4. intravascular coronary imaging in the modern cath lab [read … · 2019-05-24 · angiografia...
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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
P otentialconflictsofinterest
S peaker'snam e: M arcinW izim irski,R T
Idonothaveany potentialconflictofinterest
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Angiography
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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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A n gio 3-D recon struction
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Angio
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Imagingmodalities
CT
Angiografia
IVUS
VH
600µm
200µm
OCTOCTOCT
Angio 3D
100µm
10µm
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S nowmass’20 17Eurointervention 2012;8:855-865.
S nowmass’20 17Witzenbichler B, et al. Circulation. 2014;129:463-470.
Intravascular experience.
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IntegrationIntegration
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IntegrationIntegration
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Integration - Some Extra BenefitsIntegration - Some Extra Benefits
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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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Only MINUS – more
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Only MINUS – morecontrast load.
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.
Thank youThank youfor attention!
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