Full Description
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.
Contents
Part I IVUS.- 1 Physical Principles and Equipment: IVUS.- 2 IVUS Artifacts and Image Control.- 3 Quantitative Measurements of Native Lesion.- 4 Qualitative Assessment of Native Lesion.- 5 Clinical Evidence of Intravascular Ultrasound-Guided Percutaneous Coronary Intervention.- 6 Pre-Percutaneous Coronary Intervention Lesion Assessment.- 7 IVUS: Post-Evaluation After Stenting.- 8 Long-Term Complications and Bioresorbable Vascular Scaffolds Evaluation.- 9 Near-Infrared Spectroscopy.- Part II OCT.- 10 Physical Principles and Equipment of Intravascular Optical Coherence Tomography.- 11 Image Acquisition Techniques.- 12 Interpretation of Optical Coherence Tomography: Quantitative Measurement.- 13 Qualitative Assessments of Optical Coherence Tomography.- 14 Clinical Evidence of Optical Coherence Tomography-Guided Percutaneous Coronary Intervention.- 15 Pre-interventional Lesion Assessment.- 16 Immediate Post-Stent Evaluation with Optical Coherence Tomography.- 17 Late Stent Evaluation (Neoatherosclerosis).- 18 Bioresorbable Vascular Scaffold Evaluation by Optical Coherence Tomography.- 19 Novel Application of OCT in Clinical Practice.- Part III Physiology.- 20 Concept of Invasive Coronary Physiology: Focus on FFR.- 21 Setup for Fractional Flow Reserve and Hyperemia.- 22 Validation of Fractional Flow Reserve.- 23 Practical Learning in Coronary Pressure Measurement.- 24 Other Physiologic Indices for Epicardial Stenosis.- 25 Comparison Between Anatomic and Physiologic Indices.- 26 Fractional Flow Reserve in Intermediate or Ambiguous Lesion.- 27 FFR in Complex Lesions.- 28 FFR in Acute Coronary Syndrome and Noncoronary Disease.- 29 Fractional Flow Reserve in Specific Lesion Subsets.- 30 Invasive Assessment for Microcirculation.- 31 Non-invasive Assessment of Myocardial Ischemia.
