Pocket Guide to Diagnostic Cardiac Catheterization

Authors: Andro G. Kacharava MD; Stephen D. Clements Jr. MD; A. Maziar Zafari MD

Foreword by Spencer B. King III, MD

Published November 2015
Format: Paperback and eBook set; eBook
Trim: 6 x 9 inches
ISBN: 9781935395355
304 pages

List price : $65.00

Print book includes a free digital edition.

 
 
 

“This is an invaluable resource and a go-to guide for any fellow, student, or practitioner involved with the cardiac catheterization laboratory. The figures and videos are colorful and provide step-by-step instructions for various invasive cardiac procedures, and the authors provide valuable pearls to ensure success from day one in the lab.”

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About:

The Pocket Guide to Diagnostic Cardiac Catheterization provides general cardiology fellows, nurses, and technicians entering the cardiac catheterization laboratory a practical guide addressing key aspects of left and right heart catheterization, selective coronary angiography, and the utilization of other invasive cardiology procedures for diagnostic purposes.

Written by a team of physicians from Emory University Hospital’s Cardiac Catheterization Laboratories, practical pearls of wisdom about the technical aspects of cardiac catheterization and other invasive cardiology procedures are presented with step-by-step instructions and easy-to-follow illustrations in this quick reference of essential material.

Also included is a chapter with video clips that highlight the role and technical versatility of the multipurpose catheter in cardiac catheterization—a technique developed, taught, and learned over many generations in the cardiac catheterization laboratories at Emory University.


Authors:

Andro G. Kacharava, MD, PhD; Emory University School of Medicine; Atlanta VA Medical Center, Atlanta, Georgia

Stephen D. Clements, Jr., MD, Emory Healthcare, Atlanta, Georgia

A. Maziar Zafari, MD, PhD; Emory University School of Medicine; Atlanta VA Medical Center, Atlanta, Georgia

Foreword by Spencer B. King III, MD


Table of Contents:

About the Authors
Foreword
Preface
Abbreviations
Video Files of Multipurpose (MP) Catheter Manipulation
The Laws of Dr. F. Mason Sones

1. A Brief History of Cardiac Catheterization

History of a Procedure  

2. The Cardiac Catheterization Laboratory

Catheterization Laboratory Equipment
Contrast Agents
Radiation Exposure and Safety

3. The Tools

Percutaneous Access Needles
Guidewires
Vascular Sheaths and Dilators
Catheters
Manifold

4. Precatheterization Care

The Rule of the Rules

5. Vascular Access

Percutaneous Vascular Access
Femoral Artery Approach
Brachial Artery Approach
Radial Artery Approach
Femoral Vein Approach
Jugular Vein Approach
Subclavian Vein Approach
Basilic Vein Approach

6. Coronary, Renal, and Mesenteric Angiography

Angiographic Views and Projections
Indications and Contraindications of the Procedures
Selective Cannulation of the Native Left Coronary Artery (LCA)
Amplatz Coronary Catheter for Femoral, Left Brachial, or Radial Approaches
Selective Cannulation of the Native Right Coronary Artery (RCA)
Selective Cannulation of the Renal and Mesenteric Arteries

7. The Multipurpose Catheter

Historical Background
Multipurpose Catheter Basics
Torque and Rotation
Left Ventriculography with the Multipurpose Catheter
Right Coronary Artery (RCA) Cannulation
Left Coronary Artery (LCA) Cannulation
Coronary Bypass Grafts
Challenging Conditions

8. Angiography of Coronary Bypass Grafts

Venous and Free Arterial Grafts
Pediculed Arterial Grafts

9. Left and Right Ventriculography, Aortography, and Pulmonary Angiography

Radiologic Anatomy of the Heart and Left Ventriculography
Entering the Left Ventricle
Radiologic Anatomy of the Heart and Right Ventriculography
Aortography
Pulmonary Artery Angiography

10. Right Heart Catheterization

Indications and Contraindications of the Procedure
Femoral Vein Approach
Right Internal Jugular Vein Approach
Cannulation of the Coronary Sinus

11. Right and Left Heart Hemodynamics

Cardiac Hemodynamics
Interpretation of Right and Left Heart Pressure Tracings
Cardiac Output Measurement
Pulmonary and Systemic Vascular Resistance

12. Shunt Detection and Calculation

Oximetry for Shunt Calculations

13. Endomyocardial Biopsy

Indications and Contraindications of the Procedure
Jugular Vein Approach
Femoral Vein Approach
Femoral Artery Approach

14. Pericardiocentesis

Indications and Contraindications of the Procedure
Subxiphoid Approach
Apical Approach

15. Intra-Aortic Balloon Pump (IABP) Placement

Indications and Contraindications of the Procedure
Femoral Artery Approach
Left Brachial Artery Approach

16. Temporary Transvenous Pacemaker Placement

Indications and Contraindications of the Procedure
Femoral Vein Approach
Right Internal Jugular Vein Approach

17. Post-Cardiac Catheterization Care

Documentation of the Procedure
Vascular Access Site Closure
Obtaining Hemostasis of the Radial Arteriotomy Site

18. Approach to Complex Cases in Cardiac Catheterization

Left Main (LM) Coronary Artery Stenosis
Coronary Anomalies
Coronary Spasm and Myocardial Bridge
Aortic Stenosis
Pulmonic Stenosis
Mitral Stenosis
Tricuspid Stenosis
Tricuspid Regurgitation
Aortic Regurgitation
Mitral Regurgitation
Hypertrophic Cardiomyopathy
Cardiac Tamponade
Restrictive Cardiomyopathy versus Constrictive Pericarditis
Pulmonary Hypertension
Simple Cardiac Shunts

19. Useful Formulae and Normal Values

Index


Doody’s Review Service

Reviewer
Parham Parto,  MD, MPH(Ochsner Clinic Foundation)

Description
Authored by a team of physicians from Emory University Hospital, this is a well-written pocket guide to the techniques and strategies used in diagnostic cardiac catheterization. The book uses a step-by-step approach and includes important pearls and technical recommendations. Color illustrations further help support the recommended techniques.

Purpose
The purpose is to provide an introduction to the cardiac catheterization laboratory, as well as a guide to techniques used by experts in diagnostic catheterization.

Audience
The intended audience includes residents, fellows, and practitioners in the field of cardiology involved in patient care in the cardiac catheterization laboratory.

Features
This concise pocket book covers all aspects of the cardiac catheterization laboratory, serving as a guide for fellows in the catheterization laboratory starting from day one. Each chapter discusses and illustrates everyday laboratory essentials, from most common equipment to catheterization techniques, includes many pearls and need-to-know facts, and concludes with a list of resources for further reference.

Assessment
This is an invaluable resource and a go-to guide for any fellow, student, or practitioner involved with the cardiac catheterization laboratory. The figures and videos are colorful and provide step-by-step instructions for various invasive cardiac procedures, and the authors provide valuable pearls to ensure success from day one in the lab.