Preface

**Section 4 Cardiogenic Shock 139**

**VI** Contents

Chapter 7 **Cardiogenic Shock 141**

Borggrefe

**Section 5 Coronary Imaging 195**

**Thrombosis 165**

Abdulwahab Hritani, Suhail Allaqaband and M. Fuad Jan

Tobias Becher, Stefan Baumann, Frederik Eder, Christian Fastner, Michael Behnes, Dirk Loßnitzer, Christina Dösch and Martin

Stefan Baumann, Philipp Kryeziu, Marlon Rutsch and Dirk Lossnitzer

Christian Fastner, Michael Behnes, Uzair Ansari, Ibrahim El-Battrawy

**Cardiac Surgeons in the Era of Heart Team Approach 257**

Chapter 8 **Cardiogenic Shock Due to Coronary Artery Stent**

Mustafa Yildiz, Dogac Oksen and Ibrahim Akin

Chapter 9 **Peripheral Ventricular Assist Devices in Interventional Cardiology: The Impella® Micro-Axial Pump 181**

Chapter 10 **Coronary Computed Tomography Angiography 197**

**Section 6 Acute Myocardial Infarction Mimicking Syndrome 215**

Chapter 11 **The Clinical Manifestations, Diagnosis and Management of**

**Section 7 Interventional Treatment for Stroke Prevention in Atrial**

Chapter 13 **Collaboration between Interventional Cardiologists and**

**Takotsubo Syndrome 217**

**Fibrillation 233**

and Martin Borggrefe

**Section 8 Heart Team Concept 255**

Takashi Murashita

Uzair Ansari and Ibrahim El-Battrawy

Chapter 12 **Interventional Left Atrial Appendage Closure: Focus on Practical Implications 235**

The practice of interventional cardiology has undergone a sea of change since its initiation in clinical routine by Andreas Gruentzig in the 1970s. The continuing stream of innovation ad‐ dressing the treatment of occlusive coronary artery disease, which began with the use of bare-metal stents 30 years ago, was followed by the era of the drug-eluting stents 10 years later. The recent advent of bioresorbable scaffolds, improved coronary imaging modalities with IVUS and OCT, as well as optimized supportive treatment has established interven‐ tional therapies as standard procedures for management of coronary artery disease. Addi‐ tionally, several interventional therapeutic strategies have become increasingly relevant in the treatment of structural heart disease. The complexity of all these modern interventions, enabled by the availability of vastly improved noninvasive and invasive methods, demands optimal planning and a detailed discussion in an interdisciplinary heart team.

The chapters in this textbook outline and describe the essential branches of interventional cardiology. It offers an insight into the differential plans of treatment for patients suffering from an acute coronary syndrome, detailing the increased role of the cath lab as well as highlighting the role of an established 24-hour on-call treatment protocol and a dedicated myocardial infarction support network. These components are necessary prerequisites for the design of an optimal cardiac management structure. The concomitant development of modern antithrombotic therapies and stents has also contributed to the improved long-term outcomes that we witness today. Additionally, the treatment of acute cardiac disease has been supported by the use of mechanical circulatory support systems and is especially rele‐ vant in high-risk procedures and cardiogenic shock. There is also mention in this book of technical advancements in treatments for chronic total coronary occlusions, which offer pa‐ tients effective alternative therapies in comparison to the conservative options routinely adopted earlier. The high success rates at the hands of trained interventionalists have led to the widespread practice of these reperfusion procedures. While discussing interventions in structural heart disease, special emphasis has been laid on mitral valve repair, thus extrapo‐ lating the treatment options for heart failure. Finally, a chapter has also been dedicated to recent data emphasizing the significance of interventional thromboembolic prophylaxis and the importance of a conceptual heart team in the management of a patient.

This book attempts to offer a unique perspective to the practice of interventional cardiology, and we hope that the information outlined in these chapters would be extremely useful in the daily clinical scenario.

#### **Professor Ibrahim Akin**

Chief of Interventional Cardiology and Cardiovascular Research Deputy Chief of Internal Medicine Medical Faculty Mannheim University of Heidelberg, Germany
