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Physical Principles and Equipment: IVUS
Pages 3-7
This book is intended as a guide for all cardiologists who are interested in coronary imaging and physiology, a sound understanding of which is vital for the optimal performance of appropriate coronary interventions. The basics of each relevant modality are presented, with clear explanation of clinical utility and evaluation of the evidence regarding clinical outcomes. All technical methods are described in detail, and the text is complemented by numerous helpful tables and illustrations.
The effectiveness of intravascular coronary imaging in improving clinical outcomes is proven, and it is widely used for this purpose. Two modalities for intravascular coronary imaging are available in clinical practice: intravascular ultrasound (IVUS) and optical coherence tomography (OCT). For coronary physiology, the pressure wire-derived fractional flow reserve (FFR) provides information on the functional status of coronary trees. This technique and its clinical applications receive particular attention in the book, which also looks beyond FFR to FFR-CT, a method using computational fluid dynamics, and to invasive assessment of the microcirculation.
Physical Principles and Equipment: IVUS
Pages 3-7
IVUS Artifacts and Image Control
Pages 9-17
Quantitative Measurements of Native Lesion
Pages 19-25
Qualitative Assessment of Native Lesion
Pages 27-35
Clinical Evidence of Intravascular Ultrasound-Guided Percutaneous Coronary Intervention
Pages 37-47
Pre-Percutaneous Coronary Intervention Lesion Assessment
Pages 49-61
IVUS: Post-Evaluation After Stenting
Pages 63-73
Long-Term Complications and Bioresorbable Vascular Scaffolds Evaluation
Pages 75-84
Near-Infrared Spectroscopy
Pages 85-94
Physical Principles and Equipment of Intravascular Optical Coherence Tomography
Pages 97-106
Image Acquisition Techniques
Pages 107-114
Interpretation of Optical Coherence Tomography: Quantitative Measurement
Pages 115-124
Qualitative Assessments of Optical Coherence Tomography
Pages 125-131
Clinical Evidence of Optical Coherence Tomography-Guided Percutaneous Coronary Intervention
Pages 133-142
Pre-interventional Lesion Assessment
Pages 143-153
Immediate Post-Stent Evaluation with Optical Coherence Tomography
Pages 155-163
Late Stent Evaluation (Neoatherosclerosis)
Pages 165-175
Bioresorbable Vascular Scaffold Evaluation by Optical Coherence Tomography
Pages 177-187
Novel Application of OCT in Clinical Practice
Pages 189-200
Concept of Invasive Coronary Physiology: Focus on FFR
Pages 203-212
Setup for Fractional Flow Reserve and Hyperemia
Pages 213-221
Validation of Fractional Flow Reserve
Pages 223-231
Practical Learning in Coronary Pressure Measurement
Pages 233-239
Other Physiologic Indices for Epicardial Stenosis
Pages 241-247
Comparison Between Anatomic and Physiologic Indices
Pages 249-257
Fractional Flow Reserve in Intermediate or Ambiguous Lesion
Pages 259-268
FFR in Complex Lesions
Pages 269-277
FFR in Acute Coronary Syndrome and Noncoronary Disease
Pages 279-291
Fractional Flow Reserve in Specific Lesion Subsets
Pages 293-301
Invasive Assessment for Microcirculation
Pages 303-310
Non-invasive Assessment of Myocardial Ischemia
Pages 311-326
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