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This book provides comprehensive information on transcatheter aortic valve implantation (TAVI), which was introduced for the treatment of aortic valve disease less than two decades ago. It explains how TAVI has delivered satisfactory results even in high and intermediate risk patients and outlines how it continues to evolve, thus requiring awareness of state of the art approaches to indication, risk stratification, device choice, procedure, and follow-up. In addition, it reports on the complex and multidisciplinary approach needed to maximize the efficacy, safety, and appropriateness of TAVI, providing detailed clinical, interventional and surgical perspectives focusing on the development of this cardiovascular intervention. Starting with the history of TAVI, addressing the interventional anatomy of aortic valve disease, and reporting on the expert authors' day-to-day experiences, this highly informative book offers an essential update for all cardiologists and surgeons interested in transcatheter aortic valve implantation, as well as any clinician, decision-maker and stakeholder involved in patient selection, procedural management, and follow-up.
This book provides an overview of the use of rapid prototyping in patients with cardiac pathology. With the exponential increase in the use of prototyping, or 3D printing technology, medical applications are becoming more widespread across specialties. Although medical centers are beginning to apply this technology for improved patient care, there is no single text to which specialists can refer for guidance about this emerging modality. The book discusses the use of rapid prototyping in medicine; model creation; image acquisition; rapid prototyping techniques; applications in congenital and structural heart disease; and development and management of a rapid prototyping service. The use of rapid prototyping for pre-procedural planning in patients with cardiac disorders such as septal defects, Tetralogy of Fallot, transcatheter aortic valve replacement, and ventricular assist devices and heart transplant significantly enhances visualization of cardiovascular anatomy. Rapid Prototyping in Cardiac Disease is a unique and valuable resource for cardiac imaging specialists, cardiothoracic surgeons, radiologists, and biomedical engineers.
This book offers a comprehensive overview of thoracic pathologies of surgical interest involving the lung, mediastinum, esophagus, and chest wall with the aim of providing both radiologists and thoracic surgeons with a reference of high value in everyday clinical practice. Oncologic and non-oncologic conditions are reviewed from both the radiological and the surgical point of view, each one being documented with the aid of high-quality radiologic images from several modalities (including X-ray, fluoroscopy, CT, MR, and PET), illustrations/artwork, and high-definition images from the surgical table. The postoperative anatomy and complications associated with thoracic surgery procedures are also described in detail, with provision of imaging examples that highlight aspects of importance in differentiating between normal and abnormal findings. Written by experts in the field, Diagnostic Imaging for Thoracic Surgery is exceptional in combining precise descriptions of surgical procedures with key teaching points in imaging interpretation.
Atlas of Pulmonary Cytopathology: With Histopathologic Correlations offers concrete diagnostic guidance for anatomic pathologists to accurately identify pulmonary disease using exfoliative and aspiration techniques. It not only illustrates the cytomorphology of lung specimens, but also presents and contrasts common problem areas that can lead to erroneous interpretation. Clearly and concisely written by leaders in the field, this volume is a practical desk reference for all facets of the diagnostically challenging area of pulmonary cytopathology. The Atlas features nearly 500 carefully selected high-resolution color images detailing important aspects of the full range of lung diseases and conditions including infections, non-neoplasic disorders, benign neoplasms, and malignant tumors such as adenocarcinoma, squamous cell carcinoma, neuroendocrine tumors, epithelial tumors and malignant mesothelioma, mesenchymal and lymphohistiocytic tumors, as well as metastatic tumors. Additionally, the book's images of the histopathology and gross characteristics of lesions provide morphologic correlations that will be relevant to cytopathologists and surgical pathologists alike. To provide a broader, more enriching perspective, the Atlas features a special chapter on the bronchoscopic characteristics of lung lesions to provide a differential diagnosis through the eyes of an experienced pulmonologist. It also reviews the updated classification guidelines of lung tumors from the World Health Organization (WHO), providing a multidisciplinary approach to enhance the reader's understanding of how cytopathology, histopathology, and bronchoscopic information together create a powerful tool for the prevention and early detection of neoplastic, non-neoplastic, and infectious disease of the lower respiratory tract. Key Features: Provides practical, expert diagnostic guidance for the full range of pulmonary cytopathology Illuminates common diagnostic pitfalls and interpretive errors made in lower respiratory tract specimens Presents nearly 500 high-resolution color images Includes bronchoscopic-pathologic correlations from an expert pulmonologist
This book covers all aspects of successfully treating patients using chest drains, beginning with anatomy and ending with physiotherapy and pain management. The aim of the book is to provide medical professionals with a step-by-step guide to using a chest drain, with specific chapters on indications, kinds of chest drains, catheters, drainage systems, how to insert a chest tube, complications during placement and handling of a chest drain, removing a chest drain, management of the pleural space and post-procedural care. Unlike general thoracic surgery textbooks, this book gives a complete overview of chest drains in clinical practice to ensure the best possible care of patients.
In recent years, The impact of the inflammatory response in cardiovascular surgery has been a focus of much attention within the field of cardiac surgery. Despite that, scientific research on the topic is still lacking in the health science literature. To develop the bank of information available to all involved in the field, the Editors of this book have assembled a group of leading experts to investigate the most current and exciting topics related to inflammation and cardiovascular surgery. As such Inflammatory Response in Cardiovascular Surgery is vital reading for all involved in the management of cardiovascular surgical patients, such as cardiovascular and transplant surgeons, anesthesiologists, intensive care physicians, cardiovascular and vascular fellows, and researchers.
While there are many outstanding resources providing in-depth review of electrophysiology topics, this extensively updated book is one of the few case-based books that comprehensively cover clinical electrophysiology, devices and ablation. Case review offers a simple, yet effective way in teaching important concepts, offering insight into both the basic pathophysiology of a problem as well as the clinical reasoning that leads to a solution. As the field of cardiac electrophysiology evolves, the challenge remains to educate new generations of cardiac electrophysiologists with the basics as well as the latest advances in the field. Cardiac Electrophysiology: Clinical Case Review collates the most comprehensive case-based reviews of electrophysiology designed to appeal to all students of the field whether they are fellows, allied professionals or practicing electrophysiologists. The Editors have recruited some of the true experts in the field to contribute cases that they have encountered and summarizing the important learning objectives in a succinct way. Covering clinical electrophysiology, device troubleshooting and analysis as well as intracardiac electrogram analysis and ablation, readers will find the cases useful as a review of electrophysiology or in their day to day interactions with patients.
An intimate and compelling exploration into the unique psyche of the heart surgeon, by one of the profession’s most eminent figures.
Although Professor Stephen Westaby was born with the necessary coordination and manual dexterity, it was a head trauma sustained during university that gifted him the qualities of an exceptional heart surgeon: qualities that are frequently associated with psychopathy. His thirty-five-year career has been characterised by fearlessness and ruthless ambition; leaving empathy at the hospital door as thousands of patients put their lives in his hands.
For heart surgeons, the inevitable cost of failure is death and in The Knife’s Edge, Westaby reflects on the unique mindset of those who are drawn to this exhilarating and often tragic profession. We discover the pioneers who grasped opportunities and took chances to drive innovation and save lives. Often difficult, uninhibited and fearless, theirs is a field constantly threatened by the risk of public failure.
Like those before him, Westaby refuses to draw the line in his search of a lifetime solution to problems of the heart. His determination is unerring – a steadfastness underpinned by his unusual mind. But as we glimpse into the future of cardiac surgery, for all its remarkable scientific advancement, one question remains: within the confines of socialised medical healthcare systems, how can heart surgeons – individuals often hardwired with avoidance of self-doubt, a penchant for glory and a flagrant disregard for authority – truly flourish?
-Integrates the investigation of the echocardiographic findings with the pathologic, clinical and surgical aspects of heart disease -Includes stunning color echocardiographic images of various heart diseases with reference to their pathologic appearance and physiology -Includes clinical comments on patient management, which is not included in other echocardiography texts
C omplications of Percutaneous Coronary Intervention: The Survival Handbook aims to serve as a reference manual for all cardiologists, particularly those in training, who face life-threatening complications of PCI on a day-to-day basis. Drawing on the background and experience of cardiologists from both sides of the Atlantic, the book aims to be a valuable, practical, and most of all readable resource for the interventional cardiologist. The principles and practices described in the book will be of interest to all practitioners of interventional catheter procedures, including interventional radiologists, vascular surgeons, and cardiologists.Few medical procedures have evolved as dramatically or as quickly as percutaneous coronary intervention (PCI). From its initial conception, PCI has evolved to become a very complex procedure. Each year in the United States well over 1,000,000 percutaneous coronary intervention procedures are performed. However as the volume and complexity of the procedures being performed has increased, so has the potential for procedural error leading to life-threatening complications. Knowledge of what complications can occur during PCI and how to deal with them is vital for the practicing cardiologist, and can mean the difference between life and death.
Essential Revision Notes for the Cardiology KBA and MCQs for the Cardiology Knowledge Based Assessment with DVD are the core texts of revision for this new and compulsory examination. Within Essential Revision Notes for the Cardiology KBA, each chapter maps the core cardiology training curriculum, giving measurable assurance that readers are getting the information they need. Each chapter is written by a senior cardiology trainee in collaboration with a senior consultant who has expertise in that specific field, ensuring that the content is both authoritative and accessible. Drawing on the latest guidelines and documents, the concise, bullet-pointed layout allows easy access to and digestion of the key points that candidates will need during revision. Numerous tables, boxes and figures make this the ideal accompaniment to retaining the large and varied amount of information needed to pass the examination. MCQs for the Cardiology Knowledge Based Assessment features over 260 questions mirroring the format and content of the exam. Eleven focused sequences of questions are followed by detailed explanatory answers, which draw in the relevant aspects of the current syllabus, refers to further reading and provides the broad base of knowledge the examiners expect. Written by a team of cardiology registrars and consultants with recent experience of the exam, the format is designed to give the readers hands-on experience of the level and type of questions they can expect in the real thing. In addition to a huge variety of images and case scenarios forming the basis of clinical question stems, the book is accompanied by a DVD featuring dozens of video loops - ranging from coronary angiograms to echocardiography - to help candidates become practised at responding to a clinical stimulus in the context of a Single Best Answer question. Covering the whole scope of the syllabus and offering a truly authentic experience of the exam, both books provide an insider's guide to the KBA, to ensure readers gain both the confidence and knowledge to pass.
This book is a fully updated and revised second edition of a highly successful text in which a new concept of knowledge mining, based on explication and transfer of interventional knowledge of experts, has been implemented. The dedicated training program that is set out will serve the needs of all interventional operators, whether cardiologists, vascular surgeons, vascular specialists, or radiologists, enabling them to achieve a consistent expert level across the entire broad spectrum of catheter-based interventions. Operator skills - and in particular decision-making and strategic skills - are the most critical factors for the outcome of catheter-based cardiovascular interventions. Currently, such skills are commonly developed by the empirical trial and error method only. The explicit teaching, training, and learning approach adopted in this book permits the rapid transfer of interventional knowledge and enables individual operators to negotiate steep learning curves and acquire complex skills in a highly efficient manner. It will thereby offer invaluable assistance in meeting successfully the challenges of modern cardiovascular care.
This book first describes medical devices in relation to regenerative medicine before turning to a more specific topic: artificial heart technologies. Not only the pump mechanisms but also the bearing, motor mechanisms, and materials are described, including expert information. Design methods are described to enhance hemocompatibility: main concerns are reduction of blood cell damage and protein break, as well as prevention of blood clotting. Regulatory science from R&D to clinical trials is also discussed to verify the safety and efficacy of the devices.
This text is a fully updated and revised third edition of a highly successful text. The format of this text is unique and has been very successful. A total of 286 short chapters organized into 24 Sections provide operative dictation templates for all of the common and the vast majority of the uncommon and even rare operations performed by general and vascular surgeons. Each chapter also provides a succinct synopsis of the operation through bullet-ed lists which include Indications, Essential Steps, Note these Variations, and Complications. The book thus serves two purposes: these operative dictation templates can be used verbatim when dictating the operative note for a procedure; and the book provides ready reference to the trainee going into the operating room to do the procedure for the first time, or to someone preparing for their Board examinations. Space for notes allows surgeons to personalize the book and turn it into a resource unique to their situation. Fully updated and expanded, Operative Dictations in General and Vascular Surgery, Third Edition includes significant additions that include flexible endoscopic procedures (now recognized as a core part of general surgery training and practice), single incision laparoscopic cholecystectomy, and robotic approaches to the rectum. The endovascular procedures have been significantly expanded, as have the approaches to venous disease and to A-V fistula creation. Operative Dictations in General and Vascular Surgery, Third Edition is intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those operations that may be only rarely performed.
This book was conceived and written to provide a contemporary view of critical urban transport issues, policies, and initiatives in twelve countries with emerging economies, each at somewhat different stages of development. With dedicated chapters on Brazil, China, Colombia, India, Indonesia, Iran, Mexico, Nigeria, Russia, South Africa, Turkey, and Vietnam, the book contains detailed, comparable information about the current urban transport situation in the major cities in these countries. Written by specialists in the field, the book draws on a wide range of information sources to provide up-to-date accounts of each of these countries. By assembling this information in one volume, it provides a valuable source for academics as well as policy-makers with an interest in the current and emerging urban transport needs of a large portion of the world's population.
This book focuses on diverse aspects of the relationship between hypertension and brain damage, providing up-to-date information that will be of interest to both clinicians and researchers. After an introductory chapter on epidemiology, the significance of various comorbidities that represent risk factors for brain damage in the context of hypertension is discussed. Detailed consideration is then given to the effects of hypertension on small and large cerebral arteries and the consequences for brain damage. Similarly, the association between hypertension and ischemic and hemorrhagic stroke is fully explored, and the evidence and guidelines regarding reduction of high blood pressure during the acute phase of each form of stroke are summarized. Both the primary and the secondary prevention of stroke are addressed, with presentation of the results of key trials. Readers will also find interesting new perspectives on the roles of different imaging techniques, including CT and functional MRI, in detecting and diagnosing brain damage in patients with hypertension. The closing chapters review the relation of hypertension to subjective and objective cognitive failures and to cognitive decline and dementia.
Recent developments in the field of percutaneous coronary intervention and encouraging data relating to feasibility and safety have led to a renewed interest in left main angioplasty. Interventional cardiologists are faced with the challenge represented by this complex subset of lesions.
The first part of this practical handbook specifically deals with the development of the anatomical classification and gives an overview of the frequency of different anatomic phenotypes. The second part provides a comprehensive knowledge on the techniques and approach to left main coronary artery disease and discuss the potential complications. The authors draw on their practical experience to look at expected or potential morbidity from percutaneous coronary intervention.
The aim of this book is to provide interventional cardiologists with useful tips and tricks for percutaneous coronary intervention of the left main coronary artery.
This authoritative guide on reconstructive techniques for degenerative mitral valve disease presents step-by-step instructions for each procedure pioneered by Alain Carpentier, MD, PhD. More than 200 detailed anatomic drawings provide clear depictions so that you can effectively apply the techniques of a master. Apply the techniques and procedures of Dr. Alain Carpentier-pioneer of mitral valve reconstruction-to your practice. View more than 200 detailed anatomic drawings that depict reconstruction procedures clearly. Master each procedure using step-by-step instructions and a consistent chapter format. Grasp the nuances of procedures thanks to "tips from the Master" and a section of questions and answers. Tap into the knowledge and experience of leaders in the field of mitral valve repair and reconstruction.
There are many excellent textbooks that exist in the area of implantable devices for arrhythmia control. Few textbooks, however, provide a case study approach. Collectively, these workbooks provide an approach to problem solving an electrocardiographic interpretation for patients with permanent pacemakers and defibrillators.
Volume 1 addresses patients with permanent pacemakers
This volume takes a case-orientated approach, providing a diverse series of problems on a broad range of topics related to implantable defibrillators. The cases are divided into easy, moderate and complex according to their level of difficulty, allowing the reader to gauge their progress. This workbook is suitable for physicians, nurses, technicians, technologists and industry engineers, particularly those new to the field who are keen to learn in a practical way.
Get expert, step-by-step guidance on a wide variety of both open and interventional cardiac surgical techniques. Atlas of Cardiac Surgical Techniques, 2nd Edition, helps you expand your surgical repertoire and hone your skills with a vividly illustrated, easy-to-navigate text, procedural videos online, and pearls and pitfalls throughout. This revised atlas covers the surgical procedures you need to master, including minimally invasive techniques, robotic surgery, aortic dissection, and much more. Seven brand-new chapters cover Hybrid Coronary Revascularization, Aortic Valve Repair Techniques, Transcatheter Aortic Valve Replacement, Robotic Mitral Valve Surgery, Surgery for Hypertrophic Cardiomyopathy, Approaches and Techniques to Extra-Corporeal Membrane Oxygenation, and Pulmonary Endarterectomy. Multiple new contributing authors offer a fresh perspective in their areas of expertise. A consistent chapter format guides you quickly from surgical anatomy and preoperative considerations through operative steps and postoperative care. Online videos highlight key stages of surgical procedures. More than 400 full-color images, line drawings, and intraoperative photographs clearly depict the step-by-step progression of procedures. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
There are growing questions regarding the safety, quality, risk management, and costs of PCC teams, their training and preparedness, and their implications on the welfare of patients and families. This innovative book, authored by an international authorship, will highlight the best practices in improving survival while paving a roadmap for the expected changes in the next 10 years as healthcare undergoes major transformation and reform. An invited group of experts in the field will participate in this project to provide the timeliest and informative approaches to how to deal with this global health challenge. The book will be indispensable to all who treat pediatric cardiac disease and will provide important information about managing the risk of patients with pediatric and congenital cardiac disease in the three domains of: the analysis of outcomes, the improvement of quality, and the safety of patients.
This text describes and illustrates with some 700 detailed anatomic and surgical drawings the whole spectrum of surgical procedures employed to treat acquired and congenital diseases of the heart and great vessels in adults and children. A rather traditional chapter on history of cardiac surgery precedes chapters dedicated to quality improvement, followed by ICU management in adult and pediatric cardiac surgery, and techniques of extracorporeal circulation in both age groups. Further special topics are cardiovascular tissue engineering, minimally invasive cardiac surgery, endovascular treatment of aortic diseases, and cardiac assist devices, including total artificial heart. Written by 71 internationally recognized experts from 40 cardiac units in Central Europe and North America, this book will be invaluable not only for both novice and experienced surgeons, but also for all physicians, nurses, and technicians caring for patients with heart disease of any type, at any age.
This book is driven by the considerable progress made by novel imaging techniques in understanding the pathophysiology and evolution of aortic disease and its diagnosis. Despite the lack of symptoms in stable conditions, most aortic diseases have a high morbidity and mortality. New therapeutic strategies such as endovascular treatment and surgical techniques have appeared to improve conventional surgery in advanced phases of the disease, but until recently, medical treatment has focused on the control of cardiovascular risk factors using beta-blockers to reduce aortic wall stress by reducing blood pressure and heart rate. Pharmacotherapy in Aortic Disease updates the reader on the new medical treatment that are changing the natural history of these diseases. Leading experts have created a critical in-depth, yet concise, analysis of the available medical treatments for different aortic disease entities. Both basic research studies and clinical trials discussed in this book serve as a base for improving therapeutic management, delaying the need for surgery, and prolonging survival in these patients.
This book offers a comprehensive, up-to-date overview of optimal postoperative care in patients who have undergone thoracic surgery and discusses challenging issues that are of interest not only in the context of thoracic surgery but also more generally within the fields of anesthesia, intensive care, and pain medicine. The coverage ranges, for example, from use of non-invasive ventilation, extracorporeal membrane oxygenation, and new monitoring devices to fluid management, pain control, and treatment of arrhythmias. A key feature of the book is the exceptionally attractive list of authors, who represent the most authoritative experts on the topics that they address. The approach is appropriately multidisciplinary, acknowledging that in many centers thoracic anesthetists are responsible for care during the postoperative period. This book is exceptional in being devoted solely to postoperative care in thoracic surgery, even though the difficulties involved in thoracic operations sometimes exceed those of cardiac surgery, especially in the postoperative period.
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