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Cardiac Imaging in Structural Heart Disease Interventions
ATextbook fortheHeart Team
AnitaM.Kelsey SreekVemulapalli AnitaSadeghpour
Editors
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Cardiac Imaging in Structural Heart Disease Interventions
Anita M. Kelsey Sreek Vemulapalli • Anita Sadeghpour
Editors
Cardiac Imaging in Structural Heart Disease Interventions
A Textbook fortheHeart Team
Editors
Anita M. Kelsey Division of Cardiology Duke University Medical Center Durham, NC, USA
Anita Sadeghpour MedStar Health Research Institute and Georgetown University Washington, DC, DC, USA
Sreek Vemulapalli Duke University Hospital Durham, NC, USA
ISBN 978-3-031-50739-7 ISBN 978-3-031-50740-3 (eBook)
https://doi.org/10.1007/978-3-031-50740-3
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland If disposing of this product, please recycle the paper.
Your bonus with the purchase of this book
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With the purchase of this book, you can use our “SN Flashcards” app to access questions free of charge in
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3. Use the link provided in one of the first chapters to access your SN Flashcards set.
Your personal SN Flashcards link is provided in one of the first chapters.
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To my daughter, Michelle, the new cardiologist, for inspiration,
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to my Pete, for love, to my parents and role models, Margaret and Walter, and to George, where it all began. Anita McIlveen Kelsey
To my daughter, Ariana, the light of my life and my parents for their love and support. Anita Sadeghpour
To my daughters, Isabel and Stella, who are my sunshine and hope, my wife Lynn, with whom I have been blessed to walk through life, and my parents, whom I admire more and more with every day I get older. Sreek Vemulapalli
Foreword
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In my many years in cardiovascular medicine, I have seen how critically important education and team care are to realizing the promise of our rapidly advancing technologies and practices, and how hard it can be to deliver needed content in meaningful and accessible ways to the right audiences. Multidisciplinary topics or aspects of medicine requiring team care are a par­ticularly challenging area as expertise is often siloed, yet team members need to be familiar with their colleagues’ expertise to provide the most effective and collaborative care. Structural heart interventions are a perfect example of this: structural heart experts, proceduralists, imagers, intensivists are collec­tively essential to optimal patient care. I recognized this at the beginning of the structural heart intervention boom in the mid-2000s, as the imaging lead investigator in the rst randomized trials leading to the initial approvals of two of the most important structural heart device advances: transcatheter heart valves, in the aptly named PARTNER trials using balloon inatable valves, and the PROTECT and PREVAIL left atrial appendage occlusion tri­als. In both sets of landmark trials, the imaging teams provided important and powerful input into patient selection, procedural conduct, and long-term suc­cess. In turn, the trials provided an indispensable learning environment for imagers (as well as implanters) as we adapted old techniques and learned new ones to better support the heart team and our patients. Some of these insights are still state of the art; for others, these early innovations were foundational as imaging capabilities and skills have advanced to keep pace with rapidly evolving technologies and techniques.
Since then, the need for cross-specialty education in structural heart dis­ease has only grown with the tremendous growth and diversity of procedures and capabilities. In writing Cardiac Imaging in Structural Heart Disease Interventions: A Textbook for the Heart Team, long-term esteemed colleagues Drs Kelsey, Vemulapalli, and Sadeghpour have identied a critical gap in educational materials targeting those who may not otherwise be exposed to imaging content but whose daily work would benet immensely from more in-depth knowledge. By mixing together case studies, highlighting key points, providing summary tables and carefully targeted gures, and ending with board type questions, the authors have made the content highly acces­sible to those with different learning styles or needs.
This book is set apart and elevated by the decades of experience as imag­ers and educators of each of the editors and authors. Suitable for trainees and non-imaging experts as well as imagers, this is a book to read through to learn
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about the state of the art, turning often to the marvelous images and gures in the text and online. In this sense, it is a book about the past and the present. However, it is also a book about the future. It is a reference text to keep handy for years to access a table or gure to shed light on a specic issue, or to ip through to answer a specic question. Most importantly, it is a foundation and inspiration to ongoing advances in imaging and in structural heart disease.
Duke Clinical Research Institute
PamelaS.Douglas Durham, NC, USA Duke University School of Medicine Durham, NC, USA
Foreword
Preface
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Structural heart interventions require a team of medical professionals, excel­lent communication, and detailed cardiac imaging for successful, safe perfor­mance of these complex procedures. To facilitate effective communication and successful procedures, a clear understanding of the value of cardiac imaging is required by all members of the multidisciplinary team including cardiothoracic and vascular surgeons, interventional and noninvasive cardi­ologists, cardiac anesthesiologist, research and clinical nurses, sonographers, cardiovascular/OR technicians, and cardiology/cardiac surgery/cardiac anes­thesia fellows. While each brings valuable skills to the team, a shared under­standing of the importance and role of imaging is critical to the optimal teamwork and communication necessary for the success of these interventions.
While many great textbooks have addressed different aspects of structural heart disease interventions, few focus on the integration of cardiac imaging; and if cardiac imaging is the focus, the text is directed towards cardiac imag­ers. We have written this textbook with several features leveraging the tenets of adult learning to provide digestible information accessible to all heart team members:
• Clearly stated learning objectives for each chapter
• Case-based format with emphasis on images and multi-media
• Special emphasis on cardiac imaging within the preprocedural, intraproce-
dural, and postprocedural heart team discussions
• Comparisons of the additive value of multi-modality cardiovascular
imaging
• Imaging pearls for non-imagers
• Key points about the value of each imaging modality and complexities at
each stage of the interventional procedure.
• Board-style questions with explanations
We are deeply indebted to the many authors who have contributed their expertise and invaluable perspective in the chapters of this textbook. They have given you, the structural heart team members, a wealth of cardiac imag­ing insights acquired over many years of experience in the growing eld of structural heart interventions.
We hope that you will nd this textbook a valuable resource for your struc­tural heart team, offering insights and clinical pearls that will prove
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instrumental in your team’s success in providing these procedures for your cardiac patients.
Durham, NC, USA AnitaM.Kelsey Durham, NC, USA SreekVemulapalli Washington, DC, USA AnitaSadeghpour
Preface