Chapter-66 History of Interventional Cardiology

2013 ◽  
pp. 573-580
Author(s):  
Bhatia V
Keyword(s):  
Interventional Cardiology ◽  
History Of

Benefits of effective multidisciplinary teamwork: catheter ablation of premature ventricular ectopics

2020 ◽  
Vol 13 (5) ◽  
pp. e233411
Author(s):  
John Daveney ◽  
Thomas Nguyen ◽  
Matt Wright
Keyword(s):  
Catheter Ablation ◽  
Right Ventricular Outflow Tract ◽  
Interventional Cardiology ◽  
Ventricular Outflow Tract ◽  
Successful Outcome ◽  
Beta Blockade ◽  
Premature Ventricular Contractions ◽  
History Of ◽  
Ventricular Ectopics ◽  
Multidisciplinary Teamwork

The case concerns a difficult but successful right ventricular outflow tract ectopy catheter ablation in a fit and well 33-year-old man with a 16-year history of symptomatic premature ventricular contractions (PVCs). Beta blockade medication had become ineffective in suppressing the PVCs, and a 24-hour Holter monitor revealed a high burden of ectopy (10%). An echocardiogram and cardiac MRI showed a structurally normal heart. During the procedure, it became impossible to uncurve the catheter, and it lodged in the patient’s right femoral artery. Immediate collaboration with interventional cardiology and interventional radiology was required to resolve the issue. The case demonstrates that excellent teamwork and calling rapidly on input from subspecialties are integral to overcoming unexpected events and to achieve a safe and successful outcome. The patient involved was a medical student at the time and as one of the coauthors offers a unique insight.

Transcatheter pulmonary valve insertion, expanded use (beyond large conduits from the right ventricle to pulmonary artery), and future directions

2014 ◽  
Vol 24 (6) ◽  
pp. 1095-1100 ◽  
Author(s):  
Jeremy M. Ringewald ◽  
Elsa J. Suh
Keyword(s):  
Pulmonary Valve ◽  
Right Ventricular Outflow Tract ◽  
Interventional Cardiology ◽  
Ventricular Outflow Tract ◽  
Future Directions ◽  
United States Food ◽  
History Of ◽  
States Food ◽  
The Right

AbstractTranscatheter pulmonary valve insertion is the most important advance in congenital interventional cardiology since atrial septal defect devices became commonly available 15 years ago. It has changed the way we look at a number of diverse diagnoses and changes how we plan, diagnose, operate, and follow-up patients. It has changed how we counsel families expecting a child that may benefit from it. Expanded use of the Melody® valve, outside its United States Food and Drug Administration approved indications, has helped numerous additional patients. The use of transcatheter pulmonary valve insertion in selected patients following surgical Gore-tex® bileaflet in valve right ventricular outflow tract reconstruction and those with a history of prior small homograft conduits will be discussed.

Determinants of Popularity and Natural History of Social Media Accounts in Interventional Cardiology

2021 ◽  
Vol 14 (6) ◽  
pp. 720-721
Author(s):  
Paolo D’Arrigo ◽  
Antonio Greco ◽  
Antonio Gabriele Franchina ◽  
Salvatore Ingala ◽  
Rocco Paolo Milluzzo ◽  
...  
Keyword(s):  
Social Media ◽  
Natural History ◽  
Interventional Cardiology ◽  
History Of

The history of interventional cardiology

2010 ◽  
pp. 17-27
Author(s):  
Kenneth Kent
Keyword(s):  
Interventional Cardiology ◽  
Improve Quality ◽  
History Of ◽  
The Rich ◽  
Rich History

The rich history of interventional cardiology is befitting this subspecialty which is now responsible for treating over a million patients each year. These procedures improve quality of lives and reduce mortality. Interventional cardiology recently celebrated its third decade, in September, 2007.

scholarly journals Atrial fibrillation evolution and rhythm control strategy following left appendage closure: new insights from the prospective FLAAC registry

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicolas Lellouche ◽  
Raphaele Arrouasse ◽  
Julien Ternacle ◽  
Romain Gallet ◽  
Jean-Sylvain Hermida ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Control Strategy ◽  
Interventional Cardiology ◽  
Rhythm Control ◽  
History Of ◽  
Study Population ◽  
One Year ◽  
Laa Closure

Abstract Background Percutaneous left atrial appendage (LAA) closure is an alternative to oral anticoagulation (OAC) for atrial fibrillation (AF) patients with high thromboembolism risk, particularly with contraindications to OAC. The LAA itself could possess proarrhythmogenic properties. As patients undergoing LAA closure could be candidates for cardioversion or ablation, we aimed to evaluate AF disease progression following LAA closure and the outcome of patients undergoing a rhythm control strategy after the procedure. Methods The prospective multicenter French Nationwide Observational LAA Closure Registry (FLAAC) comprises 33 French interventional cardiology departments. Patients were included if they fulfilled the following criteria: history of non-valvular AF, successful LAA closure and long-term ECG follow-up. Results A total of 331 patients with successful LAA closure were enrolled in the study. Patients mean age was 75.4 ± 0.5 years. The study population was characterized by a high thromboembolic risk (CHA2DS2-VASc score: 4.5 ± 0.1) and frequent comorbidities. The median follow-up was 11.9 months. One hundred and nineteen (36.0%) patients were in sinus rhythm (SR) at baseline. Among SR patients, documented AF was observed in 16 (13.4%) patients whereas 15 (7.1%) patients in AF at baseline restored SR, at the end of follow up. Finally, only 13 patients (4%) underwent procedures to restore SR without complications during the follow-up. Conclusions The vast majority of patients undergoing LAA closure have the same AF status at baseline and one year after the index procedure. During the follow-up, a very small proportion (4%) of our population underwent procedures to restore SR without complications whatever the post-procedural antithrombotic strategy was.

The history of interventional cardiology

2018 ◽  
pp. 15-24
Author(s):  
Toby Rogers ◽  
Kenneth Kent ◽  
Augusto D. Pichard
Keyword(s):  
Congenital Heart ◽  
Disease Risk ◽  
Scientific Discovery ◽  
Obstructive Coronary Artery Disease ◽  
Interventional Cardiology ◽  
Road Map ◽  
History Of ◽  
Brachial Vein ◽  
Artery Disease ◽  
Revascularization Procedures

The history of the understanding of the heart shows how far scientific research has come. Experimentation resulted in the scientific discovery of congenital heart disease by Mason Sones, whose work led to the understanding of obstructive coronary artery disease, risk stratification for patients, and subsequently to a road map for revascularization procedures. Werner Forssmann is another significant name, having demonstrated the feasibility of placing catheters in the heart by passing a urethral catheter through his own brachial vein into his right atrium. This chapter focuses on the scientific developments following on from these discoveries.

scholarly journals Case Report: Role of Rotational Atherectomy in Complex PCI

2021 ◽  
Vol 2 (3) ◽  
pp. 35-40
Author(s):  
Seprian Widasmara ◽  
Mohammad Saifur Rohman ◽  
Heny Martini ◽  
Indra Prasetya
Keyword(s):  
High Speed ◽  
Coronary Calcification ◽  
Interventional Cardiology ◽  
Coronary Intervention ◽  
Adverse Outcomes ◽  
Rotational Atherectomy ◽  
Complication Rates ◽  
X Rays ◽  
Laboratory Findings ◽  
History Of

Background : One in three patients undergoing percutaneous coronary intervention (PCI) exhibits moderate or severe coronary artery calcification. Coronary calcification remains a major independent predictor of PCI failure and adverse outcomes. PCI of calcified coronary lesions remains challenging, despite significant improvements in the available tools and techniques. Rotational Atherectomy (RA) is a critical component to improve PCI success in these situations by producing lumen enlargement by physical removal of plaque and reduction in plaque rigidity, thus facilitating dilation Case Illustration: A 73-year-old man with exertional angina was referred to our hospital, with a history of hypertension, diabetes mellitus, ex-smoker and dyslipidemia. Physical exam, electrocardiogram, chest x-rays, and laboratory findings were unremarkable, but transthoracic echocardiogram revealed anterior wall hypokinesis. History of cardiac catheterization outside of our center with angiographic result of left anterior descending (LAD) lesion, highly calcified, non-dilatable on first several POBA attempts. Coronary angiography at our center, revealed diffuse calcification from proximal to distal of the LAD artery with about 90% maximum stenosis in mid LAD. RA (Rotablator, Boston) was then performed with A 1.50 mm burr gradually advanced at 150,000 rpm to passed the lesion. After deployments of stents, final angiogram showed well positioned stents with good distal run-off flow. The patient was uneventful during the procedure and was discharged following day. Discussion: In experienced hands, RA is as safe as standard PCI. RA is as a tool to make PCI possible in complex lesions with moderate or severe calcification when clinical variables make PCI appropriate. Rotablator is a catheter-based interventional cardiology procedure using a high-speed rotational device designed to ablate atherosclerotic plaque and restore luminal patency. This help to facilitate stent delivery, avoiding the barotrauma caused by repeated high-pressure balloon inflations that can lead to vessel dissection or perforation. Atherectomy can be performed safely with optimal burr selection and proper ablation techniques, and as a result, complication rates have been significantly minimized, with few changes in the acute complications reported in contemporary studies.

Ambulatory preventive care: outpatient clinics and primary care

2017 ◽  
Author(s):  
Jean-Paul Schmid ◽  
Hugo Saner ◽  
Paul Dendale ◽  
Ines Frederix
Keyword(s):  
Primary Care ◽  
Interventional Cardiology ◽  
Asymptomatic Patients ◽  
Stable Coronary Heart Disease ◽  
History Of ◽  
Coronary Syndromes ◽  
Artery Disease ◽  
Acute Event

Cardiac rehabilitation (CR) services aim to restore the physical, psychosocial, and vocational status of cardiac patients. The role of these services has evolved due to the progress of interventional cardiology with its prompt and effective treatment of acute coronary syndromes. The focus has moved from the restoration of a patient’s health following an acute event towards a more pronounced long-term targeted secondary prevention intervention. As a consequence, CR services have also expanded their indication in order to include not only patients after myocardial infarction or surgery but also a variety of ’non-acuteʼ cardiovascular disease (CVD) states like stable coronary heart disease and peripheral obstructive artery disease as well as asymptomatic patients with no history of CVD but with a constellation of cardiovascular risk factors, especially metabolic syndrome or diabetes mellitus. This chapter provides a wide-ranging summary of the issues concerning outpatients and primary care.

Sign in / Sign up

Export Citation Format

Share Document