By Ever D. Grech
Vast, and infrequently complicated, facets of interventional cardiology are offered in a transparent, concise and balanced demeanour. this straightforward to learn textual content, supplemented by means of quite a few photos and pix, will entice a vast readership, together with clinical scholars, relatives medical professionals, physicians, and cardiology.
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Extra info for ABC of Interventional Cardiology
In: Grech ED, Ramsdale DR, eds. Practical interventional cardiology. 2nd ed. London: Martin Dunitz, 2002:390-406 10 New developments in percutaneous coronary intervention Julian Gunn, Ever D Grech, David Crossman, David Cumberland Percutaneous coronary intervention has become a more common procedure than coronary artery bypass surgery in many countries, and the number of procedures continues to rise. In one day an interventionist may treat four to six patients with complex, multivessel disease or acute coronary syndromes.
Successful recanalisation resulted in brisk flow (bottom right), and the 15 minute procedure completely resolved the patient’s chest pain Acute coronary syndrome: ST segment elevation myocardial infarction However, one study (Stent-PAMI) showed that stenting was associated with a small (but significant) decrease in normal coronary flow and a trend towards increased six and 12 month mortality. This led some to examine the use of adjunctive glycoprotein IIb/IIIa inhibitors as a solution. Stenting and glycoprotein IIb/IIIa inhibitors The first study (CADILLAC) to examine the potential benefits of glycoprotein IIb/IIIa inhibitors combined with stenting showed that abciximab significantly reduced early recurrent ischaemia and reocclusion due to thrombus formation.
Coronary angioplasty in acute myocardial infarction. In: Grech ED, Ramsdale DR, eds. Practical interventional cardiology. 2nd ed. London: Martin Dunitz, 2002:189-206 x Lieu TA, Gurley RJ, Lundstrom RJ, Ray GT, Fireman BH, Weinstein MC, et al. Projected cost-effectiveness of primary angioplasty for acute myocardial infarction. 5 hours’ duration caused by a totally occluded middle right coronary artery (arrow, top left). A guide wire passed through the fresh thrombus produced slow distal filling (top right).