Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Transcatheter Valve Repair (Hardcover)
Loot Price: R5,248
Discovery Miles 52 480
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Transcatheter Valve Repair (Hardcover)
Expected to ship within 12 - 17 working days
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Transcatheter Valve Repair discusses all aspects related to
percutaneous and established valve repair methods. The book is
divided into few major sections covering all four valves and other
topics. Each section contains several chapters discussing
everything related to that valve. Beginning with the pulmonary
valve, since it was the first valve to be tackled in the
catheterization laboratory, and then moving to the aortic, then the
mitral and then finally end with the tricuspid valve. 1.5M US
citizens alone have some degree of aortic valve stenosis, with half
(750K) requiring aortic valve replacement. Aortic valve
replacement, on the whole, is performed by surgeons, requiring
bypass machines and technicians, as well as the usual operating
team. The operation is expensive and occupies a considerable amount
of operating room time. Mostly, the aortic valve is calcified and
the usual option available to patients is valve replacement with a
variety of choices, ranging from porcine valves to synthetic, for
which there are many manufacturers. It should be noted that the
aortic valve is the most problematic of valves. Percutaneous
procedures are the answer. The bottom line is that given the
growing elderly population, many more patients will require valve
repair, thus increasing health care costs with not only surgical
operations but also hospitalisation. Percutanous valve repair,
whilst requiring a cath lab team, does not involve bypass machines
nor extended hospitalisation. Like percutaneous transluminal
coronary artery interventions (PTCA) has replaced coronary artery
bypass grafts (once the golden standard), and now stenting having
replaced PTCA and its balloons. We now see drug eluting stents
replacing ordinary stents (though at a much higher cost. There will
be a huge movement toward percutanous valve repair, which should
presumably cut costs but also morbidity and mortality.
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