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Grossman's Cardiac Catheterization, Angiography, and Intervention - Google книги
Grossman's Cardiac Catheterization, Angiography, and Intervention. Description The premier reference on cardiac catheterization is now in its thoroughly revised Seventh Edition, reflecting the rapid evolution and growing clinical use of interventional techniques.
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The completely revamped interventional section includes new material on treatment of pediatric and adult congenital heart disease, as well as on coronary atherectomy, thrombectomy, distal embolic protection devices, bare metal and drug-eluting stents, and percutaneous valve therapies. Other significantly revised chapters include pulmonary angiography, endomyocardial biopsy, and circulatory assist devices.
This edition's companion DVD features more than digital cases, plus more than 20 animations showing the actions of various invasive and interventional devices. Product details Format Hardback pages Dimensions x x Brachial Cutdown Approach 6. Pressure Measurement 8.
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Grossman's Cardiac Catheterization, Angiography, and Intervention
Welcome to Loot. Checkout Your Cart Price. The goal of this article is to provide practicing pharmacists an overview of the most common reasons for cardiac catheterization, describe the procedure and its associated risks, and discuss the drugs that need be to administered as part of the procedure. Cardiac catheterization can be used for the diagnosis and treatment of cardiovascular disease. Diagnostic cardiac catheterization can be utilized to assess the presence and severity of cardiac disease and may help in diagnosis in those patients who present with inconclusive results with noninvasive testing.
This can indicate the presence and severity of pulmonary hypertension. Therapeutic cardiac catheterization, such as percutaneous coronary intervention PCI can be used in patients with occluded arteries or blood vessels.
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Vascular access is obtained percutaneously via the femoral, brachial, or radial vessels. The balloon catheter is then positioned into the artery across the stenotic area and inflated.
This inflation expands the stenotic area, thus restoring blood flow. According to the practice guidelines of the American Heart Association AHA , the American College of Cardiology Foundation ACCF , and the Society of Cardiovascular Angiography and Interventions SCAI , PCI is indicated for patients with any of the following cardiac conditions: acute myocardial infarction; stable angina pectoris unrelieved by medical therapy, unstable angina, or angina pectoris following a coronary artery bypass graft CABG ; symptomatic restenosis after previous PCI; and unsuitable or high-risk coronary anatomy that could result in death.
Other types of therapeutic cardiac catheterization include those for the treatment of congenital heart defects and for regaining lost hemodialysis access. The use of cardiac catheterization in patients with congenital heart defects may allow for the avoidance of surgery, thus reducing recovery time and duration of hospitalization.
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The use of this approach can prevent the use of temporary hemodialysis catheters, thus allowing for the preservation of venous segments for future access creation. Antithrombotic prophylaxis is an important aspect of diagnostic cardiac catheterization and PCI. A P2Y 12 inhibitor is administered if there is a high likelihood of stent placement during the diagnostic procedure. Patients not on aspirin therapy should receive mg of nonenteric-coated aspirin. In all patients, aspirin 81 mg should be continued indefinitely.
Patients with bare-metal or drug-eluting stent placement should continue P2Y 12 inhibitor therapy for 1 year with clopidogrel 75 mg daily, prasugrel 10 mg daily, or ticagrelor 90 mg twice daily TABLE 1. Patients with a drug-eluting stent and low bleeding risk may be advised to continue therapy up to 15 months.
The combination of aspirin plus a P2Y 12 inhibitor is known as dual-antiplatelet therapy DAPT and is recommended for all patients to prevent premature thrombosis with both types of stent placement.
Bivalirudin alone is also recommended in place of UFH in patients at risk for bleeding events. It is initiated with an IV bolus of 0. An additional bolus of 0. Bivalirudin should be discontinued immediately after PCI completion. An additional anticoagulant with anti-IIa activity will need to be administered in combination.
Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention
These drugs block platelet aggregation by inhibiting the cross-linking of platelets at the IIb and IIIa receptor sites. Efficacy between the individual drugs in the class is comparable. Abciximab is started at a bolus dose of 0.
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