Interventional Pericardiology
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Springer-Verlag Berlin and Heidelberg GmbH & Co. K
XXII, 184 p. With DVD.
239 x 165 x 10 mm
454 g
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Interventional Pericardiology

Interventional Pericardiology

Pericardiocentesis, Pericardioscopy, Pericardial Biopsy, Balloon Pericardiotomy, and Intrapericardial Therapy

Mixed media product Engelska, 2011-03-24
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Interventional Pericardiology gives a unique and comprehensive view on an often neglected but clinically very important part of cardiovascular disease: The pericardium and the adjacent myocardium or epicardium. The authors of this up-to-date compendium on pericardial disease etiology, diagnostics and treatment, Professors Bernhard Maisch (Marburg), Arsen Ristic (Belgrade), Petar Seferovic (Belgrade) and Teresa Tsang (Rochester) focus on recent advances to the new window that has been opened to the heart by flexible and video-assisted pericardioscopy, modern biochemical, immunohistological and molecular tools for the analysis of epicardial and pericardial biopsies, which have been acquired safely under pericardioscopic control by the interventional pericardiologist. Their book adds brand-new information to the recent and so far only guidelines world-wide by the European Society of Cardiology on the management of pericardial diseases. This task-force has been chaired by the lead author B. Maisch. Accordingly "Interventional Pericardiology" belongs in every medical library and on the desk of every cardiologist, cardiological interventionalist, and trainee with an interest in pericardial diseases.
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Foreword Preface Acknowledgments Authors 1. A Historical Perspective 1.1. Introduction 1.2. Diagnostic and therapeutic pericardial interventions 1.2.1. Pericardiocentesis and pericardial drainage 1.2.2. Pericardioscopy 1.2.3. Pericardial biopsy 1.2.4. Percutaneous balloon pericardiotomy 1.2.5. Intrapericardial treatment of pericardial disease 1.2.6. Intrapericardial treatment of non-pericardial disease 1.3. Future perspectives and recommendations 2. Anatomy of the Pericardium Relevant for Pericardial Access, Pericardioscopy, and Intrapericardial Interventions 2.1. Introduction 2.2. Structures of the normal pericardium 2.2.1. Pericardial sinuses and recesses 2.2.2. Epicardial and pericardial fat 2.2.3. Normal pericardial fluid 2.2.4. Nerves, arteries, lymphatics, and lymph nodes 2.3. Pericardial anomalies 2.4. Distinction between the human and animal pericardium 2.5. Future perspectives and recommendations 3. Pericardial Effusion and Cardiac Tamponade 3.1. Introduction 3.2. Clinical presentation of cardiac tamponade 3.3. Physical findings in cardiac tamponade 3.3.1. Pulsus paradoxus 3.4. Electrocardiogram in cardiac tamponade 3.5. Chest radiography 3.6. Echocardiography 3.7. Cardiac catheterization and invasive hemodynamics 3.8. Medical management of cardiac tamponade 3.9. Future perspectives and recommendations 4. Pericardial Access and Drainage: Standard Techniques 4.1. Introduction 4.2. Indications for pericardial drainage 4.3. Emergency pericardiocentesis 4.4. Echocardiography-guided pericardiocentesis 4.4.1. Evolution of echo-guided pericardiocentesis 4.4.2. Safety and efficacy of echo-guided pericardiocentesis 4.4.3. Reduction of effusion recurrence with catheter drainage 4.4.4. Technique of state-of-the-art echo-guided pericardiocentesis 4.5. Pericardiocentesis guided by fluoroscopy 4.5.1. Feasibility of fluroscopy guided pericardiocentesis 4.5.2. The role of cardiac catheterization during pericardiocentesis 4.5.3. Safety of fluoroscopy guided pericardiocentesis 4.6. Surgical drainage of the pericardium 4.7. Future perspectives and recommendations 5. Alternative Techniques for Pericardiocentesis 5.1. Introduction 5.2. Pericardiocentesis guided by epicardial halo phenomenon 5.2.1. Physical origin of the sign 5.2.2. Tangential approach to the pericardial surface 5.2.3. Feasibility and safety 5.2.4. Clinical implications 5.3. PerDUCER (R) technique 5.3.1. Endoscopic guidance in patients with perimyocarditis 5.3.2. PerDUCER (R) procedure in patients with moderate/large effusions 5.3.3. Potential improvements of the procedure 5.4. PeriAttacher (R) and AttachGuider (R) 5.5. Pericardial access using a blunt-tip needle 5.6. Transbronchial approach 5.7. Computer guided pericardiocentesis 5.8. Pericardiocentesis guided by computed tomography 5.9. Pericardiocentesis guided by a pacing capture 5.10. Future perspectives and recommendations 6. Pericardiocentesis in the Absence of Effusion 6.1. Introduction 6.2. Subxiphoid pericardiocentesis using a Tuohy needle and fluoroscopy 6.2.1. Technique and potential complications 6.2.2. Feasibility and safety 6.2.3. Limitations of the approach 6.3. The PerDUCER (R) technique 6.3.1. Experimental experience 6.3.2. Access of the human pericardium in the absence of effusion using PerDUCER 6.4. Pericardial access via trans-atrial approach 6.4.1. Catheter system with a pre-mounted needle 6.4.2. Streamlined catheter system 6.4.3. Safety of the transatrial approach 6.4.4. Study limitations 6.4.5. Clinical implications 6.5. Right ventricular approach 6.6. Future perspectives and recommendations 7. Diagnostic Value of Pericardial Fluid Analyses 7.1. Introduction 7.2. Volume and appearance of pericardial effusion 7.3. Pericardial fluid cytology 7.3.1. Number of specimens needed for pericardial fluid cytology 7.3.2. Detection of malignancy by pericardial fluid cytology 7.3.3. Reactive mesothelial vs. adenocarcinoma cells 7.3.4. Prognostic and therapeutic implications 7.3.5. Paramalignant pericardial effus