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PTCA An Investigational Tool and a Non-Operative Treatment of Acute Ischemia

  • Book
  • © 1990

Overview

Part of the book series: Developments in Cardiovascular Medicine (DICM, volume 101)

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Table of contents (26 chapters)

  1. An investigational tool

    1. From in-vitro to in-vivo model

    2. Role of collaterals during PTCA

    3. Coronary flow and flow reserve

    4. Myocardial metabolism

    5. Myocardial function

Keywords

About this book

Obstruction of coronary blood flow and the resultant consequences are the center stage pathophysiologic events in cardiology today. The speculations of Jenner, Burns, Heberdin, McKenzie, Prinzmetal and many others had until now been left to observations of isolated tissue and intact animal experimentation. Only with the advent of Gruentzig's technique, which allowed us to 'work safely inside the coronary arteries' are we able to observe the effects of coronary occlusion in living conscious man. PTCA provides not only a therapeutic modality for non-operatively opening coronary obstructions, but has also provided the best model for studying the effects of acute ischemia on the heart. The procedure also lead the way to all other interventional cardiology developments, including modern thrombolysis in the setting of acute myocardial infarction. In his previous works, Serruys has examined how PTCA can serve as a model for studying acute ischemia. In this book, he and his co-authors discuss the effects of balloon-induced ischemia on the electrocardiographic changes, coronary blood flow dynamics, cardiac muscle metabolism and left ventricular function, as well as measures to counter these effects and provide for reperfusion in unstable angina and acute myocardial infarction. Technology has expanded the 'eyes' of the observer of these events. The authors use many techniques including ECG recording from surface, endocardium, and intracoronary electrodes; angiographic assessment of coronary flow pattern using digital techniques, as well as doppler flow measurements; biochemical assessment of metabolic products stimulated by ischemia; and digital angiographic and echo doppler assessment of left ventricular function.

Reviews

`... durch die hervorragende Aufmachung and Ă¼bersichtliche Gestaltung. FĂ¼r jeden Kardiologen und Herzchirurgen ein unentbehrliches Werk, das den neuesten Stand dieser Behandlungsmethode aufzeigt.'
Herz/Kreislauf, 23/1, 1991

Editors and Affiliations

  • Cardiac Catheterization Laboratory, Thorax Center, Erasmus University, Rotterdam, The Netherlands

    Patrick W. Serruys

  • Department of Cardiology, University Hospital, Kiel, Germany

    RĂ¼diger Simon

  • Academic Unit of Cardiovascular Medicine, Charing Cross and Westminster Hospital, London, UK

    Kevin J. Beatt

Bibliographic Information

  • Book Title: PTCA An Investigational Tool and a Non-Operative Treatment of Acute Ischemia

  • Editors: Patrick W. Serruys, RĂ¼diger Simon, Kevin J. Beatt

  • Series Title: Developments in Cardiovascular Medicine

  • DOI: https://doi.org/10.1007/978-94-009-0453-8

  • Publisher: Springer Dordrecht

  • eBook Packages: Springer Book Archive

  • Copyright Information: Kluwer Academic Publishers 1990

  • Softcover ISBN: 978-94-010-6688-4Published: 20 September 2011

  • eBook ISBN: 978-94-009-0453-8Published: 06 December 2012

  • Series ISSN: 0166-9842

  • Edition Number: 1

  • Number of Pages: 400

  • Topics: Cardiology

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