Intracoronary Diagnostic Techniques PDF Download
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Author: Fernando Alfonso
Publisher: Cc de la Salud
ISBN:
Category : Medical
Languages : en
Pages : 440
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Book Description
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.
Author: Fernando Alfonso
Publisher: Cc de la Salud
ISBN:
Category : Medical
Languages : en
Pages : 440
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Book Description
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.
Author: Pedro A. Lemos
Publisher: CRC Press
ISBN: 1841847216
Category : Medical
Languages : en
Pages : 300
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Book Description
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
Author: Petr Widimsky
Publisher: Oxford University Press, USA
ISBN: 0199558876
Category : Medical
Languages : en
Pages : 150
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Book Description
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.
Author:
Publisher: ScholarlyEditions
ISBN: 1481686259
Category : Medical
Languages : en
Pages : 132
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Book Description
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/.
Author: Olivier Bertrand
Publisher: Lippincott Williams & Wilkins
ISBN: 1469890461
Category : Medical
Languages : en
Pages : 615
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Book Description
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.
Author: Gowri Raman
Publisher:
ISBN:
Category :
Languages : en
Pages : 171
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Book Description
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.
Author: Stanley Ip
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
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.
Author: Jonathan H. Mackay
Publisher: Cambridge University Press
ISBN: 9780521196857
Category : Medical
Languages : en
Pages : 0
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Book Description
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.
Author:
Publisher: ScholarlyEditions
ISBN: 1464933510
Category : Medical
Languages : en
Pages : 77
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Book Description
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/.
Author: Annapoorna Kini
Publisher: Springer
ISBN: 1447165810
Category : Medical
Languages : en
Pages : 297
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Book Description
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.
