Preparation for measurement of coronary physiology

↳ This is a section part of Moment: Live Case Demonstration to Africa PCR (2016) from Hammersmith Hospital

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Summary

Sayan Sen and Iqbal Malik demosntrate how to prepare the pressure wire to ensure robust and reliable physiological measurements 

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Target Audience

  • Interventional cardiologists
  • Cardiology fellows
  • Physiology technicians
  • Catheter laboratory nurses
  • Physiological researchers
  • Imaging researchers

Kindly supported with an unrestricted educational grant from Volcano-Philips

Learning Objectives

Watch this case to learn:

  • How to manage complex pre-renal transplant patients
  • Differentiate focal from diffuse disease
  • Use of iFR to assess ischaemia
  • Use of iFR-Scout to map out physiological gradients along the lengh of the vessel
  • SyncVision to Co-register IVUS and angiographic images
  • SyncVision automated Stent Enchancement 

Other Components in this Moment

Overview
Introduction to Live Case Demonstration
Operators and faculty discuss the angiographic findings
Using SyncVision to demonstrate automated coronary QCA
Using SyncVision to co-register angiographic and IVUS imaging
Preparation for measurement of coronary physiology
Using iFR to measure stenosis severity in left anterior descending artery
Using FFR to assess severity of left anterior descending artery
Using iFR Scout to assess diffuse and focal disease along the length of the left anterior descending artery
Physiology data is interpreted by the live case operators and the expert panel
Pre-PCI lesion preparation
SyncVision lesion preparation was assessed
SyncVision IVUS preparation
Use of SyncVision to ensure accurate positioning of the stent
SyncVision IVUS was used to assess the artery post-PCI
iFR measurement was made following PCI
Final discussions of the live case
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