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E-grāmata: New Developments in Quantitative Coronary Arteriography

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New Developments in Quantitative Coronary ArteriographyPalielināt
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There are few techniques that have influenced therapeutic strategies in modem cardiology to a similar extent as coronary arteriography. Bypass surgery as well as transluminal coronary angioplasty would not have been possible without coronary angiography serving as a 'midwife' in their evolu­ tion. Despite the widespread and long-standing use in clinical practice, however, the interpretation of coronary angiograms has not changed very much since the early days. Most angiogr~s are still reviewed in a visual and semi-quantitative and thus often very subjective way. In the face of an almost exploding field for interventional catheterization including thrombolysis, balloon dilatation, and other rapidly evolving techniques for transluminal revascularization or recanalization, a more detailed and quantitative analysis of coronary arteriograms is urgently required. In addition to the delineation of coronary morphology, we need dynamic and functional information about flow and perfusion to understand the physiological significance of anatomic abnormalities. Coronary arteriography contains and can provide most of this information. With the application of appropriate techniques, it can be made available in the catheterization laboratory even during the patient's investiga­ tion, thus facilitating and improving clinical decision making. Objective and reproducible analysis will furthermore enhance our understanding about the pathophysiology of coronary disease.

Papildus informācija

Springer Book Archives
Methodological Developments in Coronary Arterial Stenosis Quantitation.-
1. Digital imaging systems for coronary angiography.-
2. Optimal biplane
imaging of coronary segments with computed triple orthogonal projections.-
3.
Accurate densitometric quantification requires strict attention to the
physical characteristics of X-ray imaging.-
4. Morphologic and densitometric
quantitation of coronary stenoses; an overview of existing quantitation
techniques.-
5. Intravenous digital coronary angiography a review of
technical considerations and recent results.-
6. Assessment of the anatomic
and functional severity of coronary arterial stenosis: new measuring
techniques using high-frequency epicardial echocardiography and Doppler
ultrasound.- Validations and Clinical Applications of Quantitative Coronary
Arteriography.-
7. On the accuracy of densitometric measurements of coronary
artery stenosis based on Lambert-Beers absorption law.-
8. Morphologic and
physiologic validation of quantitative coronary arteriography utilizing
digital methods.-
9. Comparison of automated edge detection and
videodensitometric quantitative coronary arteriography.-
10. Issues of
validation in quantitative coronary angiography.-
11. Early regression and
late progression in coronary artery lesions in the first 3 months following
coronary angioplasty.-
12. How to assess the immediate results of PTCA.
Should we use pressure gradient, flow reserve or minimal luminal
cross-sectional area?.- Assessment of Coronary Flow and Myocardial
Perfusion.-
13. Theoretical and practical aspects of digital angiography for
quantitative coronary flow studies.-
14. Three-dimensional reconstruction and
flow measurements of coronary arteries using multi-view digital angiography.-
The Current Role of CoronaryAngioscopy.-
15. Coronary angioscopy during
cardiac catheterization and surgery.-
16. The angioscopic view of
atherosclerotic cardiovascular disease.- The Stent, a Breakthrough?.-
17.
Percutaneously implantable endo-coronary prosthesis.-
18. A coronary
endoprosthesis to prevent restenosis and acute occlusion after percutaneous
angioplasty: one and a half year of clinical experience.- Index of subjects.
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