Cardiology

Interventional Cardiology: Percutaneous Noncoronary by Howard C. Herrmann

By Howard C. Herrmann

A complete survey of nonsurgical remedy for quite a few middle illnesses that have an effect on the cardiac valves, the center muscle, and the constitution of the center. The authors describe who those systems are valuable for, the best way to do them, and the way good they paintings. significant themes of dialogue comprise percutaneous ideas for valvular middle affliction, septal defects at either the atrial and ventricular degrees, adjunctive remedies in the course of coronary interventions, and angioplasty to regard extracardiac vascular affliction, in addition to experiences of the state of the art imaging modalities now getting used in interventional systems. An accompanying CD-ROM comprises video demonstrations of catheterization and and the imaging parts of those techniques.

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Davidson CJ, Bashore TM, Mickel M, et al. Balloon mitral commissurotomy after previous surgical commissurotomy. Circulation 1992;86:91–99. 51. Jang IK, Block PC, Newell JB, et al. Percutaneous mitral balloon valvotomy for recurrent mitral stenosis after surgical commissurotomy. Am J. Cardiol 1995;75:601–605. 52. Leon M, Harrell L, Mahdi N, et al. Immediate and long term outcome of percutaneous mitral balloon valvotomy in patients with mitral stenosis and atrial fibrillation. J Am Coll Cardiol. 1998;(Supplement).

Rediker DE, Block PC, Abascal VM, Palacios IF. Mitral balloon valvuloplasty for mitral restenosis after surgical commissurotomy. J Am Coll Cardiol 1988;2:252–256. 11. Palacios IF, Block PC, Wilkins GT, Weyman AE. Follow-up of patients undergoing percutaneous mitral balloon valvotomy: Analysis of factors determining restenosis. Circulation 1989;79:573–579. 12. Abascal VM, Wilkins GT, Choong CY, et al. Echocardiographic evaluation of mitral valve structure and function in patients followed for at least 6 months after percutaneous balloon mitral valvuloplasty.

On the other hand, Arora et al. randomized 200 patients with a mean age of 19 ± 7 yr and mitral stenosis with optimal mitral valve morphology to PMV and to closed mitral commissurotomy (74). 9 cm2 for the PMV and the mitral commissurotomy groups, respectively) and no significant differences in event-free survival at a mean follow-up period of 22 ± 6 mo. Restenosis documented by echocardiography was low in both groups: 5% in the PMV group and 4% in the closed commissurotomy group. Turi et al. (69) randomized 40 patients with severe mitral stenosis to PMV and to closed surgical commissurotomy.

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