Post-PCI FFR Values and Post-PCI IVUS Findings – 2-Year FFR REACT Results

This study examines the influence of post-PCI intravascular ultrasound (IVUS) evaluation on operator strategy. The objective is to evaluate the effects of additional optimization in patients with low post-PCI FFR values. The trial indicates that performing additional optimization techniques improves post-PCI FFR in patients with FFR < 0.90. The FFR REACT trial utilized IVUS guidance […]

FFR-Guided PCI Optimization Direct by IVUS – 2-Year FFR REACT Results

The objective of this study was to examine the impact of IVUS-guided post-PCI optimization on the occurrence of target vessel failure (TVF) at a 2-year follow-up, in comparison to standard of care. The study was conducted after the FFR React trial, where intravascular ultrasound (IVUS) was utilized to guide PCI optimization in patients with post-PCI […]

Peripheral Artery Lesions with Calcium Identified

This graphic depicts a comparison between intravascular imaging (IVUS) and angiography in identifying peripheral artery lesions with calcium. Within the same lesions, IVUS detects 69% more calcium compared to angiography. This data highlights IVUS/intracoronary imaging’s ability to accurately identify and quantify calcium deposits in peripheral artery lesions.   Note: See full resource above for complete […]

Femoropopliteal Artery with Thrombus Identified

This graphic highlights an outcome disparity between intravascular ultrasound (IVUS) and angiography, specifically when examining the femoropopliteal artery. The data reveals that IVUS identified twice as much thrombus compared to angiography. This disparity underscores the enhanced thrombus detection capability of IVUS/intracoronary imaging in this arterial segment.   Note: See full resource above for complete citations […]

Dissections Identified by IVUS vs. Angiography Alone

This informative graph demonstrates the effectiveness of intravascular ultrasound (IVUS) compared to angiography in identifying dissections. Key findings indicate that IVUS outperforms angiography, identifying 4 times more post-stent dissections, 3.4 times more post-angioplasty dissections, and 6 times more post-atherectomy dissections. These results underscore the benefits of utilizing the IVUS system and intracoronary imaging for accurate […]

Automated Contrast Injection System Insights into Flow Rate Parameters and Pressure

Join a conversation with Dr. Bob Wilson, founder of ACIST Medical Systems, about the ACIST CVi® Contrast Delivery System. ACIST CVi® System is an automated, variable-rate contrast injection system for angiographic procedures. Some key features of the CVi® mentioned are the variable rate injection controlled by the handheld AngioTouch®, 4 active safety sensors, peristaltic pump […]

Automated Contrast Injection in Contemporary Practice During Cardiac Catheterization and PCI

This document focuses on contemporary measures, including automated contrast injection (ACI) systems, to prevent contrast-induced nephropathy (CIN) following catheterization and percutaneous coronary intervention (PCI). The use of automated contrast injection systems, such as the ACIST CVi® Contrast Delivery System, can effectively decrease the volume of contrast used during procedures. It remains uncertain whether lower contrast […]

Meta-Analysis of the Effect of Automated Contrast Injection Devices Versus Manual Injection

Background: Contrast-sparing devices have been slowly adopted into routine patient care. Randomized trial evidence of automated contrast injectors (ACIs) has not been analyzed to evaluate the true reduction in contrast volume during coronary angiography and intervention. It has been thought that reducing the amount of contrast exposure will result in a simultaneous reduction in the […]

CIN White Paper

Dr. Richard Solomon, Chief of Nephrology in the Department of Medicine at the University of Vermont College of Medicine and Fletcher Allen Health Care, introduces causes of Contrast-Induced Nephropathy (CIN) in the catheterization lab and its impact on patient outcomes. He became involved with contrast-induced nephropathy (CIN) from a research perspective in the early 1990s, […]

Radiation Safety

Radiation safety is of utmost importance in the catheterization lab, as invasive cardiac diagnostic and interventional procedures can contribute significantly to a patient’s overall radiation exposure. In the cath lab there is an increasing need for operators and staff to find ways to minimize their exposure in every case until radiation is at a level […]

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