BOOK
Transcatheter Tricuspid Valve Intervention / Interventional Therapy for Pulmonary Embolism, An Issue of Interventional Cardiology Clinics, E-Book
(2017)
Additional Information
Book Details
Abstract
This volume of Interventional Cardiology Clinics will have two parts. Part I will cover Transcatheter Tricuspid Valve Intervention and be edited by Dr. Azeem Latib. Part II will focus on Interventional Therapy for Pulmonary Embolism, with editorial direction from Dr. Jay Giri. Topics covered in Part I include: Interventional Imaging of the Tricuspid Valve; Percutaneous Tricuspid Annuloplasty; Tricuspid Spacers; Caval valve implantation; and Transcatheter Tricuspid Valve Replacement. Articles in Part II include, but are not limited to: Systemic Thrombolysis for Pulmonary Embolism; Catheter-Based Embolectomy for Acute Pulmonary Embolism; Mechanical Hemodynamic Support for Acute Pulmonary Embolism; Caval Filters: Current and Future Concepts; and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| INTERVENTIONAL CARDIOLOGY CLINICS | i | ||
| Copyright | ii | ||
| CONTRIBUTORS | iii | ||
| EDITOR-IN-CHIEF | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| CONTENTS | vii | ||
| Preface: Transcatheter Tricuspid Valve Intervention: Addressing an Unmet Clinical Need | vii | ||
| 1: Transcatheter Tricuspid Valve Intervention | vii | ||
| Anatomy of the Tricuspid Valve, Pathophysiology of Functional Tricuspid Regurgitation, and Implications for Percutaneous Th ... | vii | ||
| Interventional Imaging of the Tricuspid Valve13 | vii | ||
| Percutaneous Tricuspid Annuloplasty31 | vii | ||
| Tricuspid Clip: Step-by-Step and Clinical Data37 | vii | ||
| The FORMA Repair System47 | viii | ||
| Caval Valve Implantation57 | viii | ||
| Transcatheter Tricuspid Valve Replacement65 | viii | ||
| 2: Interventional Therapy for Pulmonary Embolism | viii | ||
| Preface: The Evolving State of Care for Acute Pulmonary Embolismxv | viii | ||
| Systemic Thrombolysis for Pulmonary Embolism: Evidence, Patient Selection, and Protocols for Management71 | viii | ||
| Catheter-Directed Therapy for Pulmonary Embolism: Patient Selection and Technical Considerations81 | ix | ||
| Catheter-Based Embolectomy for Acute Pulmonary Embolism: Devices, Technical Considerations, Risks, and Benefits91 | ix | ||
| Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension103 | ix | ||
| Mechanical Circulatory Support for High-Risk Pulmonary Embolism119 | ix | ||
| Inferior Vena Cava Filters: Current and Future Concepts129 | x | ||
| TRANSCATHETER TRICUSPID VALVE INTERVENTION/INTERVENTIONAL THERAPY FOR PULMONARY EMBOLISM | xi | ||
| FORTHCOMING ISSUES | xi | ||
| RECENT ISSUES | xi | ||
| Preface:\rTranscatheter Tricuspid Valve Intervention: Addressing an Unmet Clinical Need | xiii | ||
| Anatomy of the Tricuspid Valve, Pathophysiology of Functional Tricuspid Regurgitation, and Implications for Percutaneous Th ... | 1 | ||
| KEY POINTS | 1 | ||
| ANATOMY | 1 | ||
| The Tricuspid Apparatus | 2 | ||
| Surrounding Structures | 3 | ||
| PATHOPHYSIOLOGY OF FUNCTIONAL TRICUSPID REGURGITATION | 4 | ||
| Functional Tricuspid Regurgitation Mechanisms | 4 | ||
| Right Ventricle Function | 6 | ||
| Pulmonary Hypertension and Vascular Resistance | 7 | ||
| Timing of Intervention | 7 | ||
| IMPLICATIONS FOR PERCUTANEOUS THERAPIES | 8 | ||
| SUMMARY | 9 | ||
| ACKNOWLEDGMENTS | 9 | ||
| REFERENCES | 9 | ||
| Interventional Imaging of the Tricuspid Valve | 13 | ||
| KEY POINTS | 13 | ||
| INTRODUCTION | 13 | ||
| TRICUSPID VALVE ANATOMY | 14 | ||
| Normal Anatomy | 14 | ||
| Tricuspid Anatomy with Functional Tricuspid Regurgitation | 15 | ||
| ECHOCARDIOGRAPHIC IMAGING OF THE TRICUSPID VALVE | 15 | ||
| Transthoracic Echocardiography | 15 | ||
| Transesophageal Echocardiography | 16 | ||
| Three-Dimensional Echocardiography | 17 | ||
| FLUOROSCOPIC ANATOMY OF THE TRICUSPID VALVE | 17 | ||
| COMPUTED TOMOGRAPHY | 17 | ||
| PREPROCEDURAL PLANNING OF PERCUTANEOUS TRICUSPID VALVE REPAIR | 17 | ||
| INTRAPROCEDURAL IMAGING | 19 | ||
| FUSION IMAGING | 19 | ||
| TRANSCATHETER TRICUSPID VALVE INTERVENTIONS: DEVICES AND PROCEDURES | 20 | ||
| REFERENCES | 27 | ||
| Percutaneous Tricuspid Annuloplasty | 31 | ||
| KEY POINTS | 31 | ||
| INTRODUCTION | 31 | ||
| SURGICAL BACKGROUND | 31 | ||
| ANATOMIC CHALLENGES FOR PERCUTANEOUS TRICUSPID ANNULOPLASTY | 32 | ||
| PERCUTANEOUS ANNULOPLASTY SYSTEMS FOR TRICUSPID REGURGITATION | 33 | ||
| Cardioband | 33 | ||
| IRIS | 33 | ||
| MINIMALLY INVASIVE ANNULOPLASTY | 34 | ||
| Transatrial intrapericardial tricuspid annuloplasty | 34 | ||
| TriCinch System | 34 | ||
| Trialign | 34 | ||
| SUMMARY | 35 | ||
| REFERENCES | 35 | ||
| Tricuspid Clip | 37 | ||
| KEY POINTS | 37 | ||
| INTRODUCTION | 37 | ||
| PREPROCEDURAL SCREENING | 37 | ||
| Echocardiography | 37 | ||
| Cardiac Catheterization | 39 | ||
| Computed Tomography | 39 | ||
| PROCEDURE STEP BY STEP | 40 | ||
| Access | 40 | ||
| Steerable Guide Catheter and Clip Delivery System Insertion | 40 | ||
| Clip Steering to the Tricuspid Valve | 40 | ||
| Clip Orientation and Crossing the Tricuspid Valve | 40 | ||
| Clip Positioning and Leaflet Grasping | 40 | ||
| Confirming leaflet insertion and clip release | 42 | ||
| Delivery system removal and closure | 42 | ||
| PRESENCE OF A RIGHT VENTRICULAR LEAD | 43 | ||
| TROUBLESHOOTING AND TIPS | 43 | ||
| CLINICAL EVIDENCE | 44 | ||
| SUMMARY | 44 | ||
| REFERENCES | 44 | ||
| Caval Valve Implantation | 57 | ||
| KEY POINTS | 57 | ||
| INTRODUCTION | 57 | ||
| Transcatheter Treatment of Tricuspid Regurgitation: Orthotopic versus Heterotopic Replacement | 57 | ||
| The Caval Valve Implantation Approach: From Preclinical Proof-of-Concept to First Human Application | 58 | ||
| Clinical Evidence | 58 | ||
| Anatomic and Hemodynamic Patient Selection | 59 | ||
| How to Perform Caval Valve Implantation | 61 | ||
| Potential Limitations | 62 | ||
| SUMMARY | 62 | ||
| REFERENCES | 62 | ||
| Transcatheter Tricuspid Valve Replacement | 65 | ||
| KEY POINTS | 65 | ||
| INTRODUCTION | 65 | ||
| PATIENT SELECTION | 65 | ||
| VALVE-IN-RING REPLACEMENT FOR PRIOR TRICUSPID VALVE REPAIR | 66 | ||
| VALVE-IN-VALVE REPLACEMENT FOR BIOPROSTHETIC TRICUSPID VALVE DEGENERATION | 67 | ||
| NATIVE TRICUSPID VALVE DISEASE | 68 | ||
| SUMMARY | 69 | ||
| REFERENCES | 69 | ||
| The Evolving State of Care for Acute Pulmonary Embolism | xv | ||
| Systemic Thrombolysis for Pulmonary Embolism | 71 | ||
| KEY POINTS | 71 | ||
| INTRODUCTION | 71 | ||
| RISK STRATIFICATION OF PULMONARY EMBOLISM | 72 | ||
| SELECTION OF PATIENTS FOR SYSTEMIC THROMBOLYSIS | 72 | ||
| CLINICAL ASSESSMENT | 73 | ||
| BIOMARKERS AND IMAGING ASSESSMENT | 73 | ||
| EVIDENCE OF IMPROVEMENT IN CLINICAL OUTCOMES WITH THROMBOLYSIS IN PATIENTS WITH HIGH-RISK PULMONARY EMBOLISM | 74 | ||
| EVIDENCE OF BENEFITS IN PATIENTS WITH INTERMEDIATE-RISK PULMONARY EMBOLISM | 74 | ||
| EVIDENCE OF BENEFITS OF SYSTEMIC THROMBOLYSIS IN LOW-RISK PULMONARY EMBOLISM | 76 | ||
| ASSESSMENT OF BLEEDING RISK | 76 | ||
| NEW CATHETER-BASED TREATMENT OPTIONS | 76 | ||
| MANAGEMENT PROTOCOLS | 76 | ||
| LATEST GUIDELINES | 79 | ||
| SUMMARY | 79 | ||
| REFERENCES | 79 | ||
| Catheter-Directed Therapy for Pulmonary Embolism | 81 | ||
| KEY POINTS | 81 | ||
| INTRODUCTION | 81 | ||
| PULMONARY EMBOLISM RISK STRATIFICATION | 82 | ||
| PULMONARY EMBOLISM MANAGEMENT | 82 | ||
| CATHETER-DIRECTED THERAPY FOR SEVERE PULMONARY EMBOLISM | 83 | ||
| CONTRAINDICATIONS FOR CATHETER-DIRECTED INTERVENTION | 85 | ||
| PROCEDURE PREPARATION | 85 | ||
| PROCEDURE | 87 | ||
| FOLLOW-UP CARE | 88 | ||
| SUMMARY | 88 | ||
| REFERENCES | 88 | ||
| Catheter-Based Embolectomy for Acute Pulmonary Embolism | 91 | ||
| KEY POINTS | 91 | ||
| INTRODUCTION | 91 | ||
| INDICATIONS | 91 | ||
| CHALLENGES | 92 | ||
| TECHNICAL CONSIDERATIONS | 92 | ||
| Venous Access | 92 | ||
| Right Heart Catheterization | 93 | ||
| Anticoagulation During the Procedure | 93 | ||
| Pulmonary Angiogram | 93 | ||
| Pulmonary Arterial Branch to Treat: Selection and Technique | 94 | ||
| SPECIFIC CATHETERS AND TECHNIQUES | 95 | ||
| Maceration with Pigtail Rotation Catheter and Ballooning | 95 | ||
| Manual Aspiration Through Large Sheath or Catheter | 95 | ||
| Rheolytic Thrombectomy | 96 | ||
| Aspirex Catheter | 96 | ||
| FlowTriever | 97 | ||
| Penumbra Indigo | 97 | ||
| AngioVac | 98 | ||
| ENDPOINTS FOR TREATMENT | 99 | ||
| COMPLICATIONS | 100 | ||
| FUTURE DIRECTIONS | 100 | ||
| REFERENCES | 101 | ||
| Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension | 103 | ||
| KEY POINTS | 103 | ||
| CLINICAL PRESENTATION AND DIAGNOSIS | 103 | ||
| INVASIVE PULMONARY ANGIOGRAPHY AND RIGHT HEART CATHETERIZATION | 104 | ||
| MANAGEMENT OF CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION | 106 | ||
| Surgical Management of Operable Chronic Thromboembolic Disease | 106 | ||
| Medical Therapy for Chronic Thromboembolic Pulmonary Hypertension | 107 | ||
| Interventional Treatment of Chronic Thromboembolic Pulmonary Hypertension | 107 | ||
| Patient Selection for Balloon Pulmonary Angioplasty | 108 | ||
| APPROACH TO BALLOON PULMONARY ANGIOPLASTY | 108 | ||
| General Treatment Strategy | 108 | ||
| Vascular Access | 109 | ||
| Segmental Pulmonary Angiography | 109 | ||
| Target Lesion Characterization | 110 | ||
| Pulmonary Artery Intervention | 110 | ||
| Functional Assessment | 111 | ||
| Adverse events during balloon pulmonary angioplasty | 112 | ||
| Clinical outcomes of balloon pulmonary angioplasty | 113 | ||
| Future directions for balloon pulmonary angioplasty | 113 | ||
| SUMMARY | 114 | ||
| REFERENCES | 114 | ||
| Mechanical Circulatory Support for High-Risk Pulmonary Embolism | 119 | ||
| KEY POINTS | 119 | ||
| MANAGEMENT OF PULMONARY EMBOLISM | 120 | ||
| PULMONARY EMBOLISM SEVERITY INDEX, SIMPLIFIED PULMONARY EMBOLISM SEVERITY INDEX, AND PULMONARY ARTERY PULSATILITY INDEX | 120 | ||
| MANAGEMENT OF RIGHT VENTRICULAR FAILURE | 120 | ||
| EXTRACORPOREAL MEMBRANE OXYGENATION | 122 | ||
| Technical Perspective for Patients with Pulmonary Embolism | 122 | ||
| IMPELLA RP | 124 | ||
| Technical Perspective for Patients with Pulmonary Embolism | 124 | ||
| TANDEMHEART-PROTEKDUO | 125 | ||
| Technical Perspective for Patients with Pulmonary Embolism | 125 | ||
| INDICATIONS TO USE MECHANICAL CIRCULATORY SUPPORT FOR PULMONARY EMBOLISM | 125 | ||
| DEVICE SELECTION | 127 | ||
| SUMMARY | 127 | ||
| REFERENCES | 127 | ||
| Inferior Vena Cava Filters | 129 | ||
| KEY POINTS | 129 | ||
| INTRODUCTION | 129 | ||
| NOMENCLATURE | 129 | ||
| CHANGES IN UTILIZATION | 130 | ||
| THE DANGER OF SKEPTICISM | 131 | ||
| INCREASE IN REMOVALS | 131 | ||
| NEW DEVICES | 132 | ||
| SUMMARY | 134 | ||
| REFERENCES | 134 |