1st Edition

An Atlas and Manual of Coronary Intravascular Ultrasound Imaging

Edited By Paul Schoenhagen, Steven E. Nissen Copyright 2003

    Intravascular ultrasound (IVUS) is an imaging technique used during coronary angiography. This book provides a systematic introduction to coronary imaging with (IVUS). It is divided into two integrated and extensively cross-referenced parts, the Atlas and the Manual. The Manual describes the rationale, method, and interpretation of IVUS imaging for therapeutic and diagnostic purposes. It also presents a range of both established and evolving clinical and research applications. The Atlas features non-illustrated IVUS images together with corresponding illustrated figures. The reference list and subject index are connected to the Atlas and the Manual, allowing for rapid and easy access to information.

    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

    Biography

    Paul Schoenhagen, Steven E. Nissen

    "This is an excellent manual for self-education and SpRs specialising in intervention, and also for reference by those of us who only perform small numbers of IVUS cases per year."
    - Cardiology News, Vol. 7, No. 5, June/July 2004