Practice of Coronary Angioplasty

1. Front Matter

   Pages I-XII

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2. Introduction and Historical Background

   • Thomas Ischinger

   Pages 1-3

3. The Mechanism of Transluminal Angioplasty Pathology of the Arterial Stenoses that Are Most Amenable to PTCA

   • Peter C. Block

   Pages 4-14

4. Clinical Selection Criteria and Role of Noninvasive Testing for PTCA

   • Bernard R. Chaitman, Henry M. Goodgold, Thomas Ischinger

   Pages 15-27

5. Evaluation of the Coronary Arteriogram in Selection of Patients for Coronary Angioplasty

   • Thomas Ischinger

   Pages 28-51

6. Indications and Contraindications for Coronary Angioplasty

   • Thomas Ischinger

   Pages 52-60

7. The Cardiac Catheterization Laboratory for Coronary Angioplasty

   • Umit T. Aker, Thomas Ischinger

   Pages 61-92

8. Angioplasty Equipment and Supplies: Technical Considerations

   • Michel Vandormael, Thomas Ischinger, Robert Roth

   Pages 93-127

9. Technique of PTCA — Femoral Approach

   • Thomas Ischinger

   Pages 128-165

10. Technique of PTCA by the Brachial Approach: Practical Considerations and Comparison with the Femoral Artery Method

    • Gerald Dorros

    Pages 166-182

11. Assessment of Results of Coronary Angioplasty

    • Bernhard Meier, Thomas Ischinger

    Pages 183-193

12. Outcome of Coronary Angioplasty

    • Thomas Ischinger, Bernhard Meier

    Pages 194-210

13. The Problem of Restenosis

    • Jay Hollman, Thomas Ischinger

    Pages 211-222

14. Complications Associated with PTCA

    • Gerald Dorros, Michael Cowley

    Pages 223-240

15. The Role of the Cardiothoracic Surgeon in PTCA

    • George C. Kaiser, Lawrence R. McBride, Thomas Ischinger

    Pages 241-249

16. Complex Coronary Angioplasty: Multiple-Vessel/Multiple-Lesion Dilatation

    • Geoffrey O. Hartzler

    Pages 250-266

17. Coronary and/or Saphenous Vein Graft Angioplasty in Patients with Prior Coronary Artery Bypass Graft Surgery

    • Gerald Dorros

    Pages 267-283

18. Coronary Angioplasty for Evolving Myocardial Infarction

    • Jürgen Meyer

    Pages 284-304

19. PTCA in Patients with Variant Angina

    • Paul Robert David, Thierry Corcos

    Pages 305-318

20. Back Matter

    Pages 319-325

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After 7 years of clinical use, percutaneous transluminal coronary angio­ plasty (PTCA) has now found worldwide acceptance, and its basic techniques are well standardized. A growing number of invasive cardi­ ologists are acquainting themselves with the procedure in order to be in a position to offer new therapeutic options to their patients. However, the transition from the diagnostic to the therapeutic intervention is not always easily accomplished. Certain prerequisites concerning technique, the physician, technical equipment, and program organization are necessary for safe and effective performance. The consequences of unsuccessful coronary angioplasty range from waste of time and money to severe complications for the patient; the decision to perform PTCA needs to be based on sound indications and techniques according to the best current scientific evidence. Techniques and technology for coronary angioplasty continue to evolve. Scientific evidence of its short-and long-term value continues to accumulate, and applications of the procedure are still being extended. This volume is obviously no substitute for well-guided hands-on experience with the procedure; it is intended rather to present current policies of patient selection and patient management; to describe standard techniques (femoral and brachial approaches) and potential applications; to point out problem areas and limitations of the proce­ dure; and to provide tips that may be useful even for the more experienced angioplasty operator.

• Bypass
• Dilatation
• PTCA
• artery
• complication
• complications
• intervention
• management
• myocardial infarction
• organizations
• patients
• surgery

• Division of Cardiology, Hospital München-Bogenhausen, München 81, Germany

  Thomas Ischinger

Policies and ethics