A COMPREHENSIVE AND IN-DEPTH GUIDE TO MANAGING THE TREATMENT OF STRUCTURAL HEART DISEASE
In Mastering Structural Heart Disease, a team of distinguished experts in interventional cardiology deliver a complete and robust explanation of nearly all present-day structural heart disease devices, their appropriate uses, and technical tricks to help ensure treatment success. The text is written in a Socratic, “question-and-answer” format which is designed to help readers absorb and retain knowledge. Online clinical cases and vignettes supplement the material in the book, providing a comprehensive overview of the subject.
The authors combine the latest techniques, devices, clinical research trials, future directions, and innovation ideas into a single, practical, and accessible study and practice resource. From transcatheter valvular interventions, interventions for selected adult congenital structural diseases, and a variety of other cardiac disorders that require intervention, readers will find coverage of the treatment of virtually every structural disease they’re likely to encounter in practice. They’ll also find: - A thorough introduction to structural interventions for the aortic valve, including the natural history, hemodynamic assessment and transcatheter interventions - Comprehensive explorations of structural interventions for the mitral valve, including imaging assessment and procedural planning with dedicated imaging tools prior to mitral valve edge to edge repair and transcatheter mitral valve replacement - Practical discussions of structural interventions for the tricuspid and pulmonic valves, including intraprocedural imaging, devices and techniques - Extensive treatments of structural interventions for the left atrial appendage and management of perivalvular leaks - Complete discussion of the latest devices and techniques for pulmonary embolism interventions, renal denervation and mechanical support for structural interventions
Perfect for interventional cardiologists, general cardiologists, and cardiac surgeons, Mastering Structural Heart Disease will also earn a place in the libraries of fellows in training and internists seeking a comprehensive guide to the management of structural heart disease.
Table of Contents
List of contributors
Preface
About the companion website
Part I Structural Interventions for the Aortic Valve
1. Natural History and Hemodynamic assessment of aortic valvular disease
2. Pathology Insights of Aortic Valve Disease
3. The Top Ten Clinical Trials in Patients Undergoing Transcatheter Aortic Valve Implantation: The Evolution of a Transformative Therapy into Clinical Practice
4. Present and Future Generation Transcatheter Valves
5. Computed Tomography for Transcatheter Aortic Valve Replacement Planning - Current Perspectives and Future Directions
6. Optimal Selection of TAVR Devices
7. Transfemoral TAVR step by step (Balloon Expandable and Self Expandable Valves)
8. Balloon Aortic Valvuloplasty: Current Clinical Role and Technical Aspects
9. Challenging anatomy scenarios in TAVR
10. TAVR for the Bicuspid Aortic Valve
11. TAVR for Pure Native Valve Aortic Regurgitation
12. Aortic Valve in Valve Interventions
13. Prevention and Management of Coronary Occlusion in TAVR
14. Coronary artery disease and TAVR: Timing and patient selection for coronary intervention in patients that are planned for TAVR
15. Conduction Disturbances Associated with TAVR: Clinical impact and Techniques to Minimize
16. Management of conduction disturbances post Transcatheter Aortic Valve Replacement(TAVR)
17. TAVR mechanical complications prevention and management
18. Pathological insights of TAVR degeneration and thrombosis
19. Clinical Implications of Valve Thrombosis and early thickening: (Management of Antiplatelets and Anticoagulation post TAVR)
20. Transcatheter Aortic Valve Replacement and Stroke
21. Current Evidence Of Neuroprotection In TAVR
22. Difficult Transfemoral Access for TAVR and Bailout Techniques
23. Alternative Access for TAVR
24. Vascular Access, Complications and Closure Options for TAVR
PART II Structural Interventions for the Mitral Valve
25. Natural History of Mitral Valve Disease
26. Hemodynamic Assessment of the Mitral Valve
27. Echocardiographic Assessment Prior to Mitral Valve Edge to Edge Repair
28. Intra procedural TEE for Mitral Valve Structural Interventions
29. Surgical Trials for Mitral Valvular Diseases
30. Surgical Techniques for Mitral Valve Repair
31. Structural Interventions for Mitral Stenosis
32. Transcatheter Edge To Edge Repair Trials : The EVEREST and COAPT Trials
33. TEER - The MitraClip Procedure
34. Transcatheter Edge to Edge Repair Challenging Anatomy & MitraClip Tips and Tricks
35. MitraClip complications : Prevention and Management
36. CT Imaging for TMVR
37. Transcatheter Mitral Valve in Valve ; Valve in MAC and Valve in Ring
38. Transcatheter Mitral Valve in Valve : Technical Considerations and Step by Step
39. Transeptal systems for TMVR and Transcatheter Devices for Mitral Annuloplasty
40. Tethered Self Expanding TMVR Systems (Tendyne)
41. Self Expanding TMVR systems. Intrepid Valve
PART III Structural Interventions for the Tricuspid Valve
42. Natural History and hemodynamic assessment of Tricuspid Valve Diseases
43. Indications and Outcomes for Surgical Tricuspid Valve Repair
44. Intraprocedural Imaging for Tricuspid Valve Interventions
45. Transcatheter Tricuspid Valve Devices Landscape
46. Progress in Transcatheter Tricuspid Valve Replacement
47. Tricuspid Valve in Valve and Valve in Ring
48. Heterotopic Caval valve implantation (CAVI)
PART IV Structural Interventions for Management of Perivalvular Leaks
49. Aortic PVL Closure: Techniques and Devices for Surgical and Transcatheter Prosthesis
50. Mitral Perivalvular Leak Closure: Imaging and Interventional Approaches
PART V Left Atrial Appendage Closure
51. Current indications of LAA closure
52. Imaging for LAA interventions
53. Devices for Left Atrial Appendage Closure
54. LAA Technique and Challenging Scenarios
55. Preventing and Managing Complications of LAA Closure
56. Natural History of Hypertrophic Cardiomyopathy
57. Alcohol Septal Ablation in HCM
58. Transcatheter Edge to Edge Repair for Hypertrophic Cardiomyopathy
59. Interatrial Shunt Creation
PART VII Selected Adult Congenital Structural Interventions
60. Shunts Hemodynamics and Calculations
61. PFO Closure
62. ASD Closure
63. VSD Closure
64. Percutaneous Treatment of Aortic Coarctation
65. Pulmonic Valve Interventions
PART VIII Miscellaneous
66. Hemodynamic Pearls in Adult Structural Heart Disease
67. Closure of Coronary Artery Fistulas
68. Renal Denervation
69. Acute Pulmonary Embolism Interventions: Data and Indications
70. Acute pulmonary embolism intervention: Devices and Techniques
71. ECMO for Structural Interventions
72. Best Practices for Mechanical Circulatory Support with Impella for Acute Myocardial Infarction Cardiogenic Shock and Selected Structural Interventions
73. Transcatheter Interventions for Aortic Valve Insufficiency in Patients with Left Ventricular Assist Device (LVAD)
Index