Open Access Medical Books


Edited by Neville Kukreja .

The perfect cardiac catheterization technique, including good diagnostic and therapeutic qualities, without risk and with no recovery time for the patient, does not exist. Obtaining 
initial access to the arterial circulation is the first and most frequent catheterization difficulty 
encountered by the interventional cardiologist during the procedure. Often, it is also the 
only difficult part of the exam for the patient because it may cause a vagal reaction or 
painful spasm. These procedural problems inevitably increase catheterization time and are 
sometimes the underlying causes of more significant complications. Arterial access is a 
crucial step of percutaneous cardiac procedures and therefore requires special attention.
Today, percutaneous coronary intervention (PCI) are usually performed via the femoral or 
radial arteries (a brachial approach may occasionally be required as third choice vascular 
access). Since the first demonstration of transradial approach feasibility in 1989, by Lucien 
Campeau, many studies have confirmed this initial experience and especially its safety and 
performances compared to transfemoral route. Nevertheless, a recent study reports that less 
than 2% of percutaneous coronary interventions were performed by a transradial approach 
in the United States between 2004 and 2007(1). The persistent discrepancy between current 
practice in vascular access site choice and known advantages of a radial access needs to be 
clarified, enlightened by recent data.


Chapter 1 Transradial Approach 
for Coronary Interventions: The New Gold Standard for Vascular Access? 1
Antoine Guédès

Chapter 2 Percutaneous Coronary Intervention and 30-Day Mortality: The CANADA Score 29
Rohan Poulter and Jaap Hamburger

Chapter 3 Complications of Coronary Intervention 47
Seung-Jin Lee

Chapter 4 Therapeutic Hypothermia in Cardiac Arrest Survivors 71
Roman Škulec

Chapter 5 Percutaneous Intervention Post Coronary Artery Graft Surgery in Patients with Saphenous Vein Graft Disease – State of the Art 95
R. Ernesto Oqueli

Chapter 6 Drug Eluting Balloon 127
S. Sharma, N. Kukreja and D. A. Gorog

Chapter 7 Cardiac Postconditioning: An Additional Therapy to Limit Cell Death Following Myocardial Infarction 139
Sandrine Lecour, Lionel Opie and Sarin J. Somers

Chapter 8 DES Overview: A Historical and Current Review of Pivotal Clinical Trial Programs 
Susan Bezenek, Poornima Sood, Wes Pierson, Chuck Simonton and Krishna Sudhir

Chapter 9 Rotablation in the Drug Eluting Syent Era 181
Petros S. Dardas

Chapter 10 Contrast Medium-Induced Nephropathy (CIN) Gram-Iodine/GFR Ratio to Predict CIN and Strategies to Reduce Contrast Medium Doses 195
Ulf Nyman

Chapter 11 Pharmacotherapy During Percutaneous Coronary Interventions 213
David C. Yang and Dmitriy N. Feldman
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Published by: Unknown - Monday, January 21, 2013


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