BOOK
Percutaneous Approaches to Valvular Heart Disease, An Issue of Interventional Cardiology Clinics - E-Book
Samin K. Sharma | Igor Palacios
(2012)
Additional Information
Book Details
Abstract
Among the most recently developed procedures for treating heart disease in a minimally invasive way are the techniques for percutaneous treatment of valvular heart disease. These are important advances because the only alternative is open heart surgery, which is not an option for many high-risk patients. This issue provides a detailed description of several percutaneous procedures, including trans-catheter aortic valve implantation.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Interventional Cardiology Clinics | i | ||
| Copyright Page | ii | ||
| Table of Contents | v | ||
| Contributors | iii | ||
| Foreword: A New Review Periodical,\rInterventional Cardiology\rClinics | xi | ||
| Chapter 1. Calcific Aortic Stenosis: Pathology and Role of Balloon Aortic Valvuloplasty | 1 | ||
| SYMPTOMS OF AS | 1 | ||
| TREATMENT OF AS | 4 | ||
| SUMMARY | 6 | ||
| REFERENCES | 7 | ||
| Chapter 2. Transcatheter Aortic Valve Implantation: Experience with the Edwards SAPIEN Device | 11 | ||
| PRODUCT OVERVIEW | 11 | ||
| PATIENT SELECTION | 12 | ||
| TRANSFEMORAL PROCEDURE | 15 | ||
| TRANSAPICAL PROCEDURE | 19 | ||
| COMPLICATIONS | 22 | ||
| OVERVIEW OF RESULTS FROM THE LITERATURE | 23 | ||
| FUTURE DIRECTIONS | 23 | ||
| SUMMARY | 24 | ||
| REFERENCES | 24 | ||
| Chapter 3. Transcatheter Aortic Valve Implantation: Experience with the Core Valve Device | 27 | ||
| MEDTRONIC COREVALVE REVALVING SYSTEM | 27 | ||
| EARLY CLINICAL EXPERIENCE | 28 | ||
| CURRENT CLINICAL EXPERIENCE | 29 | ||
| ALTERNATIVE ACCESS SITES | 29 | ||
| MEDTRONIC COREVALVE US INVESTIGATIONAL DEVICE EXEMPTION TRIAL DESIGN | 32 | ||
| ONGOING CHALLENGES | 32 | ||
| REFERENCES | 35 | ||
| Chapter 4. Transcatheter Aortic Valve Implantation: Upcoming New Devices | 37 | ||
| PERIPROSTHETIC AORTIC REGURGITATION | 37 | ||
| VASCULAR COMPLICATIONS | 39 | ||
| STROKE RATE | 40 | ||
| CONDUCTION DISTURBANCES | 41 | ||
| SUMMARY | 42 | ||
| REFERENCES | 42 | ||
| Chapter 5. Percutaneous Mitral Balloon Valvuloplasty for Patients with Rheumatic Mitral Stenosis | 45 | ||
| PATIENT SELECTION | 45 | ||
| TECHNIQUE OF PMV | 46 | ||
| MECHANISM OF PMV | 49 | ||
| IMMEDIATE OUTCOME | 49 | ||
| PREDICTORS OF INCREASE IN MITRAL VALVE AREA AND PROCEDURAL SUCCESS WITH PMV | 49 | ||
| COMPLICATIONS | 52 | ||
| CLINICAL FOLLOW-UP | 53 | ||
| SUMMARY | 58 | ||
| REFERENCES | 59 | ||
| Chapter 6. Percutaneous Treatment of Mitral Regurgitation: The MitraClip Experience | 63 | ||
| MITRACLIP SYSTEM: HISTORICAL PERSPECTIVE | 63 | ||
| CLINICAL OUTCOMES | 65 | ||
| LIMITATIONS OF THE MITRACLIP DEVICE | 71 | ||
| SUMMARY | 71 | ||
| REFERENCES | 71 | ||
| Chapter 7. Percutaneous Treatment of Primary and Secondary Mitral Regurgitation: Overall Scope of the Problem | 73 | ||
| ANATOMY OF MITRAL REGURGITATION | 73 | ||
| PATHOPHYSIOLOGY OF MITRAL REGURGITATION: PRIMARY AND SECONDARY | 75 | ||
| IMAGING IN MITRAL REGURGITATION | 76 | ||
| DISORDERS OF THE LEFT ATRIOVENTRICULAR JUNCTION | 78 | ||
| DISORDERS OF MITRAL LEAFLETS | 79 | ||
| DISORDERS OF THE CHORDAE TENDINAE: CHORDAL IMPLANTS | 81 | ||
| DISORDERS OF LV DILATION | 81 | ||
| COMBINING PERCUTANEOUS APPROACHES | 81 | ||
| SUMMARY | 81 | ||
| REFERENCES | 81 | ||
| Chapter 8. Percutaneous Techniques for the Treatment of Patients with Functional Mitral Valve Regurgitation | 85 | ||
| SCOPE OF THE PROBLEM | 85 | ||
| MITRAL VALVE STRUCTURE AND FUNCTION | 85 | ||
| PERCUTANEOUS TREATMENT OF MITRAL VALVE REGURGITATION | 87 | ||
| PERCUTANEOUS EDGE-TO-EDGE REPAIR | 87 | ||
| PERCUTANEOUS ANNULOPLASTY | 89 | ||
| REMODELING OF THE LEFT VENTRICULAR/LEFT ATRIAL MITRAL VALVULAR COMPLEX | 95 | ||
| PERIVALVULAR PROSTHETIC MITRAL REGURGITATION | 97 | ||
| SUMMARY AND FUTURE DIRECTIONS | 97 | ||
| REFERENCES | 98 | ||
| Chapter 9. Percutaneous Therapies in the Treatment of Valvular Pulmonary Stenosis | 101 | ||
| OBSTRUCTION OF THE RVOT | 101 | ||
| INCIDENCE AND PATHOPHYSIOLOGY OF PS | 102 | ||
| PRESENTATION AND NATURAL HISTORY OF PS: DATA FROM THE SECOND NATURAL HISTORY STUDY OF CONGENITAL HEART DISEASE | 103 | ||
| NONINVASIVE EVALUATION OF PS | 104 | ||
| HISTORY OF AND INDICATIONS FOR PERCUTANEOUS BPV | 104 | ||
| BPV TECHNIQUE | 107 | ||
| PROCEDURAL COMPLICATIONS | 111 | ||
| IMMEDIATE AND LONG-TERM RESULTS | 113 | ||
| COMPARISON WITH AND ROLE OF SURGERY | 113 | ||
| BPV IN SPECIAL CIRCUMSTANCES: NEONATAL CRITICAL PS AND PPVR | 114 | ||
| CASE HISTORIES | 116 | ||
| SUMMARY | 116 | ||
| SUPPLEMENTARY DATA | 116 | ||
| REFERENCES | 116 | ||
| Chapter 10. Percutaneous Balloon Valvuloplasty for Aortic Stenosis in Newborns and Children | 121 | ||
| EVOLUTION OF BALLOON AORTIC VALVULOPLASTY | 121 | ||
| INDICATIONS FOR BALLOON AORTIC VALVULOPLASTY | 123 | ||
| THE PROCEDURE | 123 | ||
| PROCEDURAL COMPLICATIONS | 124 | ||
| LONGER-TERM OUTCOMES | 125 | ||
| SUMMARY | 127 | ||
| REFERENCES | 127 | ||
| Chapter 11. Balloon Aortic Valvuloplasty in the Transcatheter Aortic Valve Replacement Era | 129 | ||
| PATIENT SELECTION AND INDICATIONS | 130 | ||
| PROCEDURAL DETAILS | 131 | ||
| PROCEDURAL COMPLICATIONS | 134 | ||
| PATIENT OUTCOMES | 134 | ||
| IMPLICATIONS OF TAVR FOR BAV | 135 | ||
| FUTURE DIRECTIONS | 135 | ||
| REFERENCES | 135 | ||
| Chapter 12. Looking to the Future of Percutaneous Treatment of Patients with Valvular Heart Disease | 139 | ||
| PERCUTANEOUS MANAGEMENT OF AORTIC VALVE DISEASE | 140 | ||
| PERCUTANEOUS MANAGEMENT OF MITRAL VALVE DISEASE | 143 | ||
| SUMMARY | 148 | ||
| REFERENCES | 148 | ||
| Index | 151 |