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Table of 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
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