By Ever D. Grech
This totally up-to-date, re-creation of ABC of Interventional Cardiology is an easy-to-read, useful consultant for the non-specialist. It offers the advanced features of interventional cardiology in a transparent and concise demeanour, and explains the several interventions for coronary artery illness, valvular and structural center sickness, and electrophysiology, ordered via medical setting.
The ABC of Interventional Cardiology covers the center wisdom on suggestions and administration, and highlights the facts base. Illustrated in complete color all through, with new photographs and photographs, it comprises key facts and instructions, new drugs and units, with concepts for additional examining and extra assets in each one bankruptcy. it really is excellent for GPs, health facility medical professionals, clinical scholars, catheter laboratory employees and cardiology nurses.
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Extra resources for ABC of Interventional Cardiology
The cutter rotates at 2000 rpm, and excised atheromatous tissue is pushed into the distal nose cone. (b) The Rotablator burr is coated with 10-μm diamond chips to create an abrasive surface. The burr, connected to a drive shaft and a turbine powered by compressed air, rotates at speeds up to 200,000 rpm. However, early studies showed that, although acute closure rates were reduced, there was no significant reduction in restenosis. Moreover, these devices were expensive, not particularly user-friendly, and had limited accessibility to more distal stenoses.
Perioperative care of patients with stents Non-cardiac surgery in patients who have undergone recent PCI are at increased risk of stent thrombosis, especially if dual antiplatelet therapy is discontinued. Most stent thromboses occur during or soon after the surgical procedure and in view of the associated high morbidity and death, strategies to minimise the risk are very important. Where possible, PCI should be avoided before non-cardiac surgery. If PCI is necessary, the type of stent (BMS or DES) should be carefully considered as the former requires dual antiplatelet therapy for 1 month only followed by aspirin alone, whereas the latter requires dual antiplatelet therapy for 12 months, followed by aspirin alone.
J Am Coll Cardiol 2001;37:2215–39. CHAPTER 4 Percutaneous Coronary Intervention (II): The Procedure Ever D. 1 Clinical indications for percutaneous coronary intervention. 1). It is essential that the benefits and risks of the procedure, as well as coronary artery bypass graft (CABG) surgery and medical treatment, are discussed with patients (and their families) in detail. They must understand that, although the percutaneous procedure is more attractive than bypass surgery, it has important limitations, including the possibility of restenosis, which may necessitate repeat PCI (or CABG), as well as the potential for incomplete revascularisation compared with surgery.