Debulking in Cardiovascular Interventions and Revascularization Strategies

Between a Rock and the Heart

On Topaz

• Publisher: Academic Press
• Year: 2022
• Print ISBN: 9780128214510
• eBook ISBN: 9780128214626
• Topic: Biological Sciences
• Subtopic: Biology
• Index: Biological Sciences

Debulking in Cardiovascular Interventions and Revascularization Strategies: Between a Rock and the Heart aims to provide a comprehensive overview on the diagnostic and therapeutic aspects of resistant lesions as well as tailored debulking processes in revascularization strategies. Cardiovascular interventionalists and surgeons alike frequently encounter technical challenges and increased risk when attempting to diagnose and treat resistant cardiovascular lesions, bio-tissues and vessels. Calcified plaques, fibrotic or thrombotic lesions, total occlusions, degenerative plaques, complex lesions and vessels impose morphologic obstacles to the safe and effective delivery and deployment of balloons and stents. In such instances, a debulking strategy involving the actual drilling and extraction of the targeted plaque/bio-tissue constitutes a unique option that ensures safe and efficacious subsequent balloon dilatations and stenting. A range of topics is included in the book, from the characteristics and constituents of various resistant targets and bio-tissues, to the corresponding options of debulking methods, and finally the technologic and pharmacologic means available for application. The book also provides an up-to-date description of related management solutions and tools, exploring the medical issues pertaining to the patients with these targets; procedural results and clinical outcomes as related to debulking strategies and associated diagnostic and therapeutic technology and revascularization options. - Review and discussion of the pathophysiology of cardiovascular resistant lesions - Analysis of the impact on revascularization outcome of cardiovascular lesions/bio-tissues which exhibit resistance to standard revascularization - Introduction of the concept of debulking for revascularization of cardiovascular diseases: comprehensive description - Presentation of the clinical scenarios associated with resistant cardiovascular lesions and bio-tissue that require debulking - Delineation of various state-of-the -art diagnostic imaging modalities for detection and demonstration of the lesions and tissues that require debulking - Presentation of the expansive array of mechanical revascularization tools available for debulking - Description of surgical debulking approaches to resistant cardiovascular lesions - Summary of debulking outcomes

Table of contents

• Cover
• Front Matter
• Table of Contents
• Copyright
• Dedication
• Contributors
• Foreword
• Preface
• Introduction—a fortiori
• List of Illustrations
• List of Tables
• Chapter 1 : The impact of biological factors, anatomy, and mechanical forces on calcification and fibrosis of cardiac and vascular structures
• Chapter 2 : The resistant atherosclerotic plaques: pathologic features and their impact on revascularization
• Chapter 3 : Application and interpretation of fractional flow reserve in heavily calcified coronary arteries
• Chapter 4 : Abrasion, grinding, pulverization, vaporization, and extraction: debulking options for percutaneous coronary interventions of calcified coronary lesions
• Chapter 5 : Percutaneous coronary interventions in calcified coronary lesions: imaging, tools, and outcomes
• Chapter 6 : Effectiveness of debulking strategies in coronary and endovascular interventions: targets and tools
• Chapter 7 : Revascularization of complex coronary lesions: the importance of vessel and plaque preparation strategies
• Chapter 8 : Debulking rock hard coronary lesions: “real-world” experience in a tertiary care medical center
• Chapter 9 : Atherectomy debulking of calcified left main coronary lesions: strategies and technologies
• Chapter 10 : Laser debulking of complex and resistant atherosclerotic plaques in acute coronary syndromes
• Chapter 11 : Intravascular lithotripsy: plaque modification in preparation for stenting
• Chapter 12 : Complications of percutaneous coronary interventions in calcified lesions: causes, recognition, management, and how to avoid
• Chapter 13 : Calcified lesions: the interplay between imaging, revascularization effects, role of select debulking technologies and related outcomes
• Chapter 14 : The usefulness and limitations of the current American college of cardiology/American heart association and European society of cardiology guidelines for debulking of calcified and fibrotic lesions
• Chapter 15 : Coronary calcifications: effect on coronary artery bypass graft surgery
• Chapter 16 : Debulking strategies in revascularization of diseased saphenous vein bypass grafts
• Chapter 17 : Chronic total occlusion: biology and revascularization
• Chapter 18 : Chronic total occlusions: the impact of calcific deposits on the performance and outcomes of percutaneous coronary interventions
• Chapter 19 : Percutaneous coronary interventions in resistant chronic total occlusions: the utilization of debulking strategy—a Japanese perspective
• Chapter 20 : Thrombus debulking in revascularization of atherosclerotic chronic total occlusions
• Chapter 21 : Cardiac allograft vasculopathy in transplanted hearts: perspectives on the disease and revascularization options
• Chapter 22 : The impact of chronic kidney disease on coronary revascularization
• Chapter 23 : Debulking challenging large volume intracardiac and intravascular thrombus with the AngioVac system
• Chapter 24 : Thrombectomy with the FlowTriever device in the treatment of massive and high submassive acute pulmonary embolism
• Chapter 25 : Cardiac magnetic resonance imaging: the role of an essential imaging modality in cardiac assessment before surgical debulking
• Chapter 26 : Cardiac surgery for constrictive pericarditis
• Chapter 27 : Contemporary perspective on the role of vascular and endovascular surgery in the treatment of severe obstructive peripheral arterial disease
• Chapter 28 : Utilization of debulking strategies in endovascular interventions in peripheral arterial disease
• Chapter 29 : Design and ablative properties of peripheral atherectomy lasers with a special emphasis on the Auryon system
• Chapter 30 : The “nitinol-constrained” Chocolate balloon angioplasty: clinical applications in patients with severe atherosclerotic peripheral arterial disease
• Chapter 31 : Complex aortic plaque: clinical manifestations, diagnosis, and management strategies
• Chapter 32 : Perspectives on the rationale and utilization of embolic protection systems in aortic interventions
• Chapter 33 : The impact of calcified aortic and mitral valves on clinical presentations and related structural heart interventions
• Chapter 34 : Transcatheter aortic valve failure: the impact of calcification
• Chapter 35 : Challenges in revascularization of the venous circulation: deep vein thrombosis, venous disorders, and the role of deep venous stenting
• Chapter 36 : Strategies for extraction of implantable electronic device leads: the impact of calcified and fibrotic tissues
• Chapter 37 : Perspectives on the role of chelation therapy in the treatment of atherosclerosis: principles of application, clinical results, and practical implications
• Chapter 38 : Percutaneous management of challenging complex resistive targets in interventional pediatric cardiology
• Index
• A