Invasive Cardiovascular Therapy. Questo articolo non è disponibile.Invasive Cardiovascular Therapy

In recent years considerable progress and new developments in diagnostic and interventional cardiology have been observed, such as balloon angioplasty of coronary artery stenoses, reperfusion techniques in acute myocardial infarction, new pacing, and cardioversion-defibrillation techniques in ventricular tachyar­ rhythmias. On 5-8 May, 1985, an international symposium on 'Invasive Cardio­ vascular Therapy' was held in Cologne, which provided a survey on the experi­ ment~l and routine therapeutic measures presently available and practiced in cardiovascular medicine. This volume is based on the oral presentations given during the symposium. In five chapters the most important traditional and new interventional techniques are discussed by experts in the field. Chapter I contains a description of results from catheter palliation of congeni­ tal shunt disorders or relief of congenital pulmonary or aortic valve stenoses as well as the recent experience with surgical repair of single ventricle, Fallot's tetralogy and tricuspid atresia. Chapter II presents the surgical results of valve replacement with different valve prostheses in acquired valvular disease, the surgical management of bacte­ rial endocarditis, as well as the various techniques of partial transient left heart support devices and of cardiac transplantation. In chapter III, the invasive management of chronic coronary heart disease, peripheral vascular disease by balloon catheter or laser techniques, and the surgical approach to coronary heart disease are discussed.

I. Congenital malformations.- 1. Balloon catheter procedures in congenital heart disease.- 2. Balloon angioplasty in congenital heart disease.- 3. Closure of left-to-right shunts by catheter techniques.- 4. Atrial inversion in TGA according to Mustard or Senning.- 5. Switch-over procedure in transposition of the great arteries.- 6. Operative management of patients with pulmonary atresia and intact ventricular septum.- 7. The Fontan procedure in tricuspid atresia and single ventricle.- II. Acquired heart diseases.- 8. DeBakey-surgitool pyrolite® aortic valve: results of isolated replacement in 345 patients followed up to 13 years after operation.- 9. The Medtronic Hall® valve.- 10. Experience with the St. Jude medical heart valve prosthesis.- 11. Surgery for bacterial endocarditis and prosthetic valve endocarditis.- 12. Transient mechanical support of the failing heart.- 13. Implantable artificial heart devices.- 14. Current status of cardiac and cardiopulmonary transplantation.- III. Chronic coronary heart disease.- 15. Emergency medical treatment in acute coronary insufficiency.- 16. Percutaneous transluminal coronary angioplasty.- 17. The role of percutaneous transluminal coronary angioplasty (PTCA) in unstable angina.- 18. PTCA success: reliability of noninvasive methods.- 19. Myocardial protection from PTCA-related ischemia.- 20. Time limits for emergency bypass grafting in preventing myocardial infarction.- 21. Coronary artery bypass grafting in chronic coronary heart disease.- 22. Laser angioplasty in chronic coronary atherosclerotic obstructions and in thrombotic occlusions.- 23. Coronary sinus perfusion for preservation of jeopardized myocardium.- 24. LDL-Apheresis for the treatment of patients with familial hypercholesterolemia.- 25. Percutaneous transluminal angioplasty of renal artery stenoses.- 26. Balloon angioplasty in peripheral vascular occlusive disease.- IV. Acute myocardial infarction.- 27. Medical measures for reduction of myocardial infarct size.- 28. Mechanical complications of acute myocardial infarction: ventricular septal defect and papillary muscle rupture.- 29. History of systemic intravenous streptokinase therapy in acute myocardial infarction.- 30. Recent developments in intracoronary thrombolysis during acute myocardial infarction.- 31. Intravenous thrombolysis in acute myocardial infarction.- 32. Percutaneous transluminal coronary angioplasty associated with thrombolysis in acute myocardial infarction - evaluation by angiographic, scintigraphic and enzymatic data.- 33. Mechanical balloon catheter recanalization combined with intracoronary lysis and PTCA.- 34. Early coronary bypass or coronary angioplasty after successful reperfusion in acute myocardial infarction.- 35. Immediate and late results of thrombolysis on infarct size, left ventricular function and survival after successful reperfusion.- V. Cardiac arrythmias.- 36. History of pacemaker therapy.- 37. Present status and future needs of pacemaker technology.- 38. Treatment of bradycardias by physiological pacing.- 39. Treatment of recurrent supraventricular tachycardias by antitachycardia pacemakers.- 40. Surgery for supraventricular tachyarrythmias.- 41. Ablation techniques for accessory pathways in the Wolff-Parkinson- White syndrome.- 42. His bundle ablation in refractory supraventricular tachycardia: a report of the Percutaneous Cardiac Mapping and Ablation Registry.- 43. Dynamic overdrive pacing for the suppression of ventricular ectopic activity: long-term application using implantable pacemakers.- 44. Myocardial inhibition.- 45. Antitachycardia pacing for treatment of recurrent sustained ventricular tachycardia.- 46. Clinical application of transvenous cardioversion.- 47. The use of the automatic implantable cardioverter-defibrillator in ventricular tachycardias and fibrillation.- 48. Endocardial fulguration in the treatment of resistant chronic ventricular tachycardia.- 49. Surgical therapy of ventricular tachycardia.- Index of subjects.