β Scribed by Johan H. C. Reiber (auth.), Patrick W. Serruys, David P. Foley, Pim J. De Feyter (eds.)
No coin nor oath required. For personal study only.
Quantitative coronary angiography has become an invaluable tool for the interventional cardiologist, providing objective and reproducible measurements of coronary artery dimensions, which can be used to study progression or regression of coronary atherosclerosis, as well as the immediate and long term effects of percutaneous interventions. Until recently, this powerful imaging technology was confined to a small number of so-called high level institutions. Fortunately, with the development of digital cardiac imaging equipment and adaptation of cine-angiographically based computer software for on-line use in the catheterization room, quantitative coronary angiography is now available to all interventionalists.
This book is a timely guide for the impending QCA user, providing practical as well as theoretical and scientific information. A comprehensive evaluation of the clinical usefulness of QCA is covered, from the fundamental principles through experimental validation studies, application to clinical trials of a wide range of pharmacological and interventional therapies in the full spectrum of clinical presentation of coronary disease syndromes, evaluation of the therapeutic efficacy of various new devices for coronary intervention, together with extensive presentation of its physiological, functional and anatomical correlations, by comparison with other intracoronary measurement and imaging techniques. In addition, evolving theories and concepts in the ever topical `restenosis phenomenon' after percutaneous intervention, based on serial QCA studies, are presented and discussed and a potentially unifying methodological approach to further study of this ubiquitous problem is offered.
This book, thanks to the collaboration of many experts in the field of intracoronary imaging and measurement, provides stimulating, interesting and practical information, both for the academic scientist and practising clinician.
Front Matter....Pages i-xxi
Why and how should QCA systems be validated?....Pages 1-6
Accuracy and precision of quantitative digital coronary arteriography; observer-, as well as short- and medium-term variabilities....Pages 7-26
How reliable are geometric coronary measurements? In vitro and in vivo validation of digital and cinefilm-based quantitative coronary analysis systems....Pages 27-49
Validation of videodensitometry in the assessment of stenosis phantoms: an in vitro and in vivo study....Pages 51-68
Videodensitometry in percutaneous coronary interventions: a critical appraisal of its contributions and limitations....Pages 69-87
Post-angioplasty lesion measurement variability of the cardiovascular angiographic analysis system....Pages 89-102
Methodological problems with the quantitative angiographic assessment of elastic recoil, stretch and balloon-artery ratio....Pages 103-120
Experiences of a quantitative coronary angiographic core laboratory in restenosis prevention trials....Pages 121-135
Visual versus quantitative analysis of coronary artery stenoses treated by coronary angioplasty: can the angiographerβs eye be re-educated?....Pages 137-146
Intracoronary pressure measurements with a 0.015β³ fluid-filled angioplasty guide wire....Pages 147-165
Measurement of coronary artery pressure and stenosis gradients β clinical applications....Pages 167-179
Application of coronary flow measurements to decision making in angioplasty....Pages 181-230
On-line versus off-line assessment of coronary flow reserve....Pages 231-242
Calculation of maximum coronory, myocardial, and collateral blood flow by pressure measurements in the coronary circulation....Pages 243-269
Comparison between fractional flow reserve calculation and quantitative coronary arteriography in a non-selected patient population....Pages 271-281
Assessment of coronary stenosis severity from simultaneous measurement of transstenotic pressure gradient and flow. A comparison with quantitative coronary angiography....Pages 283-306
Application of quantitative coronary angiography in the study of pharmacologically induced coronary vasomotion....Pages 307-316
Long-term responsiveness to intracoronary ergonovine in variant angina....Pages 317-328
Response of conductance and resistance coronary vessels to scalar concentrations of acetylcholine. Assessment with quantitative angiography and intracoronary Doppler in 29 patients with coronary artery disease....Pages 329-353
Angiographic evaluation of coronary bypass grafts vasomotion....Pages 355-369
Evaluation of thrombolytic and monoclonal platelet GPIIb/IIIa receptor antibody therapy in refractory unstable angina pectoris: correlation between quantitative assessment of coronary angiograms and clinical course....Pages 371-386
Clinical and quantitative angiographic results of a randomized trial comparing direct coronary angioplasty with intravenous streptokinase in acute myocardial infarction....Pages 387-396
Merits of quantitative coronary angiography after thrombolytic therapy for evolving myocardial infarction....Pages 397-414
Elastic recoil after percutaneous transluminal coronary angioplasty. A quantitative angiographic approach....Pages 415-431
The importance of coronary dissection during and after coronary balloon angioplasty as evaluated by quantitative coronary angiography....Pages 433-450
Quantitative coronary angiography for the evaluation of pharmacolgical restenosis prevention trials after successful percutaneous transluminal coronary balloon angioplasty. The results of CARPORT and MERCATOR study....Pages 451-467
Quantitative coronary angiography in the assessment of risk factors for luminal renarrowing....Pages 469-493
Restenosis assessed by quantitative angiography. Lessons learned from two european multicenter trials....Pages 495-535
Evaluation of the clinical use of directional coronary atherectomy using quantitative coronary angiography....Pages 537-560
Rotational atherectomy....Pages 561-572
Critical appraisal of quantitative coronary angiography and endoluminal stent implantation....Pages 573-590
Excimer laser angioplasty....Pages 591-610
Evolving quantitative angiographic approaches to the comparative assessment of luminal renarrowing and longterm outcome after different transluminal coronary interventions....Pages 611-634
Progression or regression of coronary atherosclerosis: Assessment with quantitative coronary angiography....Pages 635-651
Coronary atherosclerosis intervention trials using serial quantitative angiography....Pages 653-665
Short- and long-term quantitative angiographic follow-up after cardiac transplantation....Pages 667-679
Does coronary lumen morphology influence vessel cross-sectional area estimation? An in vitro comparison of intravascular ultrasound and quantitative coronary angiography....Pages 681-693
Intravascular ultrasound: An evolving rival for quantitative coronary angiography....Pages 695-715
Back Matter....Pages 717-727
Cardiology; Imaging / Radiology
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