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Journal Cover   Interventional Cardiology Clinics
  [SJR: 0.162]   [H-I: 2]   [3 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 2211-7458 - ISSN (Online) 2211-7466
   Published by Elsevier Homepage  [2586 journals]
  • Index
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4




      PubDate: 2015-04-09T09:23:50Z
       
  • The Transradial Learning Curve and Volume-Outcome Relationship
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Ian C. Gilchrist

      Teaser This article discusses how learning curves correlate with learning in transradial catheterization. Although learning curves exist in the conversion to transradial approaches, current percutaneous coronary intervention (PCI) procedures are so safe that only surrogate end points such as contrast usage and x-ray exposure show learning effects. Using these surrogates, a learning curve of 30 to 50 patients seems typical to transition cardiologists from transfemoral to transradial PCI. This transition occurs with the immediate benefit of reduced vascular complications and bleeding and without loss of overall procedural success. These measures of safety during learning exist despite difference of procedural volumes.

      PubDate: 2015-04-04T08:28:22Z
       
  • The Transradial Approach and Antithrombotic Therapy Rationale and Outcomes
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Alberto Barria Perez , Goran Rimac , Guillaume Plourde , Yann Poirier , Olivier Costerousse , Olivier F. Bertrand

      Teaser This article reviews antithrombotic strategies for percutaneous coronary interventions according to the access site and the current evidence with the aim of limiting ischemic complications and preventing radial artery occlusion (RAO). Prevention of RAO should be part of the quality control of any radial program. The incidence of RAO postcatheterization and interventions should be determined initially using the echo-duplex and then frequently assessed using the more cost-effective pulse oximetry technique. Any evidence of higher risk of RAO should prompt internal analysis and multidisciplinary mechanisms to be put in place.

      PubDate: 2015-04-04T08:28:22Z
       
  • Transradial Peripheral Arterial Procedures
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Kintur Sanghvi , John Coppola

      Teaser Increased understanding and increased adoption of transradial catheterization across the world have led to further exploring of radial artery access for transradial endovascular interventions in peripheral artery disease (PAD). This article discusses the advantages and limitations of the transradial approach for endovascular medicine by using case examples, illustrations, and videos. The details about how to use a radial approach for PAD intervention, including and tips tricks, are discussed.

      PubDate: 2015-04-04T08:28:22Z
       
  • Complications of Transradial Cardiac Catheterization and Management
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Vinay Arora , Meet Patel , Adhir R. Shroff

      Teaser The transradial approach for coronary angiography has become an increasingly used alternative to the conventional transfemoral approach. Decreased access site complications and bleeding, reduced hospital stays and health care costs, and increased patient satisfaction contribute to the attractiveness of this approach. However, operators must be familiar with the distinct complications associated with the transradial approach. In this article, we discuss the common and less common complications of transradial catheterization, prevention strategies, and management options.

      PubDate: 2015-04-04T08:28:22Z
       
  • Slender Approach and Sheathless Techniques
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Saurabh Sanon , Rajiv Gulati

      Teaser Most radial arteries cannot accommodate 7- and 8-French introducer sheaths for large-bore percutaneous coronary intervention without overstretch. In addition to being uncomfortable, radial artery overstretch is associated with spasm and higher rates of procedure-related radial artery occlusion. Methods for the transradial interventionist to overcome the limitation of radial artery-sheath size mismatch include both sheath-based and sheathless approaches. In this article we discuss a variety of techniques that can be used to minimize radial artery stretch for straightforward and complex coronary procedures.

      PubDate: 2015-04-04T08:28:22Z
       
  • Transradial Primary Percutaneous Coronary Intervention
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Sasko Kedev

      Teaser Despite advances in antithrombotic and antiplatelet therapy, bleeding complications remain an important cause of morbidity and mortality in patients with acute ST segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). Many bleeding events are related to the access site. Transradial access (TRA) PPCI is associated with significant reduction in bleeding and vascular complications and reduced cardiac mortality compared with the transfemoral approach (TFA). High-risk patients might particularly benefit from TRA. Radial skills providing procedural times and success rates comparable with those of the TFA are strongly recommended before using this technique in the STEMI PPCI setting.

      PubDate: 2015-04-04T08:28:22Z
       
  • Strategies to Traverse the Arm and Chest Vasculature
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Tejas M. Patel , Sanjay Shah , Samir B. Pancholy

      Teaser This article discusses different methods of working through arm and chest vasculature to increase the success rate of the transradial approach (TRA). Despite lower rates of bleeding and vascular complications as compared with the transfemoral approach, adoption of the TRA has been slow, particularly because of higher failure rates. Anatomic complexities of arm and chest vasculature play an important role in cases of TRA failure. Using a simple framework to classify the anatomic or functional problem and approaching these challenges in a logical sequence should facilitate management and increase the success rate for TRA.

      PubDate: 2015-04-04T08:28:22Z
       
  • Diagnostic and Guide Catheter Selection and Manipulation for Radial
           Approach
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Carlos E. Alfonso , Mauricio G. Cohen

      Teaser Transradial catheterization and percutaneous coronary interventions have multiple advantages, including reduced bleeding risk, reduced length of stay and costs, and increased patient comfort. Transradial catheterization and interventions requires the acquisition of various additional skill sets including radial arterial puncture, the ability to navigate the upper extremity vasculature, and understanding catheter selection and coronary engagement technique. Although standard femoral catheter shapes perform adequately from the left or right radial approach for coronary angiography, for percutaneous coronary intervention guide catheter support is critical. This article summarizes some practical learning points pertaining to navigating the upper extremity vasculature, and understanding catheter selection and coronary engagement technique.

      PubDate: 2015-04-04T08:28:22Z
       
  • Interventional Cardiology Clinics
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Matthew J. Price



      PubDate: 2015-04-04T08:28:22Z
       
  • Copyright
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2




      PubDate: 2015-04-04T08:28:22Z
       
  • Contributors
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2




      PubDate: 2015-04-04T08:28:22Z
       
  • Contents
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2




      PubDate: 2015-04-04T08:28:22Z
       
  • TRANSRADIAL ANGIOGRAPHY AND INTERVENTION
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2




      PubDate: 2015-04-04T08:28:22Z
       
  • Radial Approach: Fundamental Techniques and Evidence
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Sunil V. Rao



      PubDate: 2015-04-04T08:28:22Z
       
  • Radial Artery Access, Hemostasis, and Radial Artery Occlusion
    • Abstract: Publication date: April 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 2
      Author(s): Samir B. Pancholy , Sanjay Shah , Tejas M. Patel

      Teaser Radial artery access is usually achieved using a micropuncture system. Hydrophilic introducers are used to improve comfort, probably by reducing spasm. A vasodilator cocktail should be administered to prevent severe spasm and anticoagulation; usually, unfractionated heparin is administered to prevent subsequent radial artery occlusion (RAO). Hemostasis at the radial artery puncture site is easily achievable by local compression. Application of local compression frequently leads to interruption of radial artery flow and subsequent occlusion. Careful attention to maintenance of radial artery patency during hemostatic compression has been shown to decrease the risk of RAO without increasing access-related bleeding complications.

      PubDate: 2015-04-04T08:28:22Z
       
  • Nontransfemoral Approaches to Transcatheter Aortic Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Jared E. Murdock , Hanna A. Jensen , Vinod H. Thourani

      Teaser Transcatheter aortic valve replacement (TAVR) is noninferior to surgical aortic valve replacement in patients with high operative risk and superior to medical treatment in patients deemed unsuitable for surgical intervention. However, up to 30% to 50% of patients screened for this intervention are not candidates for TAVR via the preferred transfemoral route because of severe peripheral arterial disease. Alternative access routes must be considered and include the transapical, transaortic, transsubclavian, and transcarotid approaches. The use of alternative access is predicated on appropriate patient selection as determined by a dedicated multispecialty heart valve team and can lead to excellent outcomes.

      PubDate: 2015-02-14T05:43:29Z
       
  • Valve-in-Valve Therapy for Failed Surgical Bioprosthetic Valves Clinical
           Results and Procedural Guidance
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Alia Noorani , Vinayak Bapat

      Teaser With improved life expectancy and increased use of bioprosthetic heart valves, more elderly and frail patients present with degenerative surgical heart valve disease. The valve-in-valve procedure is an attractive alternative to a conventional open redo procedure. Although it is a novel extension of established transcatheter aortic valve implantation for severe aortic stenosis in a high-risk population, it is gaining momentum worldwide, particularly for aortic and mitral positions. Success depends on the operator being familiar with emerging transcatheter heart valve technology and morphology as well as that of the existing surgical heart valve, patient selection, accurate sizing, an ideal implantation position.

      PubDate: 2015-02-14T05:43:29Z
       
  • Neurologic Events After Transcatheter Aortic Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Brandon M. Jones , E. Murat Tuzcu , Amar Krishnaswamy , Samir R. Kapadia

      Teaser Early trials involving transcatheter aortic valve replacement raised concerns for an elevated risk of neurologic events compared to surgical AVR. Contemporary studies suggest declining rates with better patient selection, improved operator experience, and newer generation devices. Events are usually embolic in nature, occur in the periprocedural period, and can lead to increased morbidity and mortality. Current investigations are focused on developing embolic protection devices for intraprocedural use and optimizing antiplatelet and anticoagulant regimens. These efforts aim to further reduce the incidence of stroke, which is particularly important as the technology expands to include intermediate and possibly low surgical risk populations.

      PubDate: 2015-02-14T05:43:29Z
       
  • Transcatheter Aortic Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Susheel K. Kodali



      PubDate: 2015-02-14T05:43:29Z
       
  • The Role of Preoperative and Intraoperative Imaging in Guiding
           Transcatheter Aortic Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Saif Anwaruddin

      Teaser Optimal intraprocedural imaging is central to transcatheter aortic valve replacement (TAVR). Familiarity with commonly used modalities is necessary. Real-time, intraprocedural imaging is provided by fluoroscopy and echocardiography to ensure proper valve position and deployment, and to assess for postdeployment complications. By providing anatomic information to real-time fluoroscopy, fusion imaging has the potential to positively affect TAVR. As newer generation valves are introduced and as TAVR is potentially offered to lower risk patient populations, it will be important to ensure that improvements in intraprocedural imaging lead to better outcomes.

      PubDate: 2015-02-14T05:43:29Z
       
  • Assessment of Paravalvular Regurgitation Following Transcatheter Aortic
           Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Rebecca T. Hahn

      Teaser Paravalvular regurgitation (PVR) following transcatheter aortic valve replacement is a known complication associated with poorer outcomes. This article discusses the current techniques for assessing the severity of PVR, including angiography, hemodynamics, MRI, and echocardiography. The strengths and pitfalls of each modality are reviewed.

      PubDate: 2015-02-14T05:43:29Z
       
  • Impact and Management of Paravalvular Regurgitation After Transcatheter
           Aortic Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Abdellaziz Dahou , Henrique Barbosa Ribeiro , Josep Rodés-Cabau , Philippe Pibarot

      Teaser Paravalvular regurgitation (PVR) is a frequent complication of transcatheter aortic valve replacement that has been shown to be associated with increased mortality. The objective of this article was to review the most up-to-date information about the impact and management of PVR. A multimodality, multiparametric, integrative approach including angiography, Doppler echocardiography, and/or cardiac MR is essential to accurately assess the severity of PVR and the underlying etiology. Corrective procedures such as balloon postdilation, valve-in-valve, or leak closure may be considered, depending on the severity, location, and etiology of PVR.

      PubDate: 2015-02-14T05:43:29Z
       
  • Transcatheter Aortic Valve Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Susheel K. Kodali



      PubDate: 2015-02-14T05:43:29Z
       
  • Risk Assessment in Patient Selection for Transcatheter Aortic Valve
           Replacement
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Joseph A. Walsh III , Paul S. Teirstein , Curtiss Stinis , Matthew J. Price

      Teaser Risk assessment models for transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement in high-risk patients and TAVR versus palliation in inoperable patients are based on surgical data and have limited discrimination and calibration in the setting of TAVR. Several novel risk models specifically designed for TAVR have improved discrimination over existing models but require further validation. Several clinical and echocardiographic variables, such as chronic lung disease, mitral regurgitation, and stroke volume index, influence outcomes. This article reviews current and novel risk models and important predictors of TAVR outcomes and proposes a framework to integrate them into clinical decision-making for patients with severe, symptomatic aortic stenosis.

      PubDate: 2015-02-14T05:43:29Z
       
  • Imaging the Aortic Annulus with Multi-Detector Computed Tomography and
           3-Dimensional Transesophageal Echocardiography
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1
      Author(s): Chaitu Cheruvu , Philipp Blanke , Jonathon Leipsic

      Teaser Degenerative aortic stenosis is the most common cause of valvular heart disease in Western nations. Transcatheter aortic valve replacement (TAVR) is an alternative therapy for inoperable or high-risk patients with symptomatic severe aortic stenosis. Three-dimensional imaging techniques provide multiplanar imaging, allowing precise measurements of the noncircular aortic annulus and complex anatomy of the aortic root. These measurements influence patient eligibility, allow adequate prosthesis sizing, and determine the success of implantation and likelihood of complications. This review compares imaging modalities and addresses their strengths and weaknesses to assess the aortic annulus and other aortic root structures.

      PubDate: 2015-02-14T05:43:29Z
       
  • Copyright
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1




      PubDate: 2015-02-14T05:43:29Z
       
  • Contributors
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1




      PubDate: 2015-02-14T05:43:29Z
       
  • Contents
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1




      PubDate: 2015-02-14T05:43:29Z
       
  • Forthcoming Issues
    • Abstract: Publication date: January 2015
      Source:Interventional Cardiology Clinics, Volume 4, Issue 1




      PubDate: 2015-02-14T05:43:29Z
       
  • Management of Coronary Disease in the Era of Transcatheter Aortic Valve
           Replacement Comprehensive Review of the Literature
    • Abstract: Publication date: Available online 7 October 2014
      Source:Interventional Cardiology Clinics
      Author(s): Anthony Poulin , Josep Rodés-Cabau , Jean-Michel Paradis

      Teaser Among the cohort of complex and multifaceted patients undergoing transcatheter aortic valve replacement (TAVR), the prevalence of coronary artery disease (CAD) ranges from 48% to 75%. However, optimal management of CAD in this setting has not been established. This article provides a comprehensive review of the literature to depict the actual knowledge on the subject of aortic stenosis and concomitant CAD. This article also aids heart teams in their decision-making process to appropriately manage these challenging patients with aortic stenosis and CAD. Upcoming randomized studies will clarify the influence of CAD, the best timing for percutaneous coronary intervention, and its impact on TAVR results.

      PubDate: 2014-10-10T03:32:43Z
       
  • Noninvasive Testing in Peripheral Arterial Disease
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Ian Del Conde , James F. Benenati

      Teaser Most patients suspected of having peripheral arterial disease should undergo noninvasive vascular testing to confirm the diagnosis, and to determine the severity and extent of the disease. This article reviews practical aspects of commonly used noninvasive tests for lower extremity peripheral arterial disease, including the ankle-brachial index, segmental limb pressures, pulse volume recordings, duplex ultrasonography, computed tomography angiography, and magnetic resonance angiography.

      PubDate: 2014-10-06T02:29:04Z
       
  • Endovascular Management of Brachiocephalic Disease
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): D. Christopher Metzger

      Teaser Brachiocephalic disease can pose important clinical risks and manifestations. Most of these lesions are amenable to endovascular treatment. However, these treatments have significant risks and require modified procedural techniques. All interventions require a careful preprocedural evaluation and consultation. These endovascular interventions should be performed by experienced operators with extensive previous carotid and endovascular experience in appropriate adequately equipped venues. Most brachiocephalic disease also has surgical options for treatment. This article presents guidelines to assist experienced operators to perform these procedures with proper technique after using good clinical judgment.

      PubDate: 2014-10-06T02:29:04Z
       
  • Management of Aneurysmal Disease of the Aorta
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Vishal Kapur , William A. Gray

      Teaser Aneurysm of the aorta is largely a disease of the elderly. The incidence/prevalence of the disease has steadily increased in recent times, mainly because of the increase in awareness among patients/physicians and better imaging modalities. Early diagnosis and treatment of this disease holds the key to success and plays a part in prevention of catastrophic complications. With advancements in endovascular and surgical innovations, repair of aneurysmal disease has made significant progress, translating into better survival and long-term benefits. However, with significant morbidity and mortality associated with this disease, there is still a need for further research.

      PubDate: 2014-10-06T02:29:04Z
       
  • Contents
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4




      PubDate: 2014-10-06T02:29:04Z
       
  • Forthcoming Issues
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4




      PubDate: 2014-10-06T02:29:04Z
       
  • Peripheral Artery Disease
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Prakash Krishnan , Tyrone Collins



      PubDate: 2014-10-06T02:29:04Z
       
  • History and Physical Examination in Diagnosis of Peripheral Artery Disease
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Anitha Rajamanickam , Prakash Krishnan

      Teaser Peripheral artery disease (PAD) may be silent or present with an assortment of symptoms and signs suggesting peripheral artery ischemia. Peripheral vascular disease includes PAD and disorders of the peripheral venous system and lymphatic system. Generally, PAD is synonymous with arteries of the limbs and pelvis, but it can be expanded to include the renal arteries, carotid arteries, mesenteric arteries, and the aorta. It is imperative to recognize and treat PAD early, as appropriate management of PAD can help avoid devastating complications such as limb amputation and death.

      PubDate: 2014-10-06T02:29:04Z
       
  • Contributors
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4




      PubDate: 2014-10-06T02:29:04Z
       
  • Acute Limb Ischemia
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Bhaskar Purushottam , Karthik Gujja , Adrian Zalewski , Prakash Krishnan

      Teaser Acute limb ischemia is a vascular event presenting with sudden decrease in limb perfusion (of <14 days’ duration) that threatens limb viability. Acute thrombosis of the native artery or graft makes up the bulk of etiopathogenesis. Prompt revascularization is the cornerstone of management of acute limb ischemia in limbs that have not undergone irreversible tissue and nerve damage. Amputation is performed in patients with irreversible tissue and nerve damage.

      PubDate: 2014-10-06T02:29:04Z
       
  • Management of Infrapopliteal Arterial Disease Critical Limb Ischemia
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Jihad A. Mustapha , Larry J. Diaz-Sandoval

      Teaser According to the TransAtlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease, “there is increasing evidence to support a recommendation for angioplasty in patients with critical limb ischemia and infrapopliteal artery occlusion.” Management of infrapopliteal artery disease starts with diagnosis using modern preprocedural noninvasive and invasive imaging. Interventionalists need to learn the role of chronic total occlusion cap analysis and collateral zone recognition in angiosome-directed interventions for management of critical limb ischemia and be familiar with equipment and device selection and a stepwise approach for endovascular interventions. Interventionalists need to know which crossing tools to use to successfully cross-complex chronic total occlusion caps.

      PubDate: 2014-10-06T02:29:04Z
       
  • Chronic Venous Insufficiency
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Karthik Gujja , Jose Wiley , Prakash Krishnan

      Teaser Varicose veins are a common manifestation of chronic venous disease and affect approximately 25% of adults in the western hemisphere. The historical standard treatment has been surgery, with high ligation and stripping, combined with phlebectomies. In the past decade, alternative treatments such as endovenous ablation of the great saphenous vein (GSV) with laser, radiofrequency ablation, and ultrasonography-guided foam sclerotherapy have gained popularity. Performed as office-based procedures using tumescent local anesthesia, the new minimally invasive techniques have been shown in numerous studies to obliterate the GSV, eliminate reflux, and improve symptoms safely and effectively.

      PubDate: 2014-10-06T02:29:04Z
       
  • Endovascular Treatment of Deep Vein Thrombosis
    • Abstract: Publication date: October 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 4
      Author(s): Julian J. Javier

      Teaser Venous thromboembolism (VTE) is associated with substantial morbidity and mortality. Conventional treatment with anticoagulation therapy may undertreat the condition. Patients with VTE are at risk for recurrence with increasing time passage. Endovascular approaches exist for treating VTE, including deep vein thrombosis, but it is unclear which patients are appropriate candidates for endovascular versus medical approaches. Many new endovascular technologies are in development, and new oral anticoagulants are also on the market. Clinicians must be mindful of these new products and use them appropriately to better manage VTE.

      PubDate: 2014-10-06T02:29:04Z
       
  • Management of Mesenteric Ischemia
    • Abstract: Publication date: Available online 5 August 2014
      Source:Interventional Cardiology Clinics
      Author(s): Anvar Babaev , David W. Lee , Louai Razzouk

      Teaser Acute mesenteric ischemia is associated with a high mortality rate and requires emergent evaluation and surgical management. However, patients with chronic mesenteric ischemia can undergo either surgical or endovascular revascularization. Review of recent medical literature suggests lower rates of mortality and complications after endovascular revascularization, but higher rates of primary patency after surgical revascularization. The decision regarding method of revascularization in patients with chronic mesenteric ischemia should be based on the patient’s vascular anatomy, comorbidities, and life expectancy.

      PubDate: 2014-08-07T20:59:11Z
       
  • Management of Atherosclerotic Aortoiliac Occlusive Disease
    • Abstract: Publication date: Available online 7 August 2014
      Source:Interventional Cardiology Clinics
      Author(s): Marcin Bujak , Jacqueline Gamberdella , Carlos Mena

      Teaser Development of aortoiliac occlusive disease (AIOD) is associated with classic risk factors for atherosclerotic disease such as hyperlipidemia, hypertension, diabetes, or smoking. Risk factor modification, smoking cessation, and prevention of cardiovascular events remain the cornerstones of AIOD management. Symptom improvement and limb loss prevention are considered secondary goals of therapy. Continuous technological advances, new devices, as well as new revascularization techniques are constantly changing the landscape of AIOD management. Surgical interventions, which were considered a gold standard therapy for nearly 50 years, currently give way to newer and less invasive endovascular techniques.

      PubDate: 2014-08-07T20:59:11Z
       
  • Contemporary Management of Femoral Popliteal Revascularization
    • Abstract: Publication date: Available online 5 August 2014
      Source:Interventional Cardiology Clinics
      Author(s): Phillip A. Erwin , Mehdi H. Shishehbor

      Teaser Symptomatic peripheral artery disease of the femoral popliteal segment can be treated by surgical and endovascular revascularization, but the best approach is controversial. Conventional approaches to revascularization have focused on lesion anatomy to decide on bypass versus endovascular treatment, but advances in endovascular therapy make an endovascular-first approach increasingly feasible—either as a single approach or as an adjunct to short-segment bypass (ie, hybrid procedure). In this review, we discuss the medical, endovascular, and surgical treatment of femoral popliteal revascularization with a special emphasis on advances in percutaneous therapy.

      PubDate: 2014-08-07T20:59:11Z
       
  • Management of Renal Arterial Disease
    • Abstract: Publication date: Available online 5 August 2014
      Source:Interventional Cardiology Clinics
      Author(s): Jun Li , Sahil A. Parikh

      Teaser Severe atherosclerotic renal artery stenosis can manifest as treatment-resistant hypertension, ischemic nephropathy and/or cardiac disturbance syndromes of recurrent flash pulmonary edema and refractory angina. Renal artery revascularization can dramatically impact patient outcome. However, patient selection for revascularization can be challenging. Renal artery stenting is most commonly used for renal revascularization and is a safe procedure when performed in carefully selected patients. This review addresses the pathophysiology of renal artery stenosis and the data supporting revascularization in such patients.

      PubDate: 2014-08-07T20:59:11Z
       
  • Contributors
    • Abstract: Publication date: July 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 3




      PubDate: 2014-07-27T10:46:30Z
       
  • Contents
    • Abstract: Publication date: July 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 3




      PubDate: 2014-07-27T10:46:30Z
       
  • Forthcoming Issues
    • Abstract: Publication date: July 2014
      Source:Interventional Cardiology Clinics, Volume 3, Issue 3




      PubDate: 2014-07-27T10:46:30Z
       
 
 
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