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Percutaneous management of coronary artery disease beyond stents

The future is now

CORTESE B.

Hardcover  € 63,00  € 59,85

eBook (ePub)  € 63,00

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DESCRIPTION

Interventional cardiology achieved huge improvements in the past decades, and stent technology reached high standards in terms of acute and long-term performance. But these devices are not the panacea of coronary artery disease treatment. Any planned intervention in your patient should be justified by a real need-this is clear cut for any physician! But we want to stress that any prosthesis (foreign body) you would like to implant should be justified by a clear benefit on the very long term. When we propose it, try to predict how many device-related events are expected after 10 years, then ask yourself: is it worth it? In fact, several long-term studies have shown how after the first 18 months, any vascular prosthesis will yield a low but persisting yearly event rate. Keep this in mind. In the first part of the book we will go through an analysis of the pathophysiological milieu of coronary artery disease and an up-to-date analysis of the technological and technical improvements of all the revascularization options that we have for our patients. Then we will go through a deep analysis of all the imaging techniques we have to better visualize and understand what is there, in order to correctly plan what to do. In the following section we will me more practical: what to do if we have large calcifications and how to manage a correct lesion preparation, with all the tools that we can count on our shelves? We do not want to keep the things half way, so now we have to decide which should be the last treatment: a stent, a drug-coated ballon, a vascular scaffold, or a blended therapy?



CHAPTER INDEX

Coronary artery disease pathophysiology: from basic principles to an interventional perspective

Alexandra C. Murphy, Ikaasa Suri, Roxana Mehran

History of coronary revascularization

Luigi Spadafora, Giuseppe Biondi-Zoccai, Marco Bernardi

Current management of coronary artery disease by metal platforms

Mostafa Elwany, Mohamed Alaa Abdelaziz, Bernardo Cortese

Current management of coronary artery disease by coronary artery bypass

Marta Bargagna, Paola Redaelli, Francesco Maisano

Coronary computed tomography to rule in or rule out of patients with coronary artery disease

Francesca Baessato, Saima Mushtaq, Gianluca Pontone

The importance of intravascular imaging for lesion assessment: intravascular ultrasound

José M. de la Torre Hernández, Tamara García Camarero, Gabriela Veiga Fernández, Sergio Barrera Basilio

The importance of intravascular imaging for lesion assessment: OCT

Jose A. Sorolla Romero, Mohil Garg, Fotis Gkargkoulas, Jorge Sanz Sanchez, Hector M. Garcia-Garcia

The role of physiology for lesion assessment

Giorgio Benatti, Filippo Luca Gurgoglione, Maria Alberta Cattabiani, Emilia Solinas, Iacopo Tadonio, Luigi Vignali, Giampaolo Niccoli

Tools to manage coronary artery disease calcification

Filippo Maria Verardi, Manel Sabate, Salvatore Brugaletta

Lesion preparation before drug-coated balloon use

Dario Pellegrini, Bernardo Cortese, Giuseppe Patti

The role of scoring balloons in the modern era of Interventional Cardiology

Andrea Sardone, Francesco Colombo, Giacomo Boccuzzi

Paclitaxel drug-coated balloons for coronary artery disease: the role of the drug and the technology beyond

Sukhdeep Bhogal, Itsik Ben-Dor, Ron Waksman

Sirolimus drug-coated balloons: the role of the drug and the technology beyond

Sandeep Basavarajaiah, Bhagya Harindi Loku Waduge, Bernardo Cortese

Drug-coated balloon use in native coronary artery disease

Leontin Lazar, Bernardo Cortese

Drug-coated balloon use in complex scenarios: in-stent restenosis

Javier Cuesta, Fernando Rivero, Teresa Bastante, David del Val, Pilar Roquero, María Martínez-Avial, Fernando Alfonso

Drug-coated balloon use in complex scenarios: coronary bifurcations

Đeiti Prvulović, Bernardo Cortese

Drug-coated balloon use in complex scenarios: chronic total occlusions

Gianluca Massaro, Daniela Benedetto, Giulio Russo, Giuseppe Massimo Sangiorgi

Drug coated balloon use in complex scenarios: acute coronary syndromes

Tuomas T. Rissanen, Simon Eccleshall

Bioresorbable scaffolds: the first generation

Steven R. Bailey

Bioresorbable scaffolds: the new and future generations

Alessandro Beneduce, Antonio Mangieri, Francesco Condello, Rossella Ruggiero, Sharmaine Thiru, Alaide Chieffo

Blended therapy for complex coronary artery disease: drug-coated balloons and stents

Leontin Lazar, Bernardo Cortese

Novel emerging technologies for ischemia and angina treatment

Mario Gramegna, Alessandro Beneduce, Arif A. Khokhar, Bernardo Cortese, Francesco Giannini

Antithrombotic therapy after percutaneous coronary intervention without stents

Claudio Laudani, Antonio Greco, Davide Capodanno

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