RT Book, Section
A1 Tobis, Jonathan Marvin
A1 Abudayyeh, Islam
A2 Samady, Habib
A2 Fearon, William F.
A2 Yeung, Alan C.
A2 King III, Spencer B.
SR Print(0)
ID 1146594637
T1 Cardiac Anatomy for the Interventionalist
T2 Interventional Cardiology, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071820363
LK accesscardiology.mhmedical.com/content.aspx?aid=1146594637
RD 2024/10/10
AB This  chapter  on  cardiac  anatomy  takes  a  practical  approach  for  operators  who  are  going  to  perform  various  procedures  associated  with  structural  heart  disease.  Rather  than  assume  the  traditional  approach  of  describing  the  gross  anatomy  of  the  heart  in  isolation  from  the  procedures  performed,  this  chapter  will  attempt  to  provide  useful  information  (Tips  and  Tricks)  of  how  the  anatomy,  as  seen  by  the  percutaneous  operator,  affects  the  procedure  results.  Therefore,  the  emphasis  is  not  only  on  gross  anatomy,  but  also  the  anatomy  that  the  interventionalist  perceives  using  different  imaging  modalities.  Whereas  a  surgeon  can  see  and  touch  the  anatomic  structures,  a  cardiac  interventionalist  has  to  rely  on  indirect  methods  of  visualization,  which  include  fluoroscopy,  echocardiography,  and  intracardiac  ultrasound.  Magnetic  resonance  or  computed  tomography  images  can  be  useful  for  orientation  and  diagnosis  before  the  procedure  (and,  more  recently,  can  be  used  as  an  overlay  on  the  fluoroscopy  monitor  in  the  catheterization  lab).  However,  the  focus  of  this  chapter  is  what  the  interventionalist  has  at  his  or  her  disposal  at  the  time  of  the  procedure  to  understand  the  anatomy.  Accurate  use  of  available  imaging  modalities  in  the  catheterization  laboratory  and  appreciation  of  relative  orientations  are  important  for  optimal  device  sizing  and  placement.