Full Description
This second edition provides cardiologists and trainees with the latest advances and techniques in percutaneous mitral valvotomy (PMV).
Divided into seven sections, the book begins with an overview of procedures and patient evaluation.
The following sections discuss numerous techniques and potential complications, and the final chapters discuss PMV in special situations such as in pregnancy and in patients with atrial fibrillation; and long-term outcomes.
Each technique is illustrated by photographs and diagrams and the comprehensive text is further enhanced by an accompanying interactive DVD ROM providing procedural and echo videos.
Key points
Second edition covering latest advances and techniques in percutaneous mitral valvotomy (PMV)
Highly illustrated with clinical photographs and diagrams
Includes DVD ROM demonstrating surgical procedures
Previous edition (9789350255612) published in 2012
Contents
SECTION 1: INTRODUCTION
Prelude
Rheumatic Heart Disease—An Epidemiological Mystery
Anatomy of the Mitral Valve
Pathological Aspects of Rheumatic Mitral Stenosis
Pathophysiology, Natural History and Hemodynamics of Mitral Stenosis
SECTION 2: EVALUATION PRIOR TO PERCUTANEOUS MITRAL VALVOTOMY
Mitral Stenosis— Evaluation and Medical Management
Percutaneous Mitral Valvotomy—Indications, Contraindications and Mechanism
Stress Testing Prior to Percutaneous Mitral Valvotomy
Electrocardiogram in Mitral Stenosis
Radiological Evaluation in Mitral Stenosis
Balloon Mitral Valvotomy—Role of Echocardiography
Three-dimensional Echocardiography in PMV: The Latest Tool
Subvalvular Apparatus in Rheumatic Mitral Stenosis— Methods of Assessment and Therapeutic Implications
Atrial Function in Mitral Stenosis—Effect of Percutaneous Mitral Valvuloplasty
SECTION 3: PMV—PROCEDURE, TECHNICAL CONSIDERATIONS AND PERIPROCEDURAL MONITORING
Transseptal Puncture
Use of Safe-Sept Guidewire in Transseptal Access
Percutaneous Mitral Valvotomy—Procedure
Periprocedural Monitoring during PMV
Anesthetic Management during Percutaneous Mitral Valvuloplasty
Intracardiac Echocardiography Imaging in Percutaneous Balloon Mitral Valvuloplasty
SECTION 4: PMV—TECHNIQUES AND GADGETS
Different Techniques and Devices for Percutaneous Mitral Valvuloplasty—Introduction
The Single Balloon Mitral Valvotomy Catheters
Double Balloon Technique
Mitral Valvotomy by Metallic Commissurotome
JOMIVA Balloon
Other Gadgets for Percutaneous Mitral Valvotomy
Percutaneous Mitral Valvuloplasty—Comparative Analysis of Different Gadgets
Reuse and Resterilization of PMV Hardware
SECTION 5: COMPLICATIONS FOLLOWING PMV
Device-related Complications during Percutaneous Mitral Valvotomy
Complications of Transseptal Puncture and Management
Neurological Complications Related to Percutaneous Mitral Valvotomy
Thromboembolic Complications during Balloon Mitral Valvotomy
Arrhythmias and Its Management during Percutaneous Mitral Valvotomy
Deflation Failure of Mitral Valvuloplasty Balloon
Emergency Surgery after Percutaneous Mitral Valvotomy
Troubleshooting of Single Balloon Catheters—Inoue and Accura Balloons
SECTION 6: PMV IN SPECIAL SITUATIONS
Percutaneous Mitral Valvotomy in Pregnancy
Percutaneous Mitral Valvotomy in Juvenile Mitral Stenosis
Transjugular Percutaneous Mitral Valvotomy
Percutaneous Prosthetic Mitral Balloon Valvotomy
Tackling Subvalvular Disease during Balloon Mitral Valvotomy
Over-the-Wire Techniques during PMV
PMV Performed with other Percutaneous Interventions
Balloon Tricuspid Valvotomy along with PMV
PMV in Patients with Atrial Fibrillation
Percutaneous Mitral Valvotomy in Dextrocardia
Balloon Mitral Valvotomy—Left Femoral Vein Approach and in Venous Anomalies
Retrograde Nontransseptal Balloon Mitral Valvuloplasty
Percutaneous Mitral Valvotomy in Technically Challenging Situations
Left Atrial Appendage Occlusion and Percutaneous Mitral Valvotomy
Percutaneous Treatment of Lutembacher's Syndrome: Balloon Mitral Valvotomy and Device Closure of Atrial Septal Defect
Percutaneous Mitral Valvotomy in Mitral Restenosis
SECTION 7: LONG-TERM OUTCOME FOLLOWING PMV
Left Atrial Thrombosis in Rheumatic Mitral Stenosis
Comparison of Percutaneous Mitral Valvotomy and Surgical Mitral Commissurotomy
Mitral Regurgitation Following Percutaneous Mitral Valvotomy
Atrial Septal Defects Following Percutaneous Mitral Valvotomy
Pulmonary Hypertension in Rheumatic Mitral Stenosis— Influence of Percutaneous Mitral Valvotomy
Long-term Follow-up of Patients Undergoing Percutaneous Mitral Valvotomy
Setting A New PMV Program
