A practical, highly illustrative and easy to read reference for interventional cardiologists, vascular surgeons, cardiac/endovascular catheterization laboratory personnel, interventional radiologists, technical staff, industry professionals, investigators, and researchers on peripheral arterial CTO interventions. Peripheral CTO lesions are present in nearly 50% of all peripheral arterial disease (PAD) endovascular interventions. There is tremendous growth in the performance and learning of peripheral arterial CTO procedures. There are several ongoing physician courses and many others that are being prepared; however, there is a significant lack of standardized selection, strategies, techniques and equipment necessary to achieve a high degree of reproducible success with low complication rates during the performance of these complex and technically challenging endovascular procedures. The book is not an academic “tour de force” description of the topic but rather a practical one with many illustrations and step-by-step explanations of the various procedure steps, what can go wrong, and troubleshooting. Heavy use of illustrations throughout limit the text to what is necessary to convey the message, and the book is supported by online case catalogues and board review questions. The book also includes never-before-published information on new technology.

Prevention of complications in vascular and endovascular surgery is an important consideration for all practicing surgeons. The keys to achieving clinical success are based on careful selection of both patient and procedure, along with meticulous operative and endovascular techniques. Management of complications requires careful planning and urgent intervention. This concise, practical text provides the reader with A stepwise approach to diagnosis Guidance on avoiding technical pitfalls Advice on re-interventions Case examples to aid clinical practice The early diagnosis of complications, followed by prompt action and intervention, is key to improving clinical outcomes. This well-illustrated, concise, and practical book ensures that vascular and endovascular surgeons will be able to optimize clinical results and patient care.

"Peripheral Arterial Disease - A Practical Approach" is an honest effort to provide a clinically relevant approach to the management plan in patients presenting with peripheral vascular symptoms. We have summarized the most pertinent practical aspects of peripheral vascular disease, their clinical implications, diagnostic testing, therapeutic interventions and innovations. We hope this book serves as a reference for basic and advanced peripheral vascular care.

Debulking in Cardiovascular Interventions and Revascularization Strategies: Between a Rock and the Heart aims to provide a comprehensive overview on the diagnostic and therapeutic aspects of resistant lesions as well as tailored debulking processes in revascularization strategies. Cardiovascular interventionalists and surgeons alike frequently encounter technical challenges and increased risk when attempting to diagnose and treat resistant cardiovascular lesions, bio-tissues and vessels. Calcified plaques, fibrotic or thrombotic lesions, total occlusions, degenerative plaques, complex lesions and vessels impose morphologic obstacles to the safe and effective delivery and deployment of balloons and stents. In such instances, a debulking strategy involving the actual drilling and extraction of the targeted plaque/bio-tissue constitutes a unique option that ensures safe and efficacious subsequent balloon dilatations and stenting. A range of topics is included in the book, from the characteristics and constituents of various resistant targets and bio-tissues, to the corresponding options of debulking methods, and finally the technologic and pharmacologic means available for application. The book also provides an up-to-date description of related management solutions and tools, exploring the medical issues pertaining to the patients with these targets; procedural results and clinical outcomes as related to debulking strategies and associated diagnostic and therapeutic technology and revascularization options. Review and discussion of the pathophysiology of cardiovascular resistant lesions Analysis of the impact on revascularization outcome of cardiovascular lesions/bio-tissues which exhibit resistance to standard revascularization Introduction of the concept of debulking for revascularization of cardiovascular diseases: comprehensive description Presentation of the clinical scenarios associated with resistant cardiovascular lesions and bio-tissue that require debulking Delineation of various state-of-the -art diagnostic imaging modalities for detection and demonstration of the lesions and tissues that require debulking Presentation of the expansive array of mechanical revascularization tools available for debulking Description of surgical debulking approaches to resistant cardiovascular lesions Summary of debulking outcomes

This book is the first title that focuses exclusively on kidney disease and its impact in the cardiac catheterization laboratory. The increasing prevalence of vascular risk factors such as diabetes, obesity and hypertension coupled with increased longevity has resulted in a worldwide epidemic of cardiovascular and chronic kidney disease (CKD). Never has the impact of one organ system on the other been so profound, as in the current context of cardio-renal interactions. The cross talk between the heart and kidneys is highly relevant in the field of interventional cardiology, given the increasing number of trans-catheter procedures being performed in patients with underlying kidney disease. These procedures also have a significant impact on kidney function and require thoughtful interdisciplinary planning by a cardiorenal team, to achieve optimal outcomes This book assembles the collective expertise of several international leaders in the field of interventional cardiology and nephrology to summarize this complex interface. The book is divided into seven sections to comprehensively cover the topic, including sections on best practices with reduction of contrast associated acute kidney injury, cutting edge techniques to minimize kidney risk with complex interventions, impact of transcatheter valvular procedures on kidney function and the utility of cardio-nephrology teams . Less recognized complications with high morbidity such as athero-embolic renal disease are featured prominently, to increase awareness in the interventional cardiology and nephrology communities. This book is a valuable resource for interventional and structural cardiologists, general cardiologists and nephrologists dealing with the significant overlap areas between these two specialties. It is also relevant to medical students, trainee physicians in nephrology and cardiology, advanced care practitioners and nursing personnel in both specialties . Given the major impact of kidney function on outcomes in patients undergoing cardiac procedures, this textbook serves as a focal point to integrate relevant clinical data from both specialties and help interventional cardiologists achieve optimal outcomes, especially in patients with (or at risk for) kidney disease.

In recent years, the growth in endovascular procedures has meant that vascular trainees may not gain sufficient experience to be competent in open vascular reconstructions following completion of their training. At the same time many senior surgeons have somewhat limited experience of endovascular techniques. This book will assist junior and senior surgeons and trainees in performing all types of vascular reconstructions. A key feature of the book is its clear illustrations, accompanied by pertinent case examples from vascular registries, so that readers can perform these operations with clear understanding of anatomical exposure and dissection, simplifying the conduct of the procedure.

Until the publication of this exciting volume, new treatment modalities in the rapidly growing field of interventional cardiology were described based on individual research findings. Now, a multidisciplinary team of international experts puts catheter-based treatment techniques in context by exploring the pathobiology of specific diseases alongside a discussion of imaging tools and functional tests, and a comparison to alternative treatment approaches provided by cardiovascular surgery. This comprehensive overview of interventional cardiology represents a landmark in the field.

Reviews in Medical and Health Science Methodology, Research and Practice

Interventional Cardiology is an extensive, richly illustrated guide to this field of medicine. The book is edited by internationally recognised experts, led by Professor Samir Kapadia. This book provides comprehensive coverage of all aspects of interventional cardiology, across five sections, further divided into 88 chapters. The first section covers the evolution periprocedural pharmacology, beginning with chapters on the history of coronary intervention and concluding with clinical cases. The second section covers specific coronary interventions, taking either a disease-based or an anatomical approach. The chapters also provide information on individual patient groups, such as the elderly and diabetics. Detailed chapters on a range of devices used in interventional cardiology are included in this section. Further sections cover a wide range of peripheral and structural interventions, and the final chapter on general topics includes radiation protection, prevention and management of bleeding, and haemodynamic essentials. Enhanced by 700 full colour images, Interventional Cardiology is an authoritative resource for all cardiologists. Key Points Comprehensive, illustrated guide to interventional cardiology Edited by internationally recognised experts led by Prof Samir Kapadia 700 full colour images