Gianfranco Butera – författare

The second edition of this handbook is an up-to-date guide to the application of catheter-based interventions across the entire  age range of congenital heart disease patients, from fetal life through to adulthood. 

It considers the changes and improvements that have occurred during the last few years in terms of new procedures, new tools and devices (in particular in the field of valves), new imaging and pre-procedural strategies,  such as 3D-printing, 3D- rotational angiography and fusion imaging. It provides readers with clear instructions on techniques for vascular access, valve dilatation, angioplasty, stent implantation, defect closure, defect creation, pulmonary valve implantation and on the hybrid approach, as well as on various other procedures. 

As in the first edition, topics are approached using a step-by-step format, ensuring that readers can immediately access the information relevant to their daily practice. Numerous explanatory figuresand drawings are included in each chapter in order to further clarify how to plan, perform and evaluate diagnostic and interventional procedures in the field of congenital heart disease. It also highlights important tips and tricks that will assist health operators in achieving optimal outcomes, and includes an appendix with additional general equations and BSA,  and oxygen consumption charts.

This practical guide will be a valuable resource for surgeons and cardiologists in their daily clinical practice. 

This book combines medicinal and engineering knowledge to present engineering modelling applications (mainly computational, but also experimental) in the context of facilitating a patient-centred approach to treating congenital heart disease (CHD). After introducing the basic concepts of engineering tools, it discusses modelling and the applications of engineering techniques (e.g. computational fluid dynamics, fluid-structure interaction, structural simulations, virtual surgery, advanced image analysis, 3D printing) in specific congenital heart diseases. It also offers a number of clinical case studies describing the applications in real-life clinical practice. The final section focuses on the importance of surgical training, counselling and patient communication.

Considering the unique anatomical arrangement pre/post repair in CHD, as well as the different surgical strategy and device options (e.g. stents) for interventions, a patient-specific approach is certainly warranted in this area of medicine, and engineering is helping improve our understanding of individual patients and their particular anatomy and physiology.

To reinforce the idea of a necessary dialogue between clinicians and engineers, this book has not only been edited by two cardiologists and two bioengineers, but each chapter has been written by a clinician and an engineer, incorporating both voices in the description of state-of-the-art models for different CHDs. 

This atlas depicts and describes catheter-based interventions across the entire pediatric age range, from fetal life through to early adulthood, with the aim of providing an illustrated step-by-step guide that will help the reader to master these techniques and apply them in everyday practice. Clear instruction is offered on a wide range of procedures, including vascular access, fetal interventions, valve dilatation, angioplasty, stent implantation, defect closure, defect creation, valve implantation, hybrid approaches, and other miscellaneous procedures. 

The atlas complements the previously published handbook, Cardiac Catheterization for Congenital Heart Disease, by presenting a wealth of photographs, images, and drawings selected or designed to facilitate the planning, performance, and evaluation of diagnostic and interventional procedures in the field of congenital heart disease. It will assist in the safe, efficient performance of these procedures, in decision making, and in the recognition and treatment of complications.