Intravascular Imaging


Intravascular Ultrasound-guided management of diffuse stenosis

Intravascular Ultrasound-guided management of diffuse stenosis

Tuesday 24th April 2018 @ 18:00 (CEST)

Video On Demand

Performed By
Prof. Javier Escaned
This educational initiative is supported by  Philips Healthcare

Diffuse stenoses present a unique set of challenges related to accurate vessel sizing in the setting of remodelling, the identification of disease in segments that appear angiographically normal and achievement of optimal stent implantation both in terms of luminal dimensions and stent apposition.

As the absence of a well-defined workflow has likely hampered more widespread uptake of intravascular ultrasound (IVUS) in this setting, this webinar proposes a workflow algorithm that can help support research and clinical decision making.

Javier Escaned is Head of the Interventional Cardiology Section at Hospital Clinico San Carlos (Madrid, Spain). His main interests in the field of interventional cardiology include intracoronary imaging and physiology, complex percutaneous coronary intervention including chronic total occlusion recanalisation, and acute coronary syndromes.

He is currently principal investigator in the SYNTAX II and DEFINE FLAIR multicentre studies.

This webinar is to inform and educate interventional cardiologists and cardiac surgeons on:

  • Overcoming the challenges of diffuse stenoses treated with percutaneous coronary intervention (PCI)
  • Defining a workflow algorithm that can help support research and clinical decision making
  • Implementing a single, comprehensive approach towards contemporary intracoronary assessment and physiological interrogation
  • Interventional cardiologists, EU-wide

Use of Intravascular Ultrasound Imaging in Percutaneous Coronary Intervention to Treat Left Main Coronary Artery Disease

Detection of obstructive disease of the left main coronary artery (LMCA) is relatively unusual in the catheterisation laboratory, as it accounts for approximately 4 % of all coronary angiograms, with isolated LMCA disease observed in only 5–10 % of these cases.1

Fractional Flow Reserve Assessment of Coronary Artery Stenosis

Coronary artery disease (CAD) due to atherosclerosis is a major cause of morbidity and mortality. Early prevention of atherothrombotic disease with a healthy lifestyle (diet, exercise, optimal body weight and no smoking) is considered the best method of “treating” CAD, although increasing age remains associated with significant cardiovascular events.

Preventing Contrast-induced Renal Failure: A Guide

With the increasing use of contrast agents for both diagnostic and interventional procedures, contrast-induced acute kidney injury (CI-AKI) has become an important medical concern. It is estimated that CI-AKI is the third most common cause of hospital-acquired renal failure and has significant prognostic implications for patients outcomes.1 The incidence of CI-AKI varies depending on the definitions and cut-off values used.

Stent Sizing and Deployment with Optical Coherence Tomography Guidance

Many experts would agree that the concept of looking at vessel architecture from the inside using intracoronary probes, instead of simply relying on the angiographic vessel cast, is an elegant way to practise interventional cardiology in order to decide whether to treat a coronary artery and to guide coronary intervention. The historical development of stents neatly exemplifies this notion: the introduction of stents in clinical practice was initially burdened by an unacceptably high incidence of subacute thrombosis.