4. intravascular coronary imaging in the modern cath lab [read … · 2019-05-24 · angiografia...

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IntravascularCoronaryImagingintheM odernCathL ab Integration,Co - registration, 3- D Reconstruction Integration,Co - registration, 3- D Reconstruction Marcin Wizimirski RT University Hospital in Krakow, Krakow, Poland S nowmass’2 017 University Hospital in Krakow, Krakow, Poland

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Page 1: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

IntravascularCoronary Im agingintheM odernCathL ab– Integration,Co-registration,3-D R econstruction– Integration,Co-registration,3-D R econstruction

Marcin Wizimirski RT

University Hospital in Krakow, Krakow, Poland

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University Hospital in Krakow, Krakow, Poland

Page 2: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

P otentialconflictsofinterest

S peaker'snam e: M arcinW izim irski,R T

Idonothaveany potentialconflictofinterest

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Page 3: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

Angiography

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Page 4: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

Dm axDm ax = 4,04m m= 4,04m m

R ef.D = 3,58m mR ef.D = 3,58m m

M L D = 1,73m mM L D = 1,73m m

ReferencjaReferencja ReferencjaReferencja

T CT ’1999

ReferencjaReferencjaproksymalnaproksymalna

ReferencjaReferencjadystalnadystalna

VDśr.= 5,1m mVDśr.= 5,1m m

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Page 5: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

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Page 6: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

A n gio 3-D recon struction

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Angio

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Page 9: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

Imagingmodalities

CT

Angiografia

IVUS

VH

600µm

200µm

OCTOCTOCT

Angio 3D

100µm

10µm

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Page 10: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

S nowmass’20 17Eurointervention 2012;8:855-865.

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S nowmass’20 17Witzenbichler B, et al. Circulation. 2014;129:463-470.

Page 12: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

Intravascular experience.

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Page 13: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

IntegrationIntegration

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IntegrationIntegration

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Integration - Some Extra BenefitsIntegration - Some Extra Benefits

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Page 18: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

Imagingmodalities

CT

Angiografia

IVUS

VH

600µm

200µm

OCTOCTOCT

Angio 3D

100µm

10µm

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Angio & OCTAngio & OCT

Be sure to calibrateAngio – OCT delayAngio – OCT delay

For each table !

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Page 21: 4. Intravascular Coronary Imaging in the Modern Cath Lab [Read … · 2019-05-24 · Angiografia IVUS VH 600µm 200µm OCT OCT Angio 3D 100µm 10µm S nowmass’20 17. S nowmass’20

S nowmass’20 17S nowmass’20 14

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Only MINUS – more

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Only MINUS – morecontrast load.

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GURMIGURMI

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GURMIGURMI

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GURMIGURMI

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GURMIGURMI

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Imagingmodalities

CT

Angiografia

IVUS

VH

600µm

200µm

OCTOCTOCT

Angio 3D

100µm

10µm

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High Definition ICUSHigh Definition ICUS

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High Definition ICUSHigh Definition ICUS

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CT & Angio -> CTO Guidance

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ConclusionsConclusions

• W earehappy tow elcom eany toolthatcanhelpusim proveoutcom eofm oreand

m orechallengingcasesw em eet.m orechallengingcasesw em eet.

• Ifthetoolalsohelpsreduceradiationit’sevenm orew elcom e.

• Fortunately thereisnew technology onthehorizon.

• Ionly hopethatfusionofcom paniesw on'tlim itasinchoiceofthetechnology w e

w anttoim plem entinourcathlabs.

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w anttoim plem entinourcathlabs.

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Thank youThank youfor attention!

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