Download or read book Intracoronary Diagnostic Techniques written by Fernando Alfonso and published by Cc de la Salud. This book was released on 2003-06-25 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most current coverage of intracoronary techniques! This comprehensive text inlcudes detailed information on how to perform all intracoronary techniques including intracardiac ultrasound, coronary angioscopy, intracoronary magnetic resonance, and more.

Download or read book Diagnostic Methods in the Cardiac Catheterization Laboratory written by Pedro A. Lemos and published by CRC Press. This book was released on 2009-12-18 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The tools necessary for correctly identifying complex coronary lesions and plaques. The data required to accurately diagnose rare disease progression and patterns. With Diagnostic Methods in the Cardiac Catheterization Laboratory, all of the essential diagnostic modalities you need in the lab are at your fingertips. This new force in cardiology is the premier reference guide to advanced clinical approaches and the specialized conditions that every interventional cardiologist encounters. It depicts the unusual and unique situations in the catheterization lab and supplies the knowledge required of clinicians that goes beyond the fundamental methods and techniques. Key topics discussed include: promising new technology, including machines and contrast agents intracardiac pressure and flow measurement, and shunt detection qualitative and quantitative angiography intravascular ultrasound, derived methods, and intracardiac ultrasonography optical coherence and multidetector-computed tomography electromechanical mapping (NOGA system) baseline evaluation and therapeutic monitoring clinical applications of quantitative coronary angiography pre-procedure planning and intra-procedure of CTO treatment

Download or read book Catheterization and Interventional Cardiology in Adult Patients written by Petr Widimsky and published by Oxford University Press, USA. This book was released on 2010-10-28 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pocket book is focused on the practical aspects of cardiac catheterization and interventions including indications, periprocedural medications and techniques, interpretation of results, and the prevention and treatment of periprocedural complications.

Download or read book Cardiovascular Diagnostic Techniques Advances in Research and Application 2013 Edition written by and published by ScholarlyEditions. This book was released on 2013-06-21 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular Diagnostic Techniques—Advances in Research and Application: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about ZZZAdditional Research. The editors have built Cardiovascular Diagnostic Techniques—Advances in Research and Application: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about ZZZAdditional Research in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Cardiovascular Diagnostic Techniques—Advances in Research and Application: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Download or read book Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Artery Stenting written by Gowri Raman and published by . This book was released on 2013 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Several intravascular diagnostic techniques provide detailed information regarding the narrowing (stenosis) of the lumen of coronary arteries. They are increasingly used in addition to angiography during coronary artery stenting. PURPOSE: To systematically review the comparative effectiveness of intravascular diagnostic techniques versus angiography alone in patients with coronary artery disease who are undergoing percutaneous coronary interventions for the following objectives: (a) to decide whether a coronary lesion needs to be stented; (b) to guide and optimize stent deployment; (c) to assess whether stent placement was successful; and (d) to evaluate the factors influencing the diagnostic techniques' effect on outcomes. DATA SOURCES: MEDLINE(r), Cochrane Central Register of Controlled Trials, recent conference proceedings, and ClinicalTrials.gov. STUDY SELECTION: We included studies of any design and duration of followup, without any language or sample size restriction. We excluded studies that did not directly compare the use of an intravascular diagnostic technique with angiography alone or another intravascular diagnostic technique to decide whether to stent or to guide coronary artery stenting. DATA EXTRACTION: We extracted details on study population characteristics and results, and assessed studies for risk of bias. We evaluated therapeutic decisionmaking outcomes, intermediate outcomes, and patient-centered outcomes. We appraised strength of evidence primarily based on studies rated as having a low or medium risk of bias. DATA SYNTHESIS: In total, 37 eligible studies evaluated two of the intravascular diagnostic techniques, namely fractional flow reserve (FFR) and intravascular ultrasound (IVUS). There is a moderate strength of evidence (drawn from one randomized controlled trial [RCT] and one nonrandomized study) that the use of FFR, as compared with angiography alone, supports the following: (a) FFR is effective in helping to decide whether intermediate coronary lesions (defined as 50% to 70% stenosis) require stenting; (b) FFR confers a lower risk of the composite endpoint of death or myocardial infarction (MI) or of major adverse cardiac events; and (c) FFR leads to fewer stents implanted and reduces the cost of the procedure. Regarding the comparison of IVUS-guided stenting and stent placement guided by angiography alone, there is a moderate strength of evidence (drawn from 9 RCTs and 22 nonrandomized studies) that supports no significant difference between the two approaches in mortality or MI, but a significant reduction in repeat revascularizations and restenosis with IVUS-guided stenting. There is insufficient evidence concerning the use of intravascular diagnostic techniques immediately after percutaneous coronary interventions to evaluate the success of stenting compared with angiography or for direct comparisons between intravascular diagnostic techniques. There is a moderate strength of evidence (on the basis of one large nonrandomized study) that sex, diabetes mellitus status, lesion length, and reference diameter among those undergoing IVUS- and angiography-guided stent placement had no significant association with major adverse cardiac events or its individual components. There is insufficient evidence to evaluate the comparative effect of intravascular diagnostic techniques other than FFR and IVUS. LIMITATIONS: Studies evaluating FFR and IVUS were limited by incomplete outcome reporting, heterogeneity in outcome definitions, infrequent enrollment of women, and a lack of data on patients with left main coronary artery disease or acute MI. The evidence for FFR was derived from trials that focused on patients with lower grade angina or those with nonischemic intermediate coronary stenosis. The majority of the IVUS trials were conducted before 2000, a particularly important limitation given the rapid pace of technological advancement in this domain. CONCLUSIONS: There is a moderate strength of evidence that the use of FFR (as compared with angiography alone) to decide whether or not to stent an intermediate coronary lesion confers a lower risk of composite endpoint of death or MI, or of major adverse cardiac events; leads to fewer stents being implanted; and reduces procedural costs. There is a moderate strength of evidence that the use of IVUS (as compared with angiography alone) to guide optimal stent placement reduces repeat revascularization and restenosis, but does not affect mortality or MI. Future studies will need to focus on women and on patients with more severe coronary artery disease, and to evaluate longer term (on the order of years) patient outcomes to better appreciate real world effectiveness. Stenting low-risk lesions may lead to additional invasive tests or treatments that could adversely impact long-term outcomes. Further research is also needed to evaluate the use of hybrid and novel intravascular diagnostic techniques.

Download or read book Best Practices for Transradial Approach in Diagnostic Angiography and Intervention written by Olivier Bertrand and published by Lippincott Williams & Wilkins. This book was released on 2014-12-01 with total page 615 pages. Available in PDF, EPUB and Kindle. Book excerpt: Best Practices for Transradial Approach in Diagnostic Angiography and Intervention provides an innovative, patient-friendly approach to percutaneous coronary intervention, delivering authoritative guidance on the procedures, as well as solid evidence from clinical studies and experienced facilities. Learn from pioneers and experts in the field how you can improve patient care and optimize outcomes using this efficient and cost-effective technique. Increase your knowledge of the tremendous recent advancements to the transradial approach, and learn the clinical advantages and benefits of this approach compared with the standard femoral approach. Benefit from the combined knowledge of a team of worldwide experts who provide practical “tips and tricks” that help you make the most of this globally acknowledged technique in your practice. Gain insight into all relevant aspects of transradial coronary access, from basic facts and procedural details to complications and non-coronary interventions. Examine an up-to-date, in-depth review and critical analysis of data available in the literature.

Download or read book Core Topics in Cardiac Anesthesia written by Jonathan H. Mackay and published by Cambridge University Press. This book was released on 2012-03-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.

Download or read book Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Stenting written by Stanley Ip and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: The optimal use of intravascular diagnostic techniques in patients with coronary artery diseases who are being considered for stenting remains to be defined. PURPOSE: Generate prioritized topics for future research on the use of intravascular diagnostic techniques, building on evidence gaps identified in a prior comparative effectiveness review (CER) and following an explicit stakeholder-driven nomination and prioritization process. METHODS: Building on evidence gaps identified in a previous CER on intravascular diagnostic techniques, a preliminary list of future research needs (FRN) was supplemented and refined through input from stakeholders. Stakeholders were asked to rate each proposed priority topic considering the following dimensions in prioritization: (1) importance, (2) desirability of research/avoidance of unnecessary duplication, (3) feasibility, and (4) potential impact. The three topics with the highest number of stakeholder endorsements were identified as the prioritized FRN topics. FUTURE RESEARCH NEEDS TOPICS: Two topics (one on the use of intravascular physiologic measurements like fractional flow reserve in treatment decisionmaking before stenting and one on the impact of the use of intravascular imaging diagnostics on stenting) are based directly on evidence gaps identified in the CER. One topic on the added value of intravascular diagnostic techniques in patients for whom there is already a clear clinical and other noninvasive diagnostic indication suggesting the need for revascularization was raised by the stakeholders. CONCLUSIONS: This report identifies three high priority future research needs with regards to intravascular diagnostic techniques, as determined by a stakeholder panel. Both data from pragmatic randomized controlled trials and properly adjusted observational studies could be used to fill the gaps and help address the important clinical questions.

Download or read book Cardiovascular Diagnostic Techniques Advances in Research and Application 2011 Edition written by and published by ScholarlyEditions. This book was released on 2012-01-09 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular Diagnostic Techniques: Advances in Research and Application: 2011 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Cardiovascular Diagnostic Techniques in a concise format. The editors have built Cardiovascular Diagnostic Techniques: Advances in Research and Application: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Cardiovascular Diagnostic Techniques in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Cardiovascular Diagnostic Techniques: Advances in Research and Application: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Download or read book Practical Manual of Interventional Cardiology written by Annapoorna Kini and published by Springer. This book was released on 2014-11-26 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical handbook is based on an internal working manual developed by staff and fellows at Mount Sinai Heart Cardiovascular Catheterization Laboratory, renowned for its high-volume and low complication complex coronary procedures. The Practical Handbook of Interventional Cardiology captures the knowledge and methodological know-how from leaders in interventional cardiology, it intends to guide users in a stepwise, methodical and practical approach through various cardiac interventional procedures in order to achieve maximum patient safety and improved outcomes. From patient selection, preoperative work-up, setting up equipment to step-by-step illustrations of various procedural details and troubleshooting, this handbook captures all the details necessary to perform the simplest to the most complex cardiac interventions. The book is designed for cardiologists and trainees who desire an efficient way to review the steps of various cardiac interventional procedures and a quick, reliable reference for everyday use.

Download or read book Manual of Cardiac Diagnosis written by Kanu Chatterjee and published by JP Medical Ltd. This book was released on 2014-06-30 with total page 916 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual is a comprehensive guide to cardiac diagnostic techniques for clinicians. Beginning with the basics, the book highlights the importance of history taking and physical examination. The following sections provide in depth coverage of both new and more traditional diagnostic imaging techniques including electro- and echocardiogram, MRI, intravascular ultrasound, nuclear computerised tomography, and molecular imaging. Invasive diagnostic modalities and their clinical application are also discussed. Written by internationally recognised specialists from the University of Iowa, this practical guide includes more than 700 images and illustrations. Key points Comprehensive guide to cardiac diagnosis for clinicians Covers new and traditional imaging techniques for numerous cardiac disorders Internationally recognised author team More than 700 images and illustrations

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 Cardiovascular Diagnostic Techniques Advances in Research and Application 2012 Edition written by and published by ScholarlyEditions. This book was released on 2012-12-26 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular Diagnostic Techniques—Advances in Research and Application: 2012 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Cardiovascular Diagnostic Techniques in a concise format. The editors have built Cardiovascular Diagnostic Techniques—Advances in Research and Application: 2012 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Cardiovascular Diagnostic Techniques in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Cardiovascular Diagnostic Techniques—Advances in Research and Application: 2012 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Download or read book Cardiac Diagnostic Tests written by Sharon VanRiper and published by Saunders. This book was released on 1997 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here's the first truly comprehensive cardiac diagnostic guide available for nurses! Detailed descriptions of each type of diagnostic test explain why it is chosen; how it is performed; how the results are interpreted; and what care is required for the patient before, during, and after the test. Plus, illustrations of ECG strips, actual photos of nuclear medicine scans, and anatomic examples increase understanding.

Download or read book Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Stenting written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-07 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Coronary artery disease (CAD), is a narrowing (stenosis) of one or more of the epicardial coronary arteries. It is most commonly due to the buildup of plaque (atherosclerosis), which impedes the ability of these blood vessels to deliver oxygenated blood to the heart muscle (myocardium). Revascularization of the stenotic vessel either by dilatation using a balloon (also known as angioplasty) or by using a bypass venous graft (also known as coronary bypass) are the most common methods to restore blood supply. Percutaneous coronary intervention (PCI) or angioplasty with stent deployment is currently the most commonly performed revascularization procedure for CAD. PCI has traditionally been based on qualitative and quantitative coronary angiography (visual inspection of the radiocontrast lumenogram and computer-based quantification, respectively), an imaging technique for visualizing the interior of blood vessels. While angiography is the standard technique for anatomic visualization of coronary arteries, it is not without limitations as it does not provide information about what is causing the narrowing or whether the narrowing seriously impedes blood flow. Several adjunctive intravascular diagnostic procedures and imaging techniques have been developed for the purpose of providing more detailed anatomic and hemodynamic information about lesions in coronary arteries. However, whether this additional information improves patient outcomes and whether this improvement outweighs any risks introduced by the additional procedure needs to be considered. Using criteria based on the AHRQ CER Methods Guide, we assessed the strength of evidence for major comparisons of interest, as follows: • There is a moderate strength of evidence (drawn from one randomized controlled trial [RCT] and one nonrandomized study) that the adjunctive use of FFR during stenting, as compared with angiography alone, to decide whether an intermediate coronary lesion (50 to 70% stenosis) requires stenting, can confer a lower risk of composite endpoint of death or myocardial infarction (MI) or of major adverse cardiac event (MACE), decrease procedural costs, and lead to fewer stent implantations. However, these FFR studies also included patients with low risk lesions and lower grades of angina, and excluded left main coronary artery disease and acute MI. • There is a moderate strength of evidence (drawn from 9 RCTs and 22 nonrandomized studies) that supports no significant difference in mortality and MI, but a significant reduction in restenosis and repeat revascularizations with IVUS-guided stenting compared with stent placement guided by angiography alone. This significant reduction was observed in RCTs, but not observed in nonrandomized comparative studies. Notably, most of the RCTs were conducted before 2000 using previous generation bare-metal stents. • There is insufficient evidence concerning the use of any intravascular diagnostic techniques immediately after PCI to evaluate the success of stent placement as compared with angiography, or for direct comparisons between intravascular diagnostic techniques. • There is a moderate strength of evidence (on the basis of one large-sample-size nonrandomized study) that sex, diabetes mellitus status, lesion length and reference diameter, and interaction with IVUS- and angiography-guided stent placement did not show any significant association with individual components of death or MI or the composite outcome of MACE. • There is insufficient evidence to evaluate the comparative effect of techniques other than FFR and IVUS on outcomes. The present report describes the development of a stakeholder-prioritized list of research needs for that topic, along with a measured consideration of the advantages and disadvantages of various potential research designs, in order to help researchers and funders develop future research proposals or solicitations.

Download or read book Diagnostics of Vascular Diseases written by Peter Lanzer and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook systematically reviews the working principles and modes of application of techniques applicable to noninvasive and invasive vascular examinations. The authors cover the essential physical and/or chemical principles of each diagnostic modality and so derive the characteristics of the diagnostic instrumentation. Physicians thus learn how to translate advanced technology into optimum diagnostic efficacy in daily clinical routine.

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.