Download or read book Non invasive Imaging of Atherosclerotic Plaque Prior to Percutaneous Interventional Procedures written by Gary Y. H. Liew and published by . This book was released on 2013 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: Atherosclerosis is a disease which has impacted our health like no other in the last half century. The detection of this disease range from biomarkers, stress-testing to invasive imaging by way of angiography or other intravascular methods. In recent years, technological developments in multi-detector computed tomography (MDCT) and magnetic resonance imaging (MRI) has allowed us to visualize atherosclerotic plaque noninvasively. This has great appeal as they carry very little risk in comparison to invasive angiography and provide information of plaque composition in addition to stenosis severity. The identification of plaques which are high-risk or 'vulnerable' to subsequent complications such as myocardial infarction or stroke would be highly valuable in our approach to incremental risk assessment and perhaps future treatment. Certain procedures in interventional cardiology such as saphenous vein graft (SVG) intervention and carotid stenting carry increased risk of embolic complications compared to coronary stenting. Non-invasive imaging could potentially identify certain plaque features which may be associated with an increased risk of embolization before embarking on such procedures. This thesis examines the utility of MDCT and MRI in atherosclerotic plaque imaging prior to SVG interventions and carotid stenting. Our initial chapter investigates the angiographic parameters associated with embolization during SVG intervention. We correlate the amount of debris captured by distal protection devices during intervention with angiographic markers and subsequently, with impaired blood flow by way of Thrombolysis In Myocardial Infarction (TIMI) frame count. Our next step involved the accuracy and reproducibility of MDCT and MRI in plaque quantification in comparison to our reference standard of intravascular ultrasound. We measured the luminal, vessel wall and plaque areas, and then calculated the resultant plaque volume of SVG lesions for all three modalities. Having gained an understanding of the accuracy of MDCT and MRI, we investigated the relationships of MDCT plaque volume and density with embolic debris captured by distal protection device during SVG intervention. We then undertook histological assessment of the debris utilizing semi-automated image analysis software. We quantified the various plaque components including red blood cells, thrombus, lipid, cholesterol clefts and fibrous tissue. Finally, we explored the relationship between the histological findings with plaque volume, density and amount of embolization which occurred. Our last original chapter investigates the utility of multi-weighted MRI to assess carotid plaque prior to stenting. We measured plaque volumes and characterized plaques as calcific, fibrotic or lipidic according to MRI findings. This information is then correlated to the amount of embolic debris captured by the distal protection device used during stenting. In comparison to invasive imaging modalities like intravascular ultrasound, research into plaque characterization by MDCT and MRI is just beginning. Almost all of the current studies have been on coronary artery plaques. This thesis breaks new ground by studying SVG plaques and demonstrating links between plaque volume, composition and embolization during intervention. It builds on our knowledge of these non-invasive modalities and help us define their future roles.
Download or read book Primary Angioplasty written by Timothy J Watson and published by Springer. This book was released on 2018-07-13 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This quick-reference handbook offers a concise and practical review of key aspects of the treatment of ST-segment elevation myocardial infarction (STEMI) in the era of primary percutaneous coronary intervention (PPCI). In the context of STEMI, PPCI is the preferred mode of emergency revascularization. Access to PPCI is rapidly increasing and is now routinely practiced in both general and specialist hospitals and there has been a recent emphasis on developing STEMI networks to enhance and expedite the referral pathway. This coupled with concurrent developments to enhance the safety and efficacy of the PPCI procedure has heralded an era where STEMI interventions are increasingly considered an important subspecialty within interventional cardiology. Written by leading cardiologists who have been instrumental in the adoption of PPCI in their respective institutions, the book provides junior and senior cardiologists alike with insightful and thought-provoking tips and tricks to enhance the success of PPCI procedures, which may in turn translate into direct improvements in outcomes. The book is also relevant for healthcare providers and emergency department physicians.
Download or read book The Vulnerable Plaque Second Edition written by Ron Waksman and published by CRC Press. This book was released on 2007-06-13 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the First Edition, advances in the diagnosis and prevention and treatment strategies of the vulnerable plaque have necessitated this greatly expanded second edition. With several new chapters covering mainly diagnostic and treatment options, The Handbook of the Vulnerable Plaque will remain the benchmark text for all interventional cardiologists treating vulnerable patients by providing the physician with comprehensive insight into the world of the vulnerable plaque.
Download or read book Diseases of the Chest Breast Heart and Vessels 2019 2022 written by Juerg Hodler and published by Springer. This book was released on 2019-02-19 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology.
Download or read book Functional Imaging and Modelling of the Heart written by Mihaela Pop and published by Springer. This book was released on 2017-05-22 with total page 524 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the refereed proceedings of the 9th International Conference on Functional Imaging and Modeling of the Heart, held in Toronto, ON, Canada, in June 2017. The 48 revised full papers were carefully reviewed and selected from 63 submissions. The focus of the papers is on following topics: novel imaging and analysis methods for myocardial tissue characterization and remodeling; advanced cardiac image analysis tools for diagnostic and interventions; electrophysiology: mapping and biophysical modeling; biomechanics and flow: modeling and tissue property measurements.
Download or read book Cardiovascular Disability written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.
Download or read book Coronary Magnetic Resonance Angiography written by Andre J. Duerinckx and published by Springer Science & Business Media. This book was released on 2002 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, there has been increasing interest in the clinical applications of coronary angiography techniques. Coronary MRA can be instrumental in the evaluation of congenital coronary artery anomalies, however, the complexity of advanced MR pulse sequences and strategies may be overwhelming to many. Coronary MR Angiography demystifies the art of coronary MRA by providing a text in plain language with clearly illustrated imaging steps and protocols. Designed to bridge the gap between radiology and cardiology, it is written for physicians and scientists planning to incorporate this technique into their research or practice.
Download or read book Mechanisms of Vascular Disease written by Robert Fitridge and published by University of Adelaide Press. This book was released on 2011 with total page 589 pages. Available in PDF, EPUB and Kindle. Book excerpt: New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.
Download or read book Bioresorbable Scaffolds written by Yoshinobu Onuma and published by CRC Press. This book was released on 2017-10-02 with total page 533 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the coronary bioresorbable scaffold, a new interventional treatment for coronary artery disease, differentiated from a permanent metallic stent. The book provides an overview of the technology including non-clinical studies and clinical evidences in order to help clinicians understand the appropriate application of the technology and the optimal techniques of implantation. It covers the basics of bioresorbable scaffolds; bench test results; preclinical studies; clinical evidences; and tips and tricks of implantation.
Download or read book Imaging Coronary Arteries written by David A. Dowe and published by Springer. This book was released on 2012-12-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In non-fatal cases, cardiovascular diseases are associated with a decreased quality of life as well as a substantial economic burden to society. Most sudden cardiac events are related to the complications of a non-stenosing marginal plaque. For this reason, the ability to properly identify the atherosclerotic plaque with rapid, non-invasive techniques is of utmost clinical interest in diagnostic workup and therapeutic planning of symptomatic patient. Nowadays CT produces high-quality images of the coronary arteries, in addition to defining their location and the extent of the atherosclerotic involvement. This new edition is enriched with two important additions. Firstly, dedicated chapters on intravascular ultrasound (IVUS), catheter angiography, and nuclear imaging have been included, with some discussions on theoretical techniques such as optical coherence tomography (OCT) and magnetic resonance imaging (MRI). Secondly, a completely new section comprising more than 70 clinical cases remarkably expands the horizons reached by the previous edition. This volume provides general practitioners and cardiologists with a basic understanding of the imaging techniques. For radiologists with no direct experience in cardiac imaging, the book serves as an important source of information on coronary pathophysiology and anatomy.
Download or read book Make Life Visible written by Yoshiaki Toyama and published by Springer Nature. This book was released on 2019-10-02 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes marked advances in imaging technology that have enabled the visualization of phenomena in ways formerly believed to be completelyimpossible. These technologies have made major contributions to the elucidation of the pathology of diseases as well as to their diagnosis and therapy. The volume presents various studies from molecular imaging to clinical imaging. It also focuses on innovative, creative, advanced research that gives full play to imaging technology inthe broad sense, while exploring cross-disciplinary areas in which individual research fields interact and pursuing the development of new techniques where they fuse together. The book is separated into three parts, the first of which addresses the topic of visualizing and controlling molecules for life. Th e second part is devoted to imaging of disease mechanisms, while the final part comprises studies on the application of imaging technologies to diagnosis and therapy. Th e book contains the proceedings of the 12th Uehara International Symposium 2017, “Make Life Visible” sponsored by the Uehara Memorial Foundation and held from June 12 to 14, 2017. It is written by leading scientists in the field and is an open access publication under a CC BY 4.0 license.
Download or read book Cardiovascular Computed Tomography written by James Stirrup and published by Oxford University Press, USA. This book was released on 2020-01-02 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent years have seen a marked increase in cardiovascular computed tomography (CT) imaging, with the technique now integrated into many imaging guidelines, such as those published by ESC and NICE. Rapid clinical and technological progress has created a need for guidance on the practical aspects of CT image acquisition, analysis and interpretation. The Oxford Specialist Handbook of Cardiovascular CT, now revised for the second edition by practising international experts with many years of hands-on experience, is designed to fulfil this need. The Handbook is a practical guide on performing, analysing and interpreting cardiovascular CT scans, covering all aspects from patient safety to optimal image acquisition to differential diagnoses of tricky images. It takes an international approach to both accreditation and certification, highlighting British, European, and American examinations and courses. The format is designed to be accessible and is laid out in easy to navigate sections. It is meant as a quick-reference guide, to live near the CT scanner, workstation, or on the office shelf. The Handbook is aimed at all cardiovascular CT users (Cardiologists, Radiologists and Radiographers), particularly those new to cardiovascular CT, although even the advanced user should find useful tips and tricks within.
Download or read book Chronic Total Occlusions written by Ron Waksman and published by John Wiley & Sons. This book was released on 2011-08-31 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. Over the past 20 years, CTO lesions have represented the most difficult anatomy for treatment — with lower success rates and higher complication rates. Chronic Total Occlusions provides interventionalists insight into the world of CTOs with introductory chapters that describe the pathology and indications of CTOs along with a review of clinical trials. Imaging modalities including CT angiography, magnetic navigation wire, and IVUS guided recanalization of CTO are also introduced, together with information on new wires technology and devices for CTOs. With numerous illustrations of these devices, technologies, and strategies to improve the CTO success rate, this clinical guide, headed up by Ron Waksman, will prove to be the ideal companion for interventional cardiologists and cardiac surgeons who are required to perform angioplasty and coronary stenting.
Download or read book MR guided Interventions written by Jonathan Lewin and published by Saunders. This book was released on 2005 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue reviews the latest advances in the use of magnetic resonance to assist in performing interventional procedures. Biopsy and aspiration, radiofrequency and laser ablation, and focused ultrasound are all covered. Also included are articles on biliary, prostate, and breast interventions.
Download or read book Coronary Angioscopy written by Kyoichi Mizuno and published by Springer. This book was released on 2015-07-03 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a thorough review of coronary angioscopy, ranging from instructions on its use to the latest advances. Starting with the structure and fundamental principles of angioscopy, it shows readers how to apply the image to comprehensive care of coronary-artery patients. Plentiful color photos and illustrations will enable readers to investigate and classify plaques and thrombi and to evaluate coronary stent- and drug-based therapies. The authors are leading researchers on angioscopy. This book offers the perfect guide not only for new clinicians but also for cardiologists who have already adopted this technique for medical examination and treatment. Angioscopy is a unique medical technique for visualizing the interior of blood vessels and helps physicians not only to diagnose the pathology but also to measure the effectiveness of Percutaneous coronary intervention (PCI) or antiarteriosclerotic drugs. Furthermore, the recently developed molecular angioscopy approach allows us to observe Low-density lipoprotein (LDL) oxide, collagen, and macrophages, and is rapidly growing in importance.
Download or read book Atlas of Cardiovascular Computed Tomography written by Matthew J. Budoff and published by Springer. This book was released on 2018-05-23 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This atlas is a comprehensive visual reference for the use of cardiovascular computed tomography (CT) containing photomicrographs, anatomic illustrations, tables, and charts paired with extensive legends and explanations that are supplemented by extensive research, peer-reviewed articles, and textbooks. In addition to providing historical perspective and current direction for CT, this new edition of Atlas of Cardiovascular Computed Tomography 2e focuses on research involving coronary artery diseases and anomalies, congestive heart failure, atherosclerotic plaques and asymptomatic disease, as well as imaging techniques, including preparation, acquisition, and processing, involving the great vessels and carotids, the peripheral vasculature, and coronary and pulmonary veins. The increasing role of CT in the emergency room and in private cardiology practice is also reviewed thoroughly, making this an essential read for all involved in cardiac imaging, cardiology and emergency medicine.
Download or read book Coronary Artery CTA written by Claudio Smuclovisky and published by Springer. This book was released on 2018-02-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this important work provides a broad range of cardiac CT angiography (CCTA) cases covering normal anatomy, congenital coronary anomalies, coronary artery disease, percutaneous coronary intervention, postsurgical coronary revascularization, and extra-coronary abnormalities. It is designed to help practicing radiologists, cardiologists, and cardiothoracic surgeons understand the current issues involved with clinical, interventional, and surgical management of coronary artery CTA. Each case consists of detailed CCTA images, a brief history, diagnosis, discussion, and pearls and pitfalls. This updated and expanded edition includes new chapters on principles of cardiac CT, patient preparation, cardiomyopathies, pediatric cardiac CT, cardiac CT in the emergency department, CT-FFR, and reporting cardiac CT.
