Interventional Techniques in Cardiovascular Medicine

333 Pages·1991·9.726 MB·English

by  H. Roskamm (auth.), V. Hombach, M. Kochs, A. J. Camm (eds.)

INTERVENTIONAL TECHNIQUES IN
CARDIOVA SCULAR MEDICINE
Developments in
Cardiovascular Medicine
VOLUME 119
The titles published in this series are listed al the end ofthis volume.
Interventional Techniques in
Cardiovascular Medicine
edited by
V. Hombach
Department of CardiologylAngiologyl Pneumonology, UnivtrsUy Hospilal
of Ulm, Ulm. F.R.G.
M. Kochs
Departmenl of CardioIogylAngiologylPneumonology, Umversity Hospital
of Ulm, Ulm, F.R.G.
and
A.J. Camm
Departmenl of Cardiology, SI. George's Hospital, London, U.K.
Springer Science+Business Media, B.V.
lJbrary of Coogress Cataloging.in-Publicalion Data
Interventional techniques in cardiovascular medicine / edited by
V. Hombach, M. Kochs, and A. J. Camm.
p. Ctn. - (Developments in cardiovascular medicine: v. 119)
Based on a symposium held al the University of Ulm in 1989.
ISBN 978-94-010-5691-5 ISBN 978-94-011-3802-4 (eBook)
DOI 10.1007/978-94-011-3802-4
1. Transluminal angioplasty - Congresses. 2. Tachycardia - Treatment - Congresses.
3. Coronory heart disease - Trealment - Congresses. 1. Hombach, V. (Vinzenz)
II. Kochs, M. III. Camm, A. JOM IV. Series.
[DNLM: 1. Angioplasty, Transluminal, Percutaneous Coronary - CoDgresses.
2. Coronary Arteriosclerosis -Iherapy - congre:sses. 3. Electrocoagulation - congresses.
4. Tachycardias - therapy - congresses. WI DE997VME v. 119/ WG 166 1618 1989)
RDS98's.I63 1991
617.4' IOS9-dc20
DNLMlDLC
for Library of Congress 90-5216
CIP
ISBN 978-94-010-5691-5
P,in!td QII acid-fru papt,
AII rights reserved
@1991 Springer Science+ Business Media Dordrecht
Originali)' published by K1uwer Academic Publishers in 1991
Softcover reprint of the hardcol'er 1s t edition 1991
No part of the material protected by lrus copyright Dotice may be reproduced or utilized in any
form or by any meaDS, electronic or mechanical, including pholocopying, recording or by any
information starage and retrieva! system, without written permission from the copyright owner.
Contents
Preface ix
List of contributors xi
PART ONE: Coronaryangioplasty
1. Medical interventions for regression of coronary atherosclerosis
H. Roskamm 3
2. Digital coronary angiography
T. Eggeling, M.Kochs, M. Hoher, W. Haerer and V. Hombach 9
3. Balloon angioplasty for stable and unstable angina
f. Meyer, H.-f. Rupprecht, R. Brennecke, M. Kottmeyer,
G. Bernhard, R. Erbel and T. Pop 25
4. Radiofrequency coronary angioplasty
V. Hombach, M. H6her, M. Kochs, T. Eggeling, W. Haerer,
S. Wieshammer, A. Schmidt, H. W. Hopp and H. H. Hilger 37
5. Laser angioplasty - technical aspects
R. Steiner, R. Hibst, T. Kolbe, X. M. Liu, W. Pries, T. Zop!
and S. Cyba-Altunbay 47
6. Excimer laser coronary angioplasty: preliminary
clinical experience
M. Kochs, W. Haerer, T. Eggeling, A. Schmidt, M. Hoher,
S. Wieshammer and V. Hombach 55
7. Result of a pilot study on percutaneous coronary excimer
laser ablation in patients with coronary artery disease
K. R. Karsch, K. K. Haase, M. Mauser, W. Voelker and
L~~ ~
8. Excimer-Iaser coronary angioplasty: clinical experience with
high-grade stenosis and recanalization of chronic occlusions
G. S. Werner, A. Buchwald, C. Unterberg, E. Voth, H. Kreuzer
and V. Wiegand 73
VI Contents
9. High speed arteriosclerotic lesion ablation for treatment of
coronary artery disease
R. Erbel, M. Haude, U. Dietz, P. Stiihr, H. J. Rupprecht,
R. Zotz and J. Meyer 81
10. A new balloon-expandable coronary tantalum stent in
atherosclerotic minipigs: angiographic and histologic findings 4
weeks after implantation
A. Buchwald, C. Unterberg, H. Till, K. Nebendahl, P. Grone
and V. Wiegand 95
11. Autoperfusion catheter for preservation of myocardium during
coronary artery obstruction after failed PTCA
R. Korb, A. Hoeft, U. Tebbe, A. Borowski and E. R. de Vivie 101
PART TWO: Peripheral vessel angioplasty
12. Balloon angioplasty
E. -/. Richter and E. Zeitler 109
13. Symptomatic occlusion of the subclavian artery: treatment by
balloon angioplasty
C. Duber, K. -J. Klose, R. Kopp and W. Schmiedt 115
14. Rotational atherectomy: current use in vascular disease with
specific focus on the Simpson device
B. Hofting and A. von Polnitz 121
15. Increased growth rates of percutaneously and surgically
extracted plaque cells from human restenosing tissue in vitro
R. Voisard, P. C. Dartsch, G. Bauriedel, L. Lauterjung,
B. Hofting and E. Betz 133
16. Effect of propranolol on growth of cultured human smooth
muscle cells derived from non-atherosclerotic and
atherosclerotic vascular tissue
D. Roth, P. C. Dartsch and E. Betz 139
17. Excimer laser angioplasty: efficiency and damage
R. Hibst, T. Kolbe, S. Weinbrenner and V. Hombach 145
18. Current problems of excimer laser angioplasty
S. Wieshammer, M. Vogelpohl, M. Kochs, W. Haerer,
M. Hoher, T. Eggeling, A. Schmidt, H. -R. Osterhues,
P. Weismuller and V. Hombach 151
19. Laser angioplasty
B. E. Strauer, M. P. Heintzen and T. Neubaur 161
20. Preliminary experience with the implantation of Strecker-stents
in peripheral arteries
R. -R. Osterhues, M. Vogelpohl, C. Felder, M. Kochs and
V. Hombach 169
21. Angioplasty of peripheral vessels: surgical aspects
J. F. Vollmar and S. Cyba-Altunbay 181
Contents vii
PART THREE: Balloon valvuloplasty
22. Balloon pulmonary valvoplasty
M. Tynan, S. Arab, S. Qureshi, E. Baker, R. dos Anjos,
J. Parsons and A. Hayes 187
23. Mitral valvuloplasty
U. U. Babic 195
24. Balloon aortic valvuloplasty
A. Cribier and R. Koning 203
25. Surgical aspects of balloon valvuloplasty (BVP)
H. Dalichau, K. L. Neuhaus and U. Tebbe 205
PART FOUR: Catheter ablation of tachycardias
26. DC-ablation of the atrioventricular conduction system in
patients with supraventricular tachyarrhythmias
G. Steinbeck 215
27. Localization and catheter ablation of accessory atrioventricular
pathways
Y. Bashir and A. J. Camm 221
28. Radiofrequency ablation of supraventricular and
atrioventricular tachyarrhythmias
M. Borggrefe, G. Hindricks, W. Haverkamp,
A. Martinez-Rubio, U. Karbenn, Th. Budde and G. Breithardt 233
29. The role of the surgeon in the management of supraventricular
arrhythmias
C. J. Murdock, G. M. Guiraudon, G. J. Klein, R. W. Yee and
A. D. Sharma 245
30. Catheter mapping of ventricular tachycardia
K. -H. Kuck, M. SchLUter, K. -Po Kunze and M. Geiger 249
31. Catheter ablation of ventricular tachycardia by direct current
H. Klein, H. J. Trappe, J. Troster and A. Auricchio 263
32. Catheter ablation of ventricular tachycardia using
radiofrequency current
G. Breithardt, G. Hindricks, W. Haverkamp, M. Borggrefe,
A. Martinez-Rubio and Th. Budde 279
33. Catheter ablation for arrhythmias using lasers
A. W. Nathan 299
34. Chemical ablation in the pig heart by subendocardial injection
of ethanol via catheter
P. WeismiUler, U. Mayer, P. Richter, F. Heieck, M. Kochs,
M. Hoher, B. Kuhnt and V. Hombach 303
35. Long-term results of antitachycardia electrotherapy in
ventricular tachyarrhythmia
M. Manz and B. Laderitz 307
viii Contents
36. Implantable cardioverter-defibrillators: patient selection,
devices and results
A. J. Camm, M. A. de Belder and G. A. Haywood 311
37. Surgical ablation of ventricular tachycardias
A. Hannekum 319
Preface
Since the introduction of balloon angioplasty for the relief of coronary
artery stenoses and of anginal symptoms in patients with coronary artery
disease by Andreas Griintzig in 1977, the field of interventional technology
and treatment strategies has grown enormously. For the reduction of
hemodynamically significant coronary artery stenoses balloon angioplasty is
the standard and reference method with a high primary success and low
complication rate. Because of the relatively high recurrence rates of 30-40%
of balloon angioplasty a whole family of different angioplasty techniques has
been developed since then. Among those are atherectomy devices, laser
angioplasty, radiofrequency angioplasty, high and low speed rotational
angioplasty and stenting of stenosed vessels. Balloon angioplasty has been
extended to aortic and mitral valve stenoses, and supraventricular and
ventricular tachycardias can now be treated by catherter ablation techniques.
In 1989 an International Symposium on standard and newer inter
ventional techniques has been held at the University of Ulm. This volume
contains the essential parts and presentations of the international faculty of
experts in the field. In four chapters the principles, advantages, pitfalls and
future developments of coronary angiopiasty, angioplasty of peripheral
arteries, balloon valvuloplasty and of catheter ablation of supraventricular
and ventricular tachycardias are described in detail. We hope that this
'State-of-the-Art' representation will be of great value for both the non
expert reader and the active researcher in the fields addressed within the
book.
V. Hombach, M. Kochs and A. J. Camm
ix
List of contributors
U.U. BABIC
Cardiovascular Center, Dragisa Misovic, Stejpana Radica 1, YU-ll000
Beograd, Yugoslavia
Chapter 23
Y. BASHIR
Department of Cardiological Sciences, St. George's Hospital, Medical
School, Cranmer Terrace, London SW17 ORE, U.K.
Chapter 27 co-author: A. J. CAMM
M. BORGGREFE
Clinic of Internal Medicine C, Wilhelms University Munster, Albert
Schweitzer-Str. 33, D-4400 Munster, F.R.G.
Chapter 28 co-authors: G. HINDRICKS, W. HAVERKAMP, A.
MARTINEZ-RUBIO, U. KARBENN, TH. BUDDE and G.
BREITHARDT
G. BREITHARDT
Clinic of Internal Medicine C, Wilhelms University Munster, Albert
Schweitzer-Str. 33, D-4400 Munster, F.R.G.
Chapter 32 co-authors: G. HIND RICKS , W. HAVERKAMP, M.
BORGGREFE, A. MARTINEZ-RUBIO and TH. BUDDE
A. BUCHWALD
Department of Cardiology, University Clinic, Robert-Koch-Str. 40, D-3400
Gottingen, F.R.G.
Chapter 10 co-authors: C. UNTERBERG, H. TILL, K. NEBENDAHL, P.
GRONE and V. WIEGAND
A.J. CAMM
Department of Cardiovascular Sciences, St. George's Hospital, Cranmer
Terrace, London SW17 ORE, U.K.
Chapter 36 co-authors: M. A. DE BELDER and G. A. HAYWOOD
xi