Lesion preparation

Feb 4, 2021 by in CARDIOLOGY Comments Off on Lesion preparation

9.1 Goal To adequately prepare the target lesion to facilitate stent delivery and expansion. 9.2 When is lesion preparation needed? ( Fig. 9.1 ) Figure 9.1 Lesion preparation algorithm. Lesion…

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Hemodynamic support

Feb 4, 2021 by in CARDIOLOGY Comments Off on Hemodynamic support

14.1 Hemodynamic support: when and what device Maintaining adequate tissue perfusion is critical for survival. PCI may result in decreased cardiac output and tissue hypoperfusion or may be performed in…

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Left main

Feb 4, 2021 by in CARDIOLOGY Comments Off on Left main

CTO Manual Online cases: 11 , 14 , 48 , 67 , 105 , 127 , 135 , 136 , 148 PCI Manual Online cases: 28 , 32 , 33…

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Chronic total occlusions

Feb 4, 2021 by in CARDIOLOGY Comments Off on Chronic total occlusions

Chronic total occlusions (CTOs) are defined as completely occluded coronary arteries with Thrombolysis In Myocardial Infarction (TIMI) 0 flow with an estimated duration of at least 3 months . CTOs…

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Other complex lesions

Feb 4, 2021 by in CARDIOLOGY Comments Off on Other complex lesions

In addition to calcification, thrombus, and CTOs, other complex lesion types include: • Spontaneous coronary artery dissection (SCAD) (PCI Manual Online case 72 ), • Stent failure (in-stent restenosis and…

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Coronary intravascular imaging

Feb 4, 2021 by in CARDIOLOGY Comments Off on Coronary intravascular imaging

13.1 When to do coronary intravascular imaging? Coronary intravascular imaging can be performed before, during, and after PCI to determine the need for coronary revascularization, and help plan and optimize…

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Access closure

Feb 4, 2021 by in CARDIOLOGY Comments Off on Access closure

11.1 Femoral access 11.1.1 Femoral access closure algorithm The following algorithm ( Fig. 11.1 ) reflects the experience and current practice of the authors; other vascular closure devices can be…

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Coronary physiology

Feb 4, 2021 by in CARDIOLOGY Comments Off on Coronary physiology

12.1 When should coronary physiology be used? 12.1.1 Before PCI 1. Determine significance of intermediate coronary lesions. Several studies have shown that PCI of lesions with adenosine fractional flow reserve…

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