Complications of Interventional Cardiovascular Procedures: A Case-Based Atlas
The adage that one learns the most from one’s complications is certainly true for most procedurally oriented physicians including interventional cardiologists. In addition, although the avoidance of complications is certainly paramount, the ability to extricate oneself from a complication may determine the success or failure of a procedure and ultimately save a patient’s life. Therefore, the recognition of a complication and implementation of appropriate corrective actions are skills that are emphasized at every level of cardiovascular training programs. It is in this context that Complications of Interventional Cardiovascular Procedures: A Case-Based Atlas by Drs Moussa, Bailey, and Colombo proves to be a valuable text for interventional cardiologists who are in the early stages of their training or even for seasoned interventionalists who might propose alternative bailout strategies. The value of this text is even more pronounced, because advances in technology improve the safety of interventional cardiovascular procedures in an era when an increasing number of these procedures are performed in settings without onsite cardiac surgery backup. Few interventional fellows during the time course of their training will experience the spectrum of complications discussed in this text, but it is essential that they know how to deal with them nonetheless.
The text is organized into chapters discussing the complications of percutaneous coronary interventions, valvular and structural heart disease interventions, and peripheral vascular interventions. Each chapter includes several clinical presentations illustrating the specific complication and includes both figures within the text and a DVD continuing all the imaging sequences for each case. My criticisms of the book are relatively few. Several of the carotid artery stent procedures have questionable clinical indications and are performed in asymptomatic patients with what is described as critical carotid artery stenosis but appears to be <50% stenosis. Also, some assertions, such as catheter-based intervention should be attempted to recanalize occlusions caused by suture-based closure devices and routine radial artery angiography should be performed before the advancement of catheters, are somewhat controversial. The editing of the book could also have been improved because several angiographic loops are mislabeled or even missing from the DVD. There are also numerous spelling errors in the text and discrepancies between the figure legends and the accompanying text. Despite these relatively minor deficiencies, the book is exceedingly useful for a review of the spectrum of complications that can occur during interventional cardiac and vascular procedures.
Jon R. Resar, MD
Adult Cardiac Catheterization Laboratory
Johns Hopkins Hospital
- © 2013 American Heart Association, Inc.