Interventional Cardiology, 2008 (vol. 7), issue 3

Editors&

8217; foreword

Miniinvazivní přístupy v kardiochirurgii

Marek Šetina

Interv Akut Kardiol. 2008;7(3):87-88

Original articles

Our experience with catheter closure of atrial septal defect and persistent foramen ovale guided by intracardiac echocardiography

Martin Studenčan, Stanislav Juhás, Robert Novotný, et al

Interv Akut Kardiol. 2008;7(3):94-98

Aim: Catheter ASD closure is routinely guided by transoesophageal echocardiography (TEE). Oesophageal probe courses considerable dyscomfort to patients and using TEE during longer procedures could be limiting factor. There are data confirming effectiveness of intracardiac echocardiography (ICE) as imaging tool guiding the procedure, however, general experience with the technique is limited. The aim of this report is to describe our own experience with ICE and analyze its effectiveness, safety and pitfalls. Methods and results: We have performed 26 catheter closure of atrial shunts (22 ASD, 4 FOP) guided by ICE. There was appropriate visualization...

Review articles

Hypertrophic cardiomyopathy - current treatment possibilities

Miroslav Brtko, Josef Šťásek, Jan Vojáček, et al

Interv Akut Kardiol. 2008;7(3):100-105

Hypertrophic cardiomyopathy is an autosomal dominant disease with prevalence of 0.2 % characterized mostly by asymetric hypertrophy of left ventricle (> 15 mm). Initially the cavity of the left ventricle is small and the left ventricle is hypercontractile. Obstructive form is clinically more significant (dynamic subvalvular, midventricular or apical obstruction) and according to some authors has worse prognosis. As a cause of this disease more than 200 mutations on more than 10 genes were diagnosed till now. Gregor´s or Maron´s clasification is used for the description of hypertrophic cardiomyopathy. Symptomatology and prognosis...

Isolated ventricular septal defect in adults

Jaroslav Januška, Marian Branny, Martin Fiala

Interv Akut Kardiol. 2008;7(3):106-113

Ventricular septal defect (VSD) in adults is seldom newly diagnosed shunt disorder. Inborn VSD are closed in childhood surgically or in last year’s also via catheters. Acquired VSD are mainly post myocardial infarction events. Their amount decreased due to thrombolytic treatment and direct angioplasty. We analyse basics of anatomy, function, diagnostics and therapy in such patients. We describe VSD closure principles and procedure based on catheter approach.

The role of echocardiography before and after catheter ablation for atrial fibrillation

Libor Škňouřil, Martin Fiala

Interv Akut Kardiol. 2008;7(3):115-118

Catheter ablation has become a routine method in treatment of atrial fibrillation. Echocardigraphy represents an essential imaging method in cardiology, without which complex ablation procedures could not be performed safely. Obtaining information on structural condition of the heart, and ruling out the presence of an atrial thrombus are the primary aims of echocardiography prior to the ablation. During the ablation procedure, echocardiography remains the mainstay of exclusion of immediate and gradually evolving complications like bleeding into pericardium and pulmonary vein stenosis. There is an increasing role of echocardiography in assessment...

Surgical treatment of cardiac valve diseases - technical aspects

Petr Šantavý

Interv Akut Kardiol. 2008;7(3):120-123

The author describes basic principles of cardiac surgical treatment of valve diseases. General knowledge of surgical technical approach can offer cardiologists and general practitioners help in treatment of these patients.