Martinez E., Lemos P.A., Ong A.T.I., Serruys P.W. (eds.) Common Clinical Dilemmas in Percutaneous Coronary Interventions

Informa Healthcare, 2007. — 352 p. — ISBN: 978 1 84184 609 5Coronary stenting is the most commonly used method of myocardial revascularization, with approximately 2 million stents implanted in 2004 throughout the world. The development of drug eluting stents has resulted in very low rates of repeat intervention and will further increase the scope for percutaneous coronary intervention.The evidence from large randomized trials is generally accepted to be the gold standard source of information for patient care in interventional cardiology. However, it is well recognized that information from these trials is frequently insufficient to guide the wide-ranging clinical situations found in routine practice. In this context, decision-making is often based on a composite of information from multiple clinical studies, pathophysiological considerations and importantly, personal experience or 'gut-feeling'.This book, written by internationally recognized experts in their field, provides clear and concise recommendations regarding various challenging clinical situations facing the interventional cardiologist on a daily basis.Immunoallergic syndromes in interventional cardiology
The kidney and percutaneous coronary interventions
Treatment of coronary artery disease in diabetic patients
Ad hoc percutaneous coronary intervention
Dilemmas in non-ST elevation acute coronary syndromes
Patients with impaired hemostasis requiring cardiac catheterization and coronary intervention
ST elevation acute myocardial infarction admitted in a distant location
Stable obstructive coronary disease and very low left ventricular function
Multivessel disease in patients with acute myocardial infarction and high-risk unstable angina: culprit versus non-culprit intervention
Patients requiring cardiac and non-cardiac surgical procedures following percutaneous coronary interventions
Invasive treatment (percutaneous coronary intervention) of patients at high surgical risk
Percutaneous coronary intervention for patients with multivessel disease
Highly complex anatomical morphologies: percutaneous intervention versus bypass surgery
Advanced atherosclerotic diseases in multiple vascular bed sites
The intermediate coronary lesion
Percutaneous coronary intervention in the treatment of cardiogenic shock complicating acute myocardial infarction
The hypotensive patient after angioplasty: occult life-threatening percutaneous coronary intervention-related complications
Percutaneous treatment for patients with end-stage aortic valve disease
Acute coronary dissection, occlusion, and perforation during percutaneous coronary intervention: surgical, percutaneous, or medical management
Septal ablation for hypertrophic cardiomyopathy: to whom, when, and how?
End-stage left ventricular failure: potential catheter-based therapeutic strategies
Massive pulmonary embolism: the potential of catheter-based strategies
Large thrombus burden, slow-flow, no-reflow, and distal embolization
The role of interventional cardiology in functional coronary stenosis
Complications of drug-eluting stents: thrombosis and restenosis
Coronary interventions in patients with antiplatelet therapy resistance