Modern Approach on Radial Angioplasty
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Modern Approach on Radial Angioplasty
- 1. Modern Approach on Angioplasty
- 21. (having 2 tubes simultaneously)
- 38. FemoStop / Gold Compression Assist Device The FemoStop Gold Compression Assist Device includes an integrated digital manometer and transparent, inflatable dome that offer precise, hands-free femoral artery or vein compression . Compared to manual compression, FemoStop Gold has been shown to help achieve homeostasis quicker and more comfortably , while helping to improve staff efficiency .
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- For Boston Scientific Corporation Confidential Internal Use Only. Do Not Copy or Distribute. This document is intended for internal use only and shall not be distributed outside of Boston Scientific. Presenter What are we seeing? IVUS brings the diagnostic process to a new level of detail. By sending, receiving and processing sound waves, IVUS creates a cross-sectional picture of an artery. This cross sectional picture can offer a tremendous amount of information: Plaque composition Lumen measurements Important morphologic features Pre and Post-therapeutic assessment
- For Boston Scientific Corporation Confidential Internal Use Only. Do Not Copy or Distribute. This document is intended for internal use only and shall not be distributed outside of Boston Scientific. Presenter Clinical Utility for IVUS IVUS may not be clinically warranted in all interventions, and should be seen as an adjunct to angiography. IVUS provides information about vessel morphology, plaque topography, and therapeutic outcomes that is often either equivocal or unavailable in angiographic images. There are 3 situations in which IVUS has the most clinical utility: Small vessel stenting : Studies have shown that post-stent restenosis rates are higher in small vessels. This is particularly true for vessels with diameters of 3.0mm or less, wherein small increases in stent diameter have been shown to significantly decrease the rate of restenosis. A study by Moussa et al showed that, as measured by IVUS, the incidence of restenosis has an inverse relationship to the post-procedure in-stent lumen CSA 1 . In-Stent restenosis : In these cases, IVUS helps to determine whether the restenosis is due to inadequate stent deployment (underexpansion or incomplete apposition) due to intimal hyperplasia. IVUS will also help you select the proper device size for treatment of the stented area. Difficult to assess lesions : At times, images of a lesion and the adjacent reference segment are often hazy. IVUS should be used to identify whether the angiographic appearance is due to dissection, thrombus, residual plaque, or is benign. 1. Moussa C, et al J Am Coll Cardiol 1997; 29 (Suppl A) 60A