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The study, called IVUS-DCB, is the first randomized controlled trial to demonstrate the clinical benefits of using IVUS in angioplasty procedures for peripheral artery disease (PAD), a condition in which plaque builds up in arteries in the legs. Half were randomly assigned to receive IVUS plus angiography and half received angiography alone.
The goal of the IVUS-DCB trial was to evaluate intravascular ultrasound (IVUS)-guided drug-coated balloon angioplasty compared with angiography-guided drug-coated balloon angioplasty among patients with femoropopliteal artery disease.
Venita Chandra, director of vascular surgery, Stanford University School of Medicine, showed that DA followed by DCB achieved a significantly lower provisional stent rate with comparable safety and efficacy outcomes compared to standard predilatation prior to DCB, making it a viable alternative for treating long and highly calcified lesions.
Andreas Grüntzig was a German cardiologist best known for being the first to develop successful balloon angioplasty for expanding lumens of narrowed arteries. Improving patient care and outcomes is what drives my commitment to helping find new solutions in the field.
Improvements in outcomes following peripheral vascular intervention have lagged compared to other endovascular treatments, such as percutaneous coronary intervention. Ongoing collaboration among these specialties is paramount to improving outcomes for patients worldwide.” Tam, MD, MBA, FSIR.
This year’s theme, “Advancing Cardiovascular Care for All” brings the latest practice-changing breakthroughs, along with top experts debating and discussing outcomes of highly-anticipated clinical trials. 24 from April 6 - 8, 2024 in Atlanta, GA at the Georgia World Congress Center.
After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed. An intravascular ultrasound was also performed, which was negative for vessel dissection. The left circumflex had 80% proximal stenosis with minimal luminal irregularities in the mid to distal portion.
Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Aorta briefly viewed, appears normal caliber and diameter.
It ensures better outcomes for the patients and continuous care by eliminating fragmented care with quick and easy information sharing. Reports can be prepared for ultrasound, angioplasty, and TEE with the use of robust analysis. As a result, cardiologists are more focused on their core responsibility.
Discussing further, Catheterization Laboratory, also called Cath Lab, is a medical examination room where angiogram, angioplasty, ablation, and implantation of pacemaker are carried out. Ultrasound, TEE, and IVUS play an influential role in dropping the usage of angiographic imaging. Building Smart Cath Labs is highly related to it.
Spontaneous coronary artery dissection Dissection of a coronary artery may occur in the context of atherosclerosis, or be iatrogennic during angiography or angioplasty. Often, intravascular ultrasound or intravascular optical coherence tomography is requeried to make the diagnosis. This case occurred 10+ years ago. Lobo et al.
This study aimed to assess the incidence, management and outcomes of CP over time. Factors associated with perforation include CTO or type C lesions and use of IVUS, cutting balloon angioplasty or hydrophilic wires. Methods A single-centre retrospective cohort study of all PCIs performed between January 2010 and December 2020.
The Times also briefly touches on some other patients of Mustapha who had bad outcomes. A lower extremity arterial ultrasound revealed elevated velocities in the right proximal superficial femoral artery. Mustapha performed multiple procedures on her leg to improve blood flow in an attempt to ward off a future amputation. 12.27.2016.
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