Supported Complex and High Risk Coronary Angioplasty
Interventional cardiology is a creative, innovative, and rapidly advancing frontier of cardiology. There has been mind-boggling proliferation of tech nology in this field, the use of which requires extraordinary skills and know how. In order to keep pac
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INTERVENTIONAL CARDIOLOGY
AMAR S. KAPOOR, SERIES EDITOR Shawl, F . A . , ed.: Supported ISBN 0-7923-1121-3.
Complex
and
High
Risk
Coronary
Angioplasty,
1991.
SUPPORTED C O M P L E X A N D HIGH RISK C O R O N A R Y ANGIOPLASTY
EDITED BY FAYAZ A. SHAWL, M.D., FACC Director, Interventional Cardiology Washington Adventist Hospital, Takoma Park, Maryland Clinical Associate Professor of Medicine (Cardiology) George Washington University School of Medicine, Washington, D . C .
SPRINGER-SCIENCE+BUSINESS MEDIA, B.V.
Library of Congress Cataloging-in-Publication Data Supported complex and high risk coronary angloplasty/Fayaz A . Shawl (editor). p. cm. — (Interventional cardiology; I N C A 001) Includes index. I S B N 978-1-4613-6735-2 ISBN 978-1-4615-3890-5 (eBook) DOI 10.1007/978-1-4615-3890-5 1. Transluminal angioplasty. 2. Cardiopulmonary bypass. 3. Therapeutics, Surgical. I. Shawl, Fayaz A . II. Series. [ D N L M : 1. Angioplasty, Transluminal, Percutaneous Coronary. 2. Cardiopulmonary Bypass. 3. Coronary Disease — therapy. 4. Risk Factors. W G 300 S959] RD598.S836 1991 617.4'12059 — dc20 DNLM/DLC for Library of Congress 91-7004 CIP
Copyright © 1991 Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 1991 Softcover reprint of the hardcover 1st edition 1991 A l l rights reserved. N o part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Springer-Science+Business Media, B.V.
DEDICATION
I would like to dedicate this book to the memory of my late father, Mohammad Saleem Shawl.
CONTENTS
Contributing authors Acknowledgments Foreword Preface
IX
Xlll
xv xvii
SECTION I.
1. Identification of the High-Risk Angioplasty Patient
3
STEPHEN G. ELLIS
2. Myocardial Protection During Coronary Angioplasty
21
DANIEL WOHLGELERNTER
SECTION II.
3. Extracorporeal Cardiopulmonary Bypass Support: A Historical and Current Perspective
35
A. KENNETH L1RZIE
4. Basic Principles of Cardiopulmonary Bypass
47
GEORGE A. JUSTISON
5. Echocardiographic and Hemodynamic Changes During Percutaneous Cardiopulmonary Bypass Support
57
JAMES A. RONAN, JR., FAYAZ A. SHAWL, M.D.
6. Percutaneous Cardiopulmonary Bypass Support: Technique, Indications, and Complications
65
FAYAZ A. SHAWL
vii
viii Contents
7. Percutaneous Cardiopulmonary Bypass Support in Patients Undergoing "High-Risk" Coronary Angioplasty
101
FAYAZ A. SHAWL
8. Emergency Institution of Cardiopulmonary Bypass Support In Cardiogenic Shock
131
MICHAEL] . DOMANSKI, FAYAZA . SHAWL
9. Emergency Percutaneous Cardiopulmonary Bypass Support in Patients with Cardiac Arrest
145
FAYAZ A. SHAWL
10. Decision Making During Femoro-Femoral Veno-Arterial Cardiopulmonary Bypass Support in the Cardiac Catheterization Laboratory
167
A. KENNETH LITZIE
SECTION III. 11. Intraaortic Balloon Pump Supported High-Risk Coronary Angioplasty
189
MARC H . WISH, FA
