Overview
Interventional cardiology encompasses coronary angiography, percutaneous coronary intervention, invasive hemodynamics, mechanical circulatory support, and catheter-based treatment of structural and vascular disease.
This section focuses on procedural planning, technical execution, complication management, and the evidence supporting contemporary interventional practice.
Coronary Intervention¶
Planned topics include:
- Vascular access
- Guide catheter selection
- Coronary wires and microcatheters
- Balloon and stent selection
- Lesion preparation
- Provisional bifurcation stenting
- Left-main PCI
- Ostial lesions
- Calcified coronary disease
- Chronic total occlusion
- In-stent restenosis
- Stent thrombosis
Intracoronary Imaging¶
Planned topics include:
- Intravascular ultrasound
- Optical coherence tomography
- Stent optimization
- Imaging of calcified lesions
- Imaging-guided left-main PCI
Coronary Physiology¶
Planned topics include:
- Fractional flow reserve
- Instantaneous wave-free ratio
- Coronary flow reserve
- Microvascular resistance
- Physiologic pullback assessment
Acute Coronary Syndromes¶
Planned topics include:
- Primary PCI
- Cardiogenic shock
- Mechanical complications
- No-reflow and slow-flow
- Coronary embolism
- Spontaneous coronary artery dissection
Procedural Complications¶
Planned topics include:
- Coronary dissection
- Coronary perforation
- Side-branch occlusion
- Air embolism
- Equipment loss or entrapment
- Vascular complications
- Contrast-associated acute kidney injury
- Radiation injury
Mechanical Circulatory Support¶
Planned topics include:
- Intra-aortic balloon pump
- Percutaneous ventricular assist devices
- VA-ECMO
- Hemodynamic assessment and device selection
Structural and Peripheral Intervention¶
Structural and peripheral procedures will be organized into dedicated subsections as this reference expands.