The premier reference on cardiac catheterization, and appeals to seasoned practitioners, residents and cardiology fellows. This title Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention View PDF Edition: 8th Ed. Freshly updated and expanded, Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention, 8th edition, proves it's still the. Preface to the 7th Edition xi. Preface to the .. This seventh edition of Grossman's Cardiac Catheterization, comm/environment/radprot//cotubesina.ml 7.
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It has grown and expanded alongside the field of interventional cardiology. Now in its seventh edition, the text represents more of an evolution than a revolution. The basic organization has remained the same. Chapters have been classified into eight sections: general principles, basic techniques, hemodynamic principles, angiographic techniques, evaluation of cardiac function, special catheter techniques, interventional techniques and profiles of specific disorders.
Chapters are written by acclaimed experts and are well-referenced. In keeping with major changes in the field, this edition features extensively revised content in interventional techniques and devices. This includes material on pediatric and adult congenital heart disease, coronary atherectomy, thrombectomy, distal protection devices, stents and percutaneous valve therapies. In addition to essential content, controversial and unresolved issues are also addressed.
Examples include stand-alone interventional laboratories, training standards and minimum competency volumes. These topics are not covered in great detail, and the authors frequently refrain from taking a biased view; rather, they present the competing arguments.
Also new in this edition is a DVD-ROM that includes cases, from basic teaching materials of standard angiographic imaging views to complex congenital cases. The distribution of the MCRS of the myocardial infarction. The primary endpoint of the study coronary patients in the present study was Gaussian Fig.
Transmission also enables immediate feedback from large The success rate was not different between the study group and groups of experienced physicians and may thus even im- the matched controls: RR: 1.
Indeed, in the current 0. There were 3 cases in which the procedure was unsuc- study, 4 planned procedures were not performed after cessful all due to CTOs out of 7 CTOs attempted in the further discussions with the panel.
One example is the diagnosis of a carotid included 2 cases of VF, 1 during a primary PCI, 1 access site stenosis in the external carotid artery, and another bleeding, and 1 post-procedure shock.
There were 2 cases example is the decision to send a patient to surgery rather with type C dissections sealed successfully with stents. There were cases where the length of There were no perforations. The rate of minor complica- the stent and the type of stent or procedure were tions was not different: RR: 0.
During this period, repeat coronary angiography erators as well as to the audience. The secondary endpoints at 30 days broadcasting of live demonstrations have been raised due to were similar in both groups: RR: 0. This clinical success was not different from and the audience opens the procedural details to criticism, that found in daily practice 2. Such courses with audience discussions, timing issues due to the limited live case transmission also inform the health professionals transmission time windows, or the occasional requirement on newly available interventions.
Collectively, non—live-transmission results in the contemporary pub- these obstacles may lead to a stressful environment for the lished data. The findings by Franke et al.
Grossman’s Cardiac Catheterization, Angiography, and Intervention, 7th edn (2005).
In the present study, we report that those that were reported by Chatelain et al. However, events, such as VF or allergic reac- demonstrations. Although live case transmissions are a powerful educa- Over the past 20 years, the Transcatheter Cardiovascular tional tool, they also involve organizational and economic Therapeutics conference has broadcast live cases from challenges, and may provide secondary gain regarding sci- clinical sites, both inside and outside the United States entific and industrial influence and prestige.
Furthermore, 7. Although many of these cases were high-risk patients or there are no objective measures of the educational value of patients with complex anatomy, only 2 procedure-related observing live case demonstrations, and there is a paucity of deaths occurred during these broadcasts.
This mortality rate of data on the potential safety to patients who are treated 0. Although there are now numerous courses in which the The Ethics Committee of the American Association for transmission of live case demonstrations is part of the Thoracic Surgery and the Standards and Ethics Committee meeting, and many patients underwent procedures in live of the Society of Thoracic Surgeons 8 have highlighted transmission, there is a lack of published data on this topic.
Although these to what is shown during the transmission, and there are no 2 committees recognized that the teaching of surgical reports of the short- and long-term outcomes in these techniques by direct observation of live surgery in the patients.
Grossman & Baim’s Cardiac Catheterization Angiography and Intervention 8th edition
Thus, these 2 committees have rec- cardiac patients in the Lancet. Based on their results, education, improved quality of medical care, increased Chatelain et al.
Yet, the success and complication rates ethical concerns. The recommendations also describe mech- were similar to routine practice and are within the current anisms for standardizing the performance of live case accepted standards in the literature 2.
These pers on live demonstrations until , when Franke et al. In registry of live case demonstrations be established. Conclusions As a public health regulatory agency, the Food and Drug Administration FDA has important oversight of many Our report presents evidence that support the view that aspects of live case demonstrations.
The FDA has also patient safety is not jeopardized when an interventional published its opinion on live case presentations in interven- cardiology procedure is done as a live case demonstration. Use of investigational devices in live by the results that are presented in this report.
The enhance education. Live case demonstration may even agency issues Investigational Device Exemptions for devices provide a more controlled environment for online decisions to be used in these meetings. In order to improve follow-up during the interventions. Our findings support the notion of these patients, the FDA is now considering developing that for patients who are carefully selected and treated by an further guidance on live case presentations during Investi- experienced team, the stressful conditions that are associ- gational Device Exemption clinical trials.
In fact, the agency ated with live case transmissions do not jeopardize patient has called for more research on procedural safety outcomes safety and procedural efficiency.
Rappaport Faculty a cornerstone of many interventional cardiology meetings. It is clear that the selected group of patients were challenging cases that are 1.
J Am complex cases for the demonstration purposes. Coll Cardiol ;— Percutaneous and valvular interven- Study limitations. Being a retrospective, highly selective tions. Although different interven- 8th edition.
Philadelphia, PA: Saunders Elsevier, — MacKay CR. Ethical considerations of live Case transmissions. J Am tions, which were indiscriminately grouped, were done in Coll Cardiol Intv ;—3.
Grossman & Bairn’s Cardiac Catheterization, Angiography, and Intervention
Complications of carotid stenting that each underwent a transcatheter cardiovascular interven- during live transmissions. J Am Coll Cardiol Intv ;— Success of coronary tion under live case transmission conditions. It should be angioplasty as seen at demonstrations of procedure. Lancet ; emphasized that the cases in the live transmission group —5.
Interventional cardiology live case presentations: regulatory considerations. Catheter Cardiovasc dure complexity and were chosen after immense screening. Interv ;E —9. Finding matched controls is complex and difficult. Catheter Cardiovasc Interv the live case and control groups were sufficiently wide that ;E— The outcome analysis is unadjusted as Standards and Ethics Committee, Society of Thoracic Surgeons the low event rates limit the statistical power of such Standards and Ethics Committee.
Broadcast of surgical procedures as adjustment. Larger series of live case transmissions are a teaching instrument in cardiothoracic surgery. J Thorac Cardiovasc Surg ;—7. Finally, the present results apply only to those from 9.
Baim DS, Grossman W. Complications of cardiac catheterization.
In: our center; whether the safety and patient outcomes from Grossman W, Baim D editors. Philadelphia, PA: Lippincott.
Williams Live case demonstrations: patient safety, ethics, consent, and Safety and efficacy of drug-eluting conflicts. Lancet ; — Circulation ; —In order to reflect its work with Harvard teaching hospitals, the organization became known as the Harvard Clinical Research Institute HCRI in and became an independent, non-profit academic research organization ARO.
Rappaport Faculty a cornerstone of many interventional cardiology meetings. Chicken Soup for the Soul: Judy Garland: Jane Rzepka. During this period, repeat coronary angiography erators as well as to the audience.
Companion to the Textbook of Clinical Echocardiography. London: Springer-Verlag Limited Support Center Support Center.
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