Full Description
The second edition of this book offers an overview of the percutaneous techniques and technologies most frequently employed in structural heart intervention, focusing on patient selection, preoperative evaluation, choice of available devices and outcome optimization. Interventional procedures for aortic stenosis, mitral regurgitation, left atrial appendage closure, patent foramen ovale closure, and closure of interatrial and interventricular defects are presented in a step by step fashion, and paralleled by informative illustrations. This new edition of Percutaneous Intervention for Structural Heart Disease aims to adjourn the reader on structural heart intervention not only as per current standard practice, but also on uprising topics such as percutaneous treatment of tricuspid regurgitation and paravalvular leak closure. Advances made in recent years, including introduction and optimization of transcatheter aortic valve implantation in patients with severe aortic stenosis independently from estimated surgical risk and implementation of percutaneous edge-to-edge mitral valve repair for functional mitral regurgitation, will be taken into account. The authors are all acknowledged experts with extensive experience in catheterization laboratories and surgical operating rooms.
Contents
Preface.- Part 1.- Severe aortic stenosis treatment: percutaneous options, patient selection & preoperative evaluation.- Echocardiographic and magnetic resonance imaging evaluation.- Computed tomography: device and strategy planning.- Commercially available devices.- Everything you need to know about transfemoral route.- Alternative accesses: transcaval, transapical, transaxillary, transaortic and transcarotid.- How to manage hostile anatomies: large and small annuli, severely calcific anatomy, severe left ventricular outflow tract hypertrophy.- Transcatheter aortic valve implantation in bicuspid aortic valve.- How to avoid and manage acquired conduction disorders.- Valve-in-valve procedures as first-line strategy for degenerated aortic bioprosthesis.- Embolic protection devices in TAVR.- TAVR in patients at high risk of coronary obstruction: procedural considerations and management.- Future challenges: TAVI-in-TAVI procedures, asymptomatic aortic stenosis, moderate aortic stenosis, aortic stenosis and heart failure.- Future challenges: TRANSCATHETER AORTIC VALVE IMPLANTATION FOR PURE AORTIC REGURGITATION.- Difficult Cases and Complications from the Catheterization Laboratory: Case 3.- Difficult Cases and Complications from Catheterization Laboratory: Case 1.- Valve-in-Valve Transcatheter Aortic Valve Implantation (VIV-TAVI) with bioprosthetic aortic scallop intentional laceration to prevent iatrogenic coronary obstruction (BASILICA) and bioprosthetic valve fracture (BVF).- Self-Expanding Transcatheter Heart Valve Infolding: Different Clinical Presentations and Management.- Part 2.- Mitral regurgitation treatment: patient selection and procedural planning.- Multimodality imaging in transcatheter mitral valve interventions.- Coaptation augmentation devices.- Direct and Indirect Annuloplasty for Functional Mitral Regurgitation.- Percutaneous Interventions for Mitral Annular Calcification.- Transcatheter Mitral Valve Replacement.- Difficult Cases and Complications from Catheterization Laboratory: Case 3 - Structural device failure after MitraClip implantation due to iatrogenic chordal rupture.- Part 3.- Tricuspid regurgitation: from patient selection to procedural guiding with echocardiography.- Multimodality imaging in transcatheter tricuspid valve interventions.- Percutaneous tricuspid valve repair.- Transcatheter tricuspid valve replacement.- Caval valve implantation.- Valve-in-valve and valve-in-ring on tricuspid valve.- Transcatheter Edge to Edge Repair in a patient with tricuspid regurgitation due to a structural defect of the septal leaflet after surgical leaflet repair.- Part 4.- Percutaneous left atrial appendage closure: rational, patient selection, and preoperative evaluation.- Preprocedural Imaging for Left Atrial Appendage Occlusion.- LEFT ATRIAL APPENDAGE CLOSURE - Techniques & Devices.- Difficult Cases and Complications from the Catheterization Laboratory: Case 2.- Part 5.- Indications, imaging and patient selection for patent foramen ovale and interatrial defects.- Patent foramen ovale closure: from anatomy to device selection and step by step procedure.- Interatrial defects: techniques and devices.- Difficult cases and complications from the catheterization laboratory: a case of nitinol intolerance.- Difficult Cases and Complications from Catheterization Laboratory: Case 1 -Device embolization after PFO closure.- Paravalvular Regurgitation: Techniques, Access selection, and Devices.
