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E-book

Title Basics of comprehensive IVUS-guided PCI / Junko Honye, editor
Published Singapore : Springer, [2023]
©2023

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Description 1 online resource (x, 143 pages)
Contents Intro -- Preface to the First Edition -- Preface to the Second Edition -- Contents -- Response of the Cath Lab Staff -- 1 Selection of an IVUS Catheter -- 2 Preparation -- 2.1 For Regular Use -- 2.2 For Cases with Large Vessel Diameters -- 2.3 For CTO Cases -- 2.4 Notes on the Overall Preparation (Video S1) -- 3 During the Procedure -- 3.1 Environment Setting -- 3.2 Understand What Information the Doctor Wants -- 3.2.1 Read IVUS Images to Prevent Complications -- 3.2.2 Find Attenuated Plaque -- 4 After the PCI -- How to Apply Artifacts during PCI? -- 1 What Is an Artifact?
1.1 Glossary of Artifact Terms -- 2 Know the NURD of High-Resolution (60 MHz) IVUS -- 3 Utilizing Hemocyte Echocardiography for PCI -- 4 Utilizing Guidewire Artifacts for PCI -- Suggested Readings -- Notes on IVUS Catheter Manipulation -- 1 High-Frequency IVUS Used for PCI -- 2 Points for Catheter Setup -- 3 Precautions to be Taken When Advancing the Catheter -- 4 When the IVUS Catheter Does Not Cross the Lesion Before PCI -- 4.1 Cause -- 4.2 How to Deal with (Problem, etc.) -- 5 When the IVUS Catheter Does Not Cross the Lesion After PCI -- 5.1 Cause -- 5.2 How to Deal with (Problem, etc.)
6 Precautions During IVUS Image Recording -- Comparison Between CAG and IVUS Findings -- 1 Vascular Dissection -- 2 Thrombus -- 3 Hematoma -- 4 Calcification -- 5 Plaque Deviation at the Stent Site -- 6 Incomplete Stent Apposition (Malapposition) -- Perivascular Landmarks and Coronary Orientation for PCI -- 1 Key Points of IVUS Observation -- 2 Coronary Anatomy and IVUS -- 2.1 Left Anterior Descending Artery (LAD) -- 2.2 Left Circumflex Artery -- 2.3 Right Coronary Artery -- 3 Perivascular Structures -- 3.1 Coronary Vein -- 3.2 Trans-Thoracic Sinus -- 3.3 Triangle of Brocq-Mouchet
3.4 Myocardial Bridge -- 4 Utilize Convenient Features Equipped on the IVUS System -- 5 To Perform IVUS-Guided PCI Effectively and Safely -- 6 Pay Attention Here -- Suggested Readings -- Understand the Dilatation Mechanism of PCI -- 1 Mechanism of Coronary Lumen Dilation -- 2 Vessel Stretch -- 3 Plaque Redistribution in the Longitudinal Direction -- 4 Mechanical Plaque Disruption -- 5 Debulking -- 6 Understanding Dilatation Mechanisms and Its Application to PCI -- References -- Can IVUS be Used as an Indicator of Ischemia? -- 1 Relationship Between MLA and FFR
2 Relationship Between IVUS and FFR -- 3 How to Improve the Ischemic Diagnostic Performance of IVUS? -- 4 Utilization of IVUS for Evaluation of Ischemia in LMCA Lesions -- 4.1 LMCA Lesions Frequently Show Reverse Mismatchs -- 4.2 Evidence for IVUS-MLA in LMCA Lesions -- 4.3 Difficulty in Functional Assessment of LMCA Lesions by FFR -- 5 A New Ischemic Index Using IVUS -- References -- How to Predict and Prevent Coronary Artery Rupture? -- 1 Perforation and Rupture -- 2 Mechanism and Relevant IVUS images of Coronary Artery Rupture -- 3 Prediction and Prevention of Coronary Artery Rupture
Summary This practical guidebook describes all aspects of the Intravascular Ultrasound (IVUS) for percutaneous coronary intervention (PCI), sharing many tips & tricks for the basic to advanced use of the technology in daily clinical practice. Chapters describe in detail how to interpret several IVUS findings to apply for PCI strategies, help readers understand the pathogenesis in different cases, as well as the mechanisms of PCI. Practical approaches to performing effective PCI will be discussed with case presentations. Chapters outline many practical topics such as reviewing the IVUS images demonstrating plaque characteristics. Also, a hot topic in stentless PCI, and a special section on the relationship between IVUS measurements and physiological assessments including fractional flow reserve (FFR). Basics of Comprehensive IVUS-Guided PCI is a book to be read by PCI operators, interventional fellows, and staff such as radiology technicians, clinical engineering technicians, and nurses in catheterization laboratories. It also attracts engineers and sales representatives working at medical companies who are curious about IVUS-guided PCI. The authors are experts of IVUS-guided PCI and they will broaden the understanding of the technology to entry level to intermediate operators. This is a translated version of the book originally published in Japanese language. This has been facilitated using machine translation (by the service DeepL.com) followed by authors revising, editing and verifying the translated manuscript
Notes Online resource; title from PDF title page (SpringerLink, viewed August 2, 2023)
Subject Intravascular ultrasonography.
Heart -- Surgery.
Ultrasonography, Interventional
Heart -- Surgery
Intravascular ultrasonography
Form Electronic book
Author Honye, Junko, editor
ISBN 9789811956584
9811956588