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

Cardiac Catheterization Handbook

5th Edition Expert Consult - Online and Print

By Morton L. Kern, MD, FACC, St. Louis University Health Sciences Center, St. Louis, MO, J.G. Mudd Cardiac Catheterization Laboratory, St. Louis, MO


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