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Introduction Current heart failure monitoring limitations Implantable remote hemodynamic monitoring Practice guidelines Conclusions References
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PART IV: Vascular Disease for the Interventionalist
SECTION I: Cerebrovascular Disease
CHAPTER 71: Acute Stroke Intervention
Acute stroke therapy: Background and evidence
Clinical exam
Imaging
Laboratory tests
Cerebral angiography
Intervention (Example of an acute middle cerebral artery occlusion intervention illustrated in Videos 71.1–10 and Figure 71.1–7).
What is a successful angiographic result?
The challenge of tandem occlusions
Distal cerebral vessel occlusions
Posterior circulation and basilar artery occlusions
Variations in thrombectomy techniques
Performance of the procedure with or without general anesthesia
Complications
Interventional cardiologists treating acute ischemic strokes with mechanical thrombectomy
Conclusions
References
CHAPTER 72: Carotid Artery Angioplasty and Stenting
Introduction
Evolution of carotid angioplasty and stenting
Overview of clinical trials regarding carotid angioplasty and stenting
Current practice guidelines/patient selection
Anatomic considerations
Overview of technique
Transcarotid Artery Revascularization (TCAR)
Comparison of different methods of embolic protection
Complications after CAS
Stent design
Emerging literature
References
CHAPTER 73: Cerebral Aneurysms
Introduction
Diagnosis
Indications for endovascular treatment
Historical background
General considerations
Tools
Ruptured aneurysms
References
SECTION II: Aorta and Branch Diseases
CHAPTER 74: Management of Acute Aortic Syndromes
Aortic dissection
Epidemiology
Presentation and diagnosis
Classification
Penetrating aortic ulcer
Intramural hematoma
Aortic transection
References
CHAPTER 75: Thoracic Endovascular Aortic Repair
Introduction
Etiology
Indications for repair
TEVAR devices
Operative planning
Operative details
Evidence to support TEVAR
Future direction
Conclusions
References
CHAPTER 76: Endovascular Aortic Aneurysm Repair
Background/history
Measurements
Etiology
Indications
Ruptured AAA
Diagnostic imaging
Anatomic requirements
Endoleak
Evidence
Conclusions
References
CHAPTER 77: Fenestrated and Branched Endografts
Introduction
Evidence to support use
Imaging and preoperative planning