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By Morton Kern, MD, FACC, St. Louis University Health Sciences Center, St. Louis, MO, J.G. Mudd Cardiac Catheterization Laboratory, St. Louis, MO
Description This one-of-a-kind handbook again provides step-by-step instructions on what to expect, what to avoid, and how to manage complications
in the cath lab, with valuable updates on safety requirements, new technology, and new techniques. It takes you through a detailed review
of equipment, specific laboratory techniques, and lab safety, as well as the limitations, complications, and medical-surgical implications
of cardiac catheterization and angiography findings. The book's portable size make it the preferred pocket reference!
Audience
Cardiology Residents and Fellows
Contents
1. INTRODUCTION TO THE CATHETERIZATION LABORATORY
- Indications for Cardiac Catheterization - Contraindications -
Complications and Risks - Catheterization Laboratory Data - Preparation of the Patient - Special Preparations - The Team
Approach to Cardiac Catheterization - Equipment in the Catheterization Laboratory - Training Requirements - Environmental Safety
in the Catheterization Laboratory
2. ARTERIAL AND VENOUS ACCESS PERCUTANEOUS FEMORAL
- The Arm Approach -
Use of Heparin during Cardiac Catheterization - Problems of Vascular Access - Common Problems in Accessing and Cannulating Coronary
Arteries and Grafts - Arterial and Venous Access: Nurse/Technician Viewpoints - Equipment and Instruments Used for Access
3.
HEMODYNAMIC DATA
- Pressure Waves in the Heart - Right and Left Heart Catheterization - Computations for Hemodynamic
Measurements - Computations of Valve Area from Pressure Gradients and Cardiac Output - Examples of Aortic and Mitral Valve Area
Calculations - Use of Valve Resistance for Aortic Stenosis - Measurement of Cardiac Output - Intracardiac Shunts - Equipment
Used for Hemodynamic Study - Hemodynamic Recording Techniques - Hemodynamic Examples and Artifacts - Electrocardiography in
the Cardiac Catheterization Laboratory
4. ANGIOGRAPHIC DATA
- Section I: Cardiac Angiography - Coronary
Arteriography - Problems and Solutions in the Interpretation of Coronary Angiograms - Ventriculography - Section II: Other Cardiovascular
Angiographic Studies - Ascending Aortography - Abdominal Aortography - Pulmonary Angiography - Periperal Vascular Angiography -
Section III: The X-Ray Image - Generation of the X-Ray Image - Digital Angiography - Radiation Safety - Section IV: Angiographic
Equipment - Injectors and Contrast Materials - Angiographic Catheters - Medications Used in Coronary Angiography - Pacemakers
5.
ELECTROPHYSIOLOGIC STUDIES AND ABALTION TECHNIQUES
- Technical Aspects - Procedures - Utility of EPS of Specific
Diagnosis - Catheter Ablation
- Transseptal Heart Catheterization -
Direct Transthoracic LV Puncture - Endomyocardial Biopsy - Coronary Sinus (CS) Catheterization - Intravascular Foreign Body
Retrieval - Transluminal Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy - Special Conditions
8.
HIGH-RISK CARDIAC CATHETERIZATION
- The High-Risk Patient - Incidence of Complications in the High-Risk Patient -
Management of Arrhythmias in High-Risk Patients Cardiac Support Devices
10. DOCUMENTATION IN THE CARDIAC CATHETERIZATION LABORATORY
-
Healthcare Quality Standards to Reduce Medical Malpractice - The Medical Record: General Points - Minimum Documentation in the
Catheterization Laboratory - Charting Recommendations for Outpatient Catheterization - Documentation for Medical Treatment Problems
or Complications: Events Requiring an Incident Report Equipment Failure
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