'Interventional cardiology' is a branch of the
medical specialty of
cardiology that deals specifically with the catheter based treatment of structural
heart diseases.
A large number of procedures can be performed on the
heart by
catheterization. This most commonly involves the insertion of a sheath into the
femoral artery (but, in practice, any large peripheral artery or vein) and cannulating the heart under
X-ray visualization (most commonly
fluoroscopy, a real-time x-ray).
Procedures performed by specialists in interventional cardiology:
★
Angioplasty (PTCA, Percutaneous Transluminal Coronary Angioplasty) - for
coronary atherosclerosis
★ Valvuloplasty - dilation of narrowed cardiac valves (usually mitral, aortic or pulmonary)
★ Procedures for congenital heart disease - insertion of occluders for ventricular or atrial septal defects, occlusion of patent ductus arteriosus, angioplasty of great vessels
★ Emergency angioplasty and stenting of occluded coronary vessels in the setting of acute myocardial infarction
Invasive procedures of the heart to treat arrhythmias are performed by specialists in
clinical cardiac electrophysiology
Surgery of the heart is done by the specialty of
cardiothoracic surgery. Some interventional cardiology procedures are only performed when there is cardiothoracic surgery expertise in the hospital, in case of complications.
See also
★
Interventional radiology
★
Catheter
★
Cannula
★
Stent
★
Restenosis
External links
★
Angioplasty.Org
★
EuroPCROnline.com
★
tctmd.com