Cardiac Catheterization Handbook, Expert Consult - Online and Print, 5th Edition

Cardiac Catheterization Handbook

5th Edition Expert Consult - Online and Print

By Morton J. Kern, MD, MSCAI, FAHA, FACC, Professor of Medicine, University of California, Irvine, Orange, California; Chief of Medicine, Long Beach Veterans Health Care System, Long Beach, California


1. INTRODUCTION TO THE CATHETERIZATION LABORATORY

- Indications for Cardiac Catheterization
- Contraindications
- Complications and Risks
- Catheterization Laboratory Data
- Preparation of the Patient
- Special Preparations
- The Team Approach to Cardiac Catheterization
- Equipment in the Catheterization Laboratory
- Training Requirements
- Environmental Safety in the Catheterization Laboratory

2. ARTERIAL AND VENOUS ACCESS PERCUTANEOUS FEMORAL

- The Arm Approach
- Use of Heparin during Cardiac Catheterization
- Problems of Vascular Access
- Common Problems in Accessing and Cannulating Coronary Arteries and Grafts
- Arterial and Venous Access: Nurse/Technician Viewpoints
- Equipment and Instruments Used for Access

3. HEMODYNAMIC DATA

- Pressure Waves in the Heart
- Right and Left Heart Catheterization
- Computations for Hemodynamic Measurements
- Computations of Valve Area from Pressure Gradients and Cardiac Output
- Examples of Aortic and Mitral Valve Area Calculations
- Use of Valve Resistance for Aortic Stenosis
- Measurement of Cardiac Output
- Intracardiac Shunts
- Equipment Used for Hemodynamic Study
- Hemodynamic Recording Techniques
- Hemodynamic Examples and Artifacts
- Electrocardiography in the Cardiac Catheterization Laboratory

4. ANGIOGRAPHIC DATA

- Section I: Cardiac Angiography
- Coronary Arteriography
- Problems and Solutions in the Interpretation of Coronary Angiograms
- Ventriculography
- Section II: Other Cardiovascular Angiographic Studies
- Ascending Aortography
- Abdominal Aortography
- Pulmonary Angiography
- Periperal Vascular Angiography
- Section III: The X-Ray Image
- Generation of the X-Ray Image
- Digital Angiography
- Radiation Safety
- Section IV: Angiographic Equipment
- Injectors and Contrast Materials
- Angiographic Catheters
- Medications Used in Coronary Angiography
- Pacemakers

5. ELECTROPHYSIOLOGIC STUDIES AND ABALTION TECHNIQUES

- Technical Aspects
- Procedures
- Utility of EPS of Specific Diagnosis
- Catheter Ablation

6. RESEARCH TECHNIQUES

- Quantitative Coronary Angiography and Ventriculography
- Myocardial Blood Flow
- Myocardial Metabolism
- Coronary Sinus Catheterization
- Doppler Coronary Flow Velocity Techniques
- Combined Hemodynamic and Echocardiographic Methodologies
- High-Fidelity Micromanometer-Tip Pressure Measurements
- Physiologic Maneuvers in the Catheterization Laboratory

7. SPECIAL TECHNIQUES

- Transseptal Heart Catheterization
- Direct Transthoracic LV Puncture
- Endomyocardial Biopsy
- Coronary Sinus (CS) Catheterization
- Intravascular Foreign Body Retrieval
- Transluminal Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy
- Special Conditions

8. HIGH-RISK CARDIAC CATHETERIZATION

- The High-Risk Patient
- Incidence of Complications in the High-Risk Patient
- Management of Arrhythmias in High-Risk Patients
Cardiac Support Devices

9. INTERVENTIONAL TECHNIQUES

- Percutaneous Coronary Interventions (PCI)
- Valvuloplasty

10. DOCUMENTATION IN THE CARDIAC CATHETERIZATION LABORATORY

- Healthcare Quality Standards to Reduce Medical Malpractice
- The Medical Record: General Points
- Minimum Documentation in the Catheterization Laboratory
- Charting Recommendations for Outpatient Catheterization
- Documentation for Medical Treatment Problems or Complications: Events Requiring an Incident Report
Equipment Failure