IVUS血管内超声基础和临床课件.ppt

IVUS血管内超声基础和临床;IVUS 培训 ;血管内超声基础和进展;;High frequency sound waves echo off vessel walls and are sent back to system;;Low dynamic range;Intimal disease (plaque) is dense and will appear ‘white’ Media is made of homogeneous smooth muscle cells and does not reflect ultrasound (appears dark) Adventitia has ‘sheets’ of collagen that reflect a lot of ultrasound (appears white);The CardiovascularResearch Foundation;Calcium;;;Soft Plaque;;;0;Examples of Thrombus;Basic Measurements (I);Basic Measurements (II);Non-stented artery;Stented Artery;Proximal Reference;;In-Stent Restenosis;血管内超声基础和进展;Limitations of Coronary Angiography;Angiographically Silent Disease;Coronary Remodeling Hypothesis;Proximal reference;A;Limitations of Coronary Angiography;Irregular Plaque / Irregular Lumen;The CardiovascularResearch Foundation;血管内超声基础和进展;IVUS 培训 ;;IVUS 培训 ;Suggested IVUS Criteria for a ‘Significant’ LMCA Stenosis;IVUS 培训 ;;;;;;The high predictive value (90%) for the minimum stent CSA in Cypher stents suggests that most causes of Cypher stent failure will be “mechanical”;Predictors of angiographic restenosis in 550 pts with 670 native artery lesions treated with Cypher stents;Comparison of IVUS-measured minimum stent diameter (MSD) and minimum stent area (MSA) with the predicted measurements from Cordis (Cypher in yellow, n=133) and BSC (Taxus in red, n=67). DES achieve an average of only 75% of the predicted MSD (66% of MSA);Peri-Stent Haziness: Double Lumen;Peri-Stent Haziness: Plaque Burden;Peri-Stent Haziness: Calcification;Peri-Stent Injury: Plaque Tear;何时采用IVUS 以达到最佳的 DES 置入;血管内超声基础和进展;;;Comparison