Coherence Tomography | 348 | ||
| Echocardiographic Modalities | 351 | ||
| Myocardial Metabolism | 351 | ||
| High-Fidelity Micromanometers | 353 | ||
| Exercise in the Catheterization Laboratory | 355 | ||
| Other Physiologic Maneuvers | 358 | ||
| Nurse and Technician Viewpoint | 361 | ||
| Chapter 10. Percutaneous Coronary and Structural Heart Disease Interventional Techniques | 363 | ||
| Percutaneous Interventions | 363 | ||
| Structural Heart Disease: Valvuloplasty | 385 | ||
| Chapter 11. Risk Management, Patient Safety, and Documentation Strategies for the Cardiac Catheterization Laboratory | 394 | ||
| Risk Management | 394 | ||
| Patient Safety | 394 | ||
| Informed Consent | 396 | ||
| Patient Safety Requirements | 396 | ||
| Documentation of Care in the Cardiac Catheterization Laboratory | 397 | ||
| Adverse Clinical Outcomes | 398 | ||
| Conclusion | 399 | ||
| Issues in Medical Malpractice | 399 | ||
| Medical Record: General Points | 400 | ||
| Index | 401 |