Practical Interventional Cardiology 3rd Edition PDF
|Author||Ever D. Grech|
|File size||28.4 MB|
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It is easy to forget that coronary intervention before the advent of the stent primarily consisted of balloon angioplasty. This was much riskier and unpredictable than today’s procedures, which nearly always incorporate a stent (referred to as PCI), with surgical standby an absolute necessity, for good reason. Furthermore, the management of acute coronary syndromes (especially ST-segment elevation myocardial infarction) was regarded by many as ‘tiger country,’ where only pharmacotherapy was deemed to be safe despite the lack of efficacy and associated high mortality. Thankfully, those days are gone, and I do sometimes find myself feeling satisfied to have taken part in such an incredible transition in such a short space of time. Unexpected, because no one foresaw the emergence of some of the new therapeutic interventions. The prime contender has to be the introduction and rapid growth in structural heart intervention, in particular percutaneous aortic valve implantation (TAVI). As initial concerns, such as access-site complications, para-valvular leaks and valve durability continue to be addressed, it is clear that this procedure has much further to go.
It is also interesting to observe the variation in approaches currently being used to overcome the complex and difficult problems associated with percutaneous mitral valve intervention. By highlighting these areas, I am aware that I have omitted many other important aspects and developments. Clearly, a lack of space will not allow me to expand here. However, I have ensured that these are given their rightful importance in this new and comprehensively updated edition. I am sure you will enjoy reading the chapters written by world leaders in their specialised fields. Although it has been an onerous task to collate this third edition within tight time schedules so that it reflects current knowledge and practice in a rapidly changing field, it has been an immensely rewarding experience. I am very grateful to all the contributors of this book and have been humbled by their knowledge, their generosity and their willingness to participate. I am also thankful to our colleagues in industry for their assistance in providing technical details and data. I deeply appreciate the personal efforts, technical expertise and invaluable assistance of all at Taylor and Francis Group. In particular, I would like to mention Lance Wobus, Jessica Vega, Judith Simon (USA), Gabriel Schenk, Alice Oven, Drew Gwilliams and Ben O’Hara (UK) at Taylor & Francis Group, as well as Ramya Gangadharan (India) at diacriTech.
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