Eckart Fleck Knihy

Percutaneous Transluminal Coronary Angioplasty (PTCA) is the most widely used non-surgical method for treating stenotic lesions in coronary artery disease. Continuous advancements in the procedure and equipment have enabled complex multi-vessel interventions and other intravascular techniques. This volume focuses on the causes, incidence, circumstances, recognition, treatment, and outcomes of PTCA complications, including the issue of restenosis, which remains unacceptably high after initially successful procedures. Experts in PTCA convened to share their experiences and insights on complications, organizing the discussion into four key areas: recognition of complications, complications in new interventional techniques, management of complications, and restenosis following angioplasty. The initial chapter explores whether angiographic and pathological characteristics of sclerotic lesions can help identify complication-prone lesions beforehand. Additionally, a paper reviews the state of digital cardiac imaging, which aids operators in anticipating and addressing potential complications during angioplasty. Special emphasis is placed on "high-risk" PTCA, examining clinical variables to better understand patients who may face a higher likelihood of unsuccessful or complicated procedures.

Magnetic resonance imaging of the heart allows a quick and exact evaluation of global and regional pump function, regional myocardial wall motion, myocardial perfusion and coronary blood flow. Some of these parameters must also be analyzed under stress conditions to identify myocardial ischemia. By combining these functional parameters with high-resolution anatomical images, which are even sufficient to depict the coronary arteries, magnetic resonance imaging has become one of the most important noninvasive procedures to study the condition of the heart and is being increasingly used in the clinical setting. Therefore, it is important not only to optimize and evaluate the technique in specialized centers, but also for a broad variety of users to become familiar with the wide range of applications for this method. In this book, which is aimed at cardiologists, radiologists, and technical assistants, the physical fundamentals and scanning techniques are clearly described. In addition, practical guidelines for the anatomical planning of the examination and for patient care are offered. The accompanying CD-ROM contains additional figures and numerous videos.