An Atlas and Manual of Coronary Intravascular Ultrasound Imaging

Overview

Intravascular Ultrasound (IVUS) is now recognized as an important adjunct to conventional angiography and is increasingly used to image atherosclerotic disease process in clinical research. The growing use of this technology has created a need for a resource that combines technical details with illustrative material. An Atlas and Manual of Coronary Intravascular Ultrasound Imaging provides, in a single volume, a practical reference manual that describes the application of the technique, and a superbly illustrated...

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Overview

Intravascular Ultrasound (IVUS) is now recognized as an important adjunct to conventional angiography and is increasingly used to image atherosclerotic disease process in clinical research. The growing use of this technology has created a need for a resource that combines technical details with illustrative material. An Atlas and Manual of Coronary Intravascular Ultrasound Imaging provides, in a single volume, a practical reference manual that describes the application of the technique, and a superbly illustrated atlas that graphically demonstrates the capabilities of this rapidly evolving technology. Section One, the Manual, describes the rationale, technique, and interpretation of IVUS imaging for standard and evolving applications. It covers normal arterial anatomy, plaque morphology and imaging artifacts, together with measurement techniques and volumetric analysis, and the use of IVUS as a guide for interventional procedures such as atheroplasty, atherectomy, and stenting. In addition, emerging topics including plaque vulnerability and serial surveillance of plaque progression and regression are extensively described. Section Two, the Atlas, reviews these topics with reference to a series of carefully selected clinical cases, which allows the reader to further improve the capability to correctly interpret images obtained using this technique. Developed with the resources of one of the world's leading centers for IVUS imaging, the book systematically introduces coronary imaging with IVUS. A comprehensive reference, An Atlas and Manual of Coronary Intravascular Ultrasound Imaging presents an accessible introduction for the beginner and an invaluable reference for the more experienced practitioner.

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Editorial Reviews

Doody's Review Service
Reviewer: Mahesh s Mulumudi, MD (Ochsner Clinic Foundation)
Description: This is a concise manual of cardiac intravascular ultrasound technique and a collection of high quality intravascular ultrasound images.
Purpose: Coronary angiography is a two dimensional silhouette of the coronary lumen and thereby cannot accurately demonstrate the structure of the vessel wall. Intravascular ultrasound is a very useful adjunct to coronary angiography to delineate the plaque burden and plaque morphology. There is accumulating evidence that intravascular ultrasound can probably detect the vulnerable high-risk plaque that is prone to rupture. Authors of this book present a concise yet useful reference of intravascular ultrasound imaging in the cardiac catheterization laboratory.
Audience: This book is intended for the interventional cardiologist and also is a nice reference for any individual involved in the treatment of atherosclerotic coronary disease.
Features: The book has two sections. Section one is a manual describing the basic principles of intravascular ultrasound. It discusses the vessel anatomy, plaque morphology, and various artifacts encountered during the imaging process. It includes chapters on established and evolving clinical indications for intravascular ultrasound. Section two is a pictorial atlas of intravascular ultrasound images that portray various clinical applications and examples of vascular pathology.
Assessment: This is a well presented first edition. It is a concise technical manual and a pictorial reference for the interventional cardiologist.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781842142745
  • Publisher: Taylor & Francis
  • Publication date: 1/1/2004
  • Pages: 168
  • Product dimensions: 8.60 (w) x 12.00 (h) x 0.67 (d)

Table of Contents

THE MANUAL OF CORONARY INTRAVASCULAR ULTRASOUND IMAGING
Introduction
Principles of IVUS imaging
Principles of IVUS examination
Equipment
Examination technique

Normal Arterial Anatomy by IVUS
The Lumen
The Vvessel Wall
The Adjacent Structures
Vessel Bifurcation

Image Artifacts
Guide-Wire Artifact
Ring-Down and Digital Subtraction
Non-Uniform Rotational Distortion
Slow Flow
Coronary Pulsation and Motion Artifact
Catheter Obliquity, Eccentricity
Calcium Shadow

IVUS Measurements
Lumen Measurements
EEM Measurements
Plaque (Atheroma) Measurements
Calcium Measurements
Remodeling Measurements
Stent Measurements
Length Measurements
Volumetric Measurements

Plaque (Atheroma) Morphology
Geometry
Plaque Echogenicity

Established Clinical Applications
Assessment of Angiographically Indeterminate Lesions
Assessment of Transplant Vasculopathy
Interventional Applications

Evolving Clinical and Research Applications
Assessment of Plaque Vulnerability
Assessment of Disease Burden/Volumetric Analysis

Conclusion

THE ATLAS OF CORONARY INTRAVASCULAR ULTRASOUND IMAGING
Basics of IVUS: Introduction
Arterial Anatomy
Image Artifacts
IVUS Measurements
Plaque (Atheroma) Morphology
Established Clinical Applications
Assessment of Angiographically Indeterminate Lesions
Assessment of Transplant Vasculopathy
Interventional Applications
Evolving Clinical and Research Applications
Assessment of Plaque Vulnerability
Assessment of Plaque Burden/Volumetric Analysis
Serial Examination of Progression-Regression of Coronary Artery Disease
Case study 1: Lesion Progression and Subsequent PCI
Case study 2: PCI of Lesion Site and Regression of an Additional Lesion
References
Index

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