Interventional cardiology for coronary heart disease

2020 ◽  
pp. 159-182
Keyword(s):  
Cardiac Catheterization ◽  
Nursing Care ◽  
Heart Valves ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Heart Catheterization ◽  
Left Heart Catheterization ◽  
Generic Term ◽  
Percutaneous Coronary ◽  
Diagnostic Angiography

The purpose of this chapter is to give an overview of interventional cardiology. Diagnostic angiography and percutaneous coronary intervention (PCI) are discussed, in addition to related issues (e.g. achieving haemostasis, pharmacological adjuncts, and complications). The principles of nursing care for both angiography and PCI are similar and will, ∴, be discussed together; any differences will be clarified. Although coronary angiography is the focus of this chapter, it is worth noting that cardiac catheterization is the passage of a catheter into the left and/or right heart to provide diagnostic information about the heart and blood vessels. Cardiac catheterization is a generic term that refers to a variety of procedures including angiography, ventriculography, and right or left heart catheterization. ∴ abnormalities of the heart valves, heart muscle, and coronary arteries can be identified by these procedures.

Cardiac Catheterization and Coronary Intervention

2020 ◽  
Keyword(s):  
Cardiac Catheterization ◽  
Coronary Intervention ◽  
Right Heart Catheterization ◽  
Heart Catheterization ◽  
Clinical Images ◽  
Roles And Responsibilities ◽  
Training Requirements ◽  
Percutaneous Coronary ◽  
Left And Right ◽  
Catheterization Procedure

Cardiac catheterization and coronary angiography are both key components to routine cardiology practice. This new edition of Cardiac Catheterization and Coronary Intervention has been fully updated since the first edition, with new sections on primary percutaneous coronary intervention, trends in vascular access, bioabsorbable stents, optical coherence tomography, and more. Filled with over 150 clinical images and schematic illustrations, the handbook is an accessible ‘how-to’ guide, designed to demystify complex cardiac catheterization investigations. Expanded to reflect developments in practice, this new edition also introduces a new chapter on the multidisciplinary team and their roles and responsibilities from pre- to post-procedural care and relevant training requirements. It contains detailed instructions on how to perform a comprehensive left and right heart catheterization procedure, choosing the correct catheter for coronary and graft angiography, and how to perform a diagnostic coronary angiogram and interpret the subsequent findings.

scholarly journals Superficial temporal artery access for percutaneous coronary artery stenting during the COVID-19 pandemic: a case report

2020 ◽  
Author(s):  
Ádám Csavajda ◽  
Olivier F Bertrand ◽  
Béla Merkely ◽  
Zoltán Ruzsa
Keyword(s):  
Coronary Artery ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Coronary Intervention ◽  
Femoral Access ◽  
St Segment Elevation ◽  
Invasive Cardiology ◽  
Percutaneous Coronary ◽  
Diagnostic Angiography ◽  
The Right

Abstract Background The COVID-19 pandemic creates new challenges for healthcare, including invasive cardiology. Case summary We discuss the case of a 65-year-old man who presented with non-ST segment elevation myocardial infarction combined with bilateral pneumonia. The patient had known severe iliac artery lesions with prior interventions and bilateral subclavian artery occlusions. After unsuccessful femoral artery access, the diagnostic angiography and the right coronary artery percutaneous coronary intervention were successfully performed from ultrasound-guided lower superficial temporal artery access. Discussion We showed that superficial temporal access can be used as an alternate access site for diagnostic coronary angiography and intervention when standard wrist and femoral access sites are not readily accessible.

scholarly journals Evidence for Benefit of Percutaneous Coronary Intervention for Chronically Occluded Coronary Arteries (CTO) – Clinical and Health Economic Outcomes

2014 ◽  
Vol 9 (3) ◽  
pp. 190 ◽  
Author(s):  
John Rawlins ◽  
James Wilkinson ◽  
Nick Curzen ◽  
◽  
◽  
...  
Keyword(s):  
Chronic Total Occlusion ◽  
Significant Risk ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Limited Data ◽  
Total Occlusion ◽  
Percutaneous Coronary ◽  
Technical Advances ◽  
Procedural Time ◽  
Safety Benefit

Percutaneous revascularisation of a coronary chronic total occlusion (CTO) remains one of the technical frontiers of interventional cardiology. CTOs are common, and yet intervention is only attempted in 10 % of cases. CTO procedures are perceived to be technically challenging, lengthy, associated with significant risk and have only limited data to support the practise. Recent technical advances have dramatically increased the success rate, shortened procedural time and improved clinical outcomes. The aim of this article is to critically examine the data that supports CTO intervention, including specifically an appraisal of procedural safety, benefit and overall cost effectiveness.

scholarly journals Nursing Care for a Patient with NSTEMI Admitted to the Coronary Care Unit for Percutaneous Coronary Intervention — A Case Study

2017 ◽  
Vol 34 (1) ◽  
pp. 1
Author(s):  
M. S. SITI MARYATI ◽  
R. (II) P. DIOSO
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Nursing Care ◽  
Vital Signs ◽  
Coronary Intervention ◽  
Care Plan ◽  
Drug Eluting Stent ◽  
Cardiac Catheter ◽  
Telemetry Unit ◽  
Percutaneous Coronary ◽  
Catheter Laboratory

This case studyaims to demonstrateclinical nursing skills to a patient with myocardial infarction admitted for percutaneous coronary intervention. Nursing care for this patient startedwith a physical assessment and laboratory invesigation analysis. This evaluation was necessary to develop a nursing care plan. The activities in the ward enumerated the medications provided, and the details of the vital signs monitored hourly. The patient was sent to cardiac catheter laboratory at 1030H. From the cardiac catheter laboratory post-percutaneouscoronary intervention to the mid-right coronary artery (1 Drug-Eluting Stent) he was transferred out to Telemetry unit on 11 August2016 at 1500H with Terumo band hemostatic device through radial approach

Abstract P254: Dementia and Use of Cardiac Catheterization and Angioplasty in Elderly ST-Elevation Myocardial Infarction Patients

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Marianne Ketterl ◽  
James A Mortimer ◽  
Elizabeth B Pathak
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Catheterization ◽  
Coronary Intervention ◽  
Admission Diagnosis ◽  
Percutaneous Coronary ◽  
Treatment Disparities ◽  
St Elevation ◽  
The Mean ◽  
Definition Of ◽  
To Receive

Introduction_ Percutaneous coronary intervention (PCI) is the first line of treatment for ST-elevated myocardial infarction (STEMI). Few studies addressed dementia as a barrier to receiving PCI. We evaluated disparities in the use of cardiac catheterization and PCI in STEMI patients with dementia. Methods_ A retrospective analysis was performed of Florida's comprehensive inpatient surveillance system for the years 2006-2007 with admission diagnosis of STEMI (ICD-9-CM codes 410.0 - 410.6, 410.8). Data were limited to patients ≥65 years admitted to hospitals with a high annual volume of PCIs (≥400), and transfer patients were excluded. We used a broad definition of dementia (ICD-9-CM codes 294.0, 294.1, 294.8, 294.9, 331.0-331.2, 331.7, 331.81, 331.82, 331.89, 331.9, 780.93, 780.97, 797). Logistic regression analysis was used to identify disparities in the use of cardiac catheterization and PCI among all STEMI patients, and in the use of PCI only among STEMI patients who received cardiac catheterization. Results_ A total of 8,310 STEMI patients who met our inclusion criteria were identified. Of these, 77.2% were catheterized and 67.1% received PCI. The mean age of the cohort was 76.3 years (SD 7.8 yrs); with 43.3% female; 83.4% white, 4.6% black, and 12% Hispanic/other. A total of 605 (7.3%) were demented. After adjustment for age, gender, and race/ethnicity, patients with dementia were less likely to be catheterized (RR 0.4, 95% CI 0.3-0.5), and less likely to receive PCI (RR 0.4, 95% CI 0.4-0.5) than non-demented patients. However, among patients who were catheterized, there was no difference in the use of PCI for demented vs. non-demented patients (p=0.32).Women were less likely to be catheterized than males (RR 0.7, 95% CI 0.7-0.8), but if catheterized, were more likely to receive PCI then men (RR 1.3, 95% CI 1.1-1.6). After adjustment for age, gender, and dementia, blacks were less likely to be catheterized (RR 0.5, 95% CI 0.4-0.6) and less likely to receive PCI (RR 0.6, 95% CI 0.5-0.7) than whites. Conclusions_ STEMI patients with dementia were much less likely to receive cardiac catheterization and consequently PCI. Our study confirms that treatment disparities exist for elderly demented patients after controlling for age, gender and ethnicity.

The ‘golden rules’ of percutaneous coronary intervention

2018 ◽  
pp. 75-80
Author(s):  
Rod Stables
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Adverse Events ◽  
Personal Experience ◽  
Best Practice ◽  
Systematic Approach ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Strategic Approach ◽  
Percutaneous Coronary ◽  
Core Concepts

This chapter identifies general principles for the practice of interventional cardiology. The focus is on general strategic approach and the exposition of core concepts rather than details of equipment selection and manipulation. Although framed for percutaneous coronary intervention, the philosophy will translate to all forms of interventional cardiology. In contemporary activity adverse events are fortunately rare and it is very difficult for an individual operator to identify ‘best practice’ on the basis of personal experience and individual reflection. These ‘golden rules’ are based on lessons, sometimes learned at cost to patients and operators, over three decades. Knowledge of these issues and a more systematic approach may provide a framework for safe and effective practice.

scholarly journals Percutaneous Coronary Intervention in Chronic Total Occlusion - In Hospital Outcome

1970 ◽  
Vol 1 (2) ◽  
pp. 156-160
Author(s):  
N Kar ◽  
M Ullah ◽  
PK Karmakar ◽  
AEM Mazharul Islam ◽  
AQM Reza ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Chronic Total Occlusion ◽  
Chronic Stable Angina ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Total Occlusion ◽  
Hospital Outcome ◽  
Number Of Patients ◽  
Percutaneous Coronary ◽  
Cardiac Catheterizations

Background- Although a total coronary occlusion is identified approximately in one third of the diagnostic cardiac catheterizations, still an attempted revascularization of total occlusion accounts for less than 8% of all percutaneous coronary interventions (PCI). Percutaneous Coronary Intervention (PCI) of chronic total occlusion (CTO) is one of the major challenges in interventional cardiology. It is now an well-accepted revascularization procedure.  Methods: It was a prospective observational study conducted in National Institute of Cardiovascular Diseases, Dhaka, from July 2004 to June 2005. 50 consecutive patients with chronic total occlusion undergoing PCI were included in the study. Patients were observed during procedure and during the hospital stay. Result: The mean age of the patients was 46.7 ± 9.3 and 48.0% were in the age range of 45-54 years. 24 patients had post MI angina, 20 patients had chronic stable angina and 6 patients had unstable angina. Technical success was in 98% cases and procedural success was in 94% cases. One patient developed vessel perforation and was treated by prolonged balloon inflation. There was no death or STEMI and only 2 patients developed NSTEMI. Conclusion: In our study with the use of available facilities PCI in CTOs was possible with a high success rate. But dealing of more complicated lesion will require more improved technology and hardware. A study with larger number of patients and longer duration of follow up to determine the efficacy of the procedure in improving morbidity and mortality is needed. Keywords : Chronic total occlusion; Percutaneous Coronary Intervention; In hospital outcome DOI: http://dx.doi.org/10.3329/cardio.v1i2.8122 Cardiovasc. j. 2009; 1(2) : 156-160

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