Editor-in-Chief Ashwin B Mehta MD FACC
Director of Cardiology Jaslok Hospital and Research Centre Mumbai, Maharashtra, India
Co-Editors
Nihar Mehta DNB (Cardiology)
Consultant CardiologistJaslok Hospital and Research CentreMumbai, Maharashtra, India
Rahul Chhabria DNB (Cardiology)
Associate in CardiologyJaslok Hospital and Research Centre Mumbai, Maharashtra, India
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Update in Interventional Cardiology
First Edition: 2017
9789386322227
fm5Course Directors of India Live
Ashok Seth
Chairman Cardiovascular Sciences and Chief of Cardiology
Fortis Escorts Heart Institute
New Delhi, India
Ashwin B Mehta
Director of Cardiology
Jaslok Hospital and Research Centre
Mumbai, Maharashtra, India
Mathew Samuel Kalarickal
Director
Interventional Cardiology and Cardiac Catheterisation Laboratories
Apollo Hospital
Chennai, Tamil Nadu, India
Upendra Kaul
Executive Director and Dean, Cardiac Sciences
Fortis Escorts Heart Institute
New Delhi, India
Vinay K Bahl
Professor and Head
Department of Cardiology
All India Institute of Medical Sciences
fm7Contributors
- Aamish Kazi MBBS DNB
- Consultant Radiologist
- Picture This by Jhankharia
- Mumbai, Maharashtra, India
- Ajit Desai MD DM (Cardiology)
- Consultant Cardiologist
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Ajit S Mullasari MD DM (Cardiology)
- Director
- Department of Cardiology
- Institute of Cardiovascular Diseases
- Madras Medical Mission
- Chennai, Tamil Nadu, India
- Ameya Udyavar DM DNB (Cardiology)
- Consultant Cardiac
- Electrophysiologist
- PD Hinduja National Hospital
- Mumbai, Maharashtra, India
- Amit Vora MD DM
- Consultant Cardiologist and Electrophysiologist
- Arrhythmia Associates
- Mumbai, Maharashtra, India
- Andhalkar Bhagyashree MD
- Cardiology Registrar
- Smt. SR Mehta Cardiac Institute and Sir KP Trust Hospital
- Mumbai, Maharashtra, India
- Annapoorna Kini MD
- Professor of Medicine
- Director Cardiac Catheterization Laboratory
- Cardiovascular Institute Division of Cardiology Mount Sinai Hospital and School of Medicine
- New York City, New York, USA
- Anunay Gupta MD DM (Cardiology)
- Department of Cardiology
- All India Institute of Medical Sciences
- New Delhi, India
- Ashok Seth FRCP (Lond) FRCP (Edin) FRCP (Ire) FACC FESC FSCAI FIMSI FCSI
- Chairman Cardiovascular Sciences and Chief of Cardiology
- Fortis Escorts Heart Institute
- New Delhi, India
- Ashwin B Mehta MD FACC
- Director of Cardiology
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Bharat Dalvi MD DM (Cardiology) FACC
- Glenmark Cardiac Center
- Mumbai, Maharashtra, India
- Bharat Shivdasani MBBS DNB (Cardiology)
- Consultant Cardiologist
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Bhavin Jankharia MBBS MD
- Consultant Radiologist
- Picture This by Jhankharia
- Mumbai, Maharashtra, India
- CG Bahuleyan MD DM FRCP FSCAI
- Chairman Cardiovascular Centre
- Ananthapuri Hospitals and Research Institute
- Thiruvananthapuram, Kerala, India
- Dhiraj Kumar MBBS MD (Internal Medicine)
- Senior Registrar Cardiology
- Department of Cardiology
- KEM Hospital
- G Raghul MD DM
- Associate Consultant
- Department of Cardiology
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- G Sengottuvelu MD DM DNB FRCP (Glasg) FSCAI FMMC
- Fellowship in Interventional Cardiology (France)
- Senior Consultant and Interventional Cardiologist
- Apollo Main Hospitals
- Chennai, Tamil Nadu, India
- Hetan C Shah MD DNB Cardiology FACC FESC
- Associate Professor
- KEM Hospital
- Consultant Interventional Cardiologist
- Jaslok Hospital
- Mumbai, Maharashtra, India
- Kajal Aggarwal MBBS Dip. (Cardiology)
- Associate Consultant
- Medanta—The Medicity
- Gurugram, Haryana, India
- Kirti Punamiya MD DM
- Consultant Staff Cardiologist
- Breach Candy and Saifee Hospitals
- Mumbai, Maharashtra, India
- Kshitij Sheth DNB (Pediatrics) FNB (Pediatric Cardiology)
- Sir HN Reliance Foundation Hospital
- Mumbai, Maharashtra, India
- Manjunath CN MD DM (Cardiology)
- Professor and Head
- Department of Cardiology
- Director, Sri Jayadeva Institute of Cardiovascular Sciences & Research Bengaluru, Karnataka, India
- Mathew Samuel Kalarickal MD DM
- Director Interventional Cardiology and Cardiac Catheterisation Laboratories Apollo Hospital
- Chennai, Tamil Nadu, India
- Mithun J Varghese MD
- Cardiologist Cardiac Catheterization Laboratory
- Cardiovascular Institute Division of Cardiology
- Mount Sinai Hospital and School of Medicine
- New York City, New York, USA
- Nagaraja Moorthy
- Associate Professor Department of Cardiology
- Sri Jayadeva Institute of Cardiovascular Sciences and Research
- Bengaluru, Karnataka, India
- Nihar Mehta DNB (Cardiology)
- Consultant Cardiologist
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Parang Sanghavi DNB DMRD MBBS
- Consultant Radiologist
- Picture This by Jhankharia
- Mumbai, Maharashtra, India
- Prafulla Kerkar MD (Internal Medicine) DM (Cardiology) DNB (Cardiology) FACC (US) FESC (Europe) FSCAI (USA)
- Professor and Head
- Department of Cardiology KEM Hospital and Seth GS Medical College
- Mumbai, Maharashtra, India
- Consultant Interventional Cardiologist
- Asian Heart Institute
- Mumbai, Maharashtra, India
- Prattay Guhasarkar DM
- Fellow of Cardiology
- Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)
- New Delhi, India
- Praveen Chandra MD DM
- Chairman Division of Interventional Cardiology
- Medanta—The Medicity Gurugram,
- Rahul Chhabria DNB (Cardiology)
- Associate in Cardiology
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Rashmi Xavier MD DM
- Associate Consultant Division of Interventional Cardiology
- Medanta—The Medicity
- Gurugram, Haryana, India
- Rohit Goel MD DM (Cardiology)
- Associate Consultant
- Medanta—The Medicity
- Gurugram, Haryana, India
- Samin K Sharma MD
- Cardiac Catheterization Laboratory Cardiovascular Institute
- Division of Cardiology
- Mount Sinai Hospital and School of Medicine
- New York City, New York, USA
- Sanjay Kumar Chugh MD DM (Cardiology, AIIMS) D Cardiology (Cal) FACC FSCAI FESC FCSI (India) FIMSA
- Principal Consultant
- Department of Interventional Cardiology
- Escorts Heart Institute
- New Delhi, India
- and
- Fortis Escorts Kalyani Heart Centre
- Gurugram, Haryana, India
- Head Department of Cardiology and Chief Interventional Cardiologist
- Jaipur Golden Hospital
- New Delhi, India
- Satishkumar S Kolekar MD (Medicine) DM (Cardiology)
- Consultant Interventional Cardiologist
- Ruby Hall Clinic
- Pune, Maharashtra, India
- Satyendra Tiwari MD DNB
- Fortis Escorts Hospital
- New Delhi, India
- Shifas Babu M MD DM DNB
- Consultant Cardiovascular Centre
- Ananthapuri Hospitals and Research Institute
- Thiruvananthapuram, Kerala, India
- Shirish (MS) Hiremath MD (Medicine) DM (Cardiology)
- Consultant Interventional Cardiologist Director Cathlab
- Ruby Hall Clinic Pune,
- Maharashtra, India
- Shreepal Jain MD (Pediatrics) FNB (Pediatric Cardiology)
- Sir HN Reliance Foundation Hospital
- Mumbai, Maharashtra, India
- Srinivasan Narayan MD DNB (Cardiology)
- Fellow in Interventional Cardiology
- Institute of Cardiovascular Diseases Madras Medical Mission
- Chennai, Tamil Nadu, India
- Sunita Chugh MBBS DFM D Echo MASE
- Consultant Non-invasive Cardiology
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Upendra Kaul MD DM FCSI FSCAI FAPSIC FACC FAMS
- Executive Director and Dean Cardiac Sciences
- Fortis Escorts Heart Institute
- New Delhi, India
- Vijay Trehan DM (Cardiology)
- Director and Professor
- Department of Cardiology
- Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)
- Vijayakumar Subban MD DM FNB
- Senior Consultant
- The Madras Medical Mission Chennai,
- Tamil Nadu, India
- Vikram R Lele MD (Med) DNB (Nucl. Med.) DRM
- Director Department of Nuclear Medicine and PET-CT
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Vinay K Bahl MD DM
- Professor and Head
- Department of Cardiology
- All India Institute of Medical Sciences (AIIMS)
- New Delhi, India
- Yashasvi Chugh MBBS
- Internal Medicine Resident
- Jacobi Medical Center
- Albert Einstein College of Medicine
- Bronx, New York, USA
Perhaps no other discipline in medicine has seen such galloping strides as the field of interventional cardiology has. So fast is the evolution of the technology that it is difficult to keep pace with it. By the time you follow the recommended guidelines, the guidelines become obsolete in the light of new knowledge. Interventions in chronically occluded vessels, development of bioabsorbable stents—a new era, and intravascular imaging have changed the pattern of our practice.
The purpose of this update in interventional cardiology is manifold. It attempts at providing clear understanding of techniques from basic to beyond—to lay down principles that could allow the highest standards of safety and efficacy; to provide complete comprehensive run-down on any particular subject is beyond the scope of this book. What we have attempted is to emphasize the key points encompassing tips and tricks to fine-tune the skills of an interventional cardiologist.
With chapters on complications and high-risk PCI, the authors hope to provide wherewithal to bail out of a dreadful situation. The authors have poured in their years of experience to familiarize the reader with several practical methods of performing and troubleshooting the usual and unusual situations in the cathlab. In nutshell, the book will help in decision-making and executing the decisions in the cathlab.
This book has been possible with collaborative support of my co-editors and contributors. I hope the book empowers an interventionist with knowledge that would eventually acquire success, safety and efficacy while attempting the entire gambit of interventional procedures.
fm13Acknowledgments
This book is a culmination of consolidated efforts of a number of people. The most important ones are the contributors. Each one has made an outstanding contribution in their field, and despite their busy schedule, they have accepted our invitation and spared no efforts to come out with most illustrious and outstanding articles. We wish to deeply acknowledge their contribution from the bottom of our hearts.
Our sincerest thanks to the Directors of India Live, Dr Ashok Seth, Dr Upendra Kaul, Dr Mathew Samuel Kalarickal, and Dr Vinay K Bahl. Without their continuous encouragement and support, this task would not have been possible.
Several other members of our team have put in incessant efforts in correspondence, communication and synchronization amongst the various authors. Special mention for Mrs Kirti Talawadekar. Without her sincere efforts, the book would not have seen the light of the day within the specified time limit.
We would also thank the Jaypee Brothers Publishers team, especially Mr Sabarish Menon and Ms Kritika Dua for their continuous support and helping us in every way for timely publication of this book.
Ashwin B Mehta
Nihar Mehta