IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES -...

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IVUS - OCT Κωνσταντινίδου Αγάπη, Νοσηλεύτρια MSc Υπεύθυνη Αιμοδυναμικού - Ηλεκτροφυσιολογικού Εργαστηρίου Γ.Ν. Νίκαιας <<Άγιος Παντελεήμων>>

Transcript of IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES -...

Page 1: IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES - Current Cohort - Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents 8582

IVUS - OCT

Κωνσταντινίδου Αγάπη,

Νοσηλεύτρια MSc Υπεύθυνη Αιμοδυναμικού -Ηλεκτροφυσιολογικού Εργαστηρίου

Γ.Ν. Νίκαιας <<Άγιος Παντελεήμων>>

Page 2: IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES - Current Cohort - Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents 8582
Page 3: IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES - Current Cohort - Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents 8582
Page 4: IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES - Current Cohort - Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents 8582
Page 5: IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES - Current Cohort - Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents 8582
Page 6: IVUS - OCT · IVUS OCT (FD-OCT/OFDI) Laser Reference beam Interferonietèr Artery . ADAPT-DES - Current Cohort - Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents 8582
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<0,0001

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Using

OCT

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Eur Heart J 2017

Lancet 2017

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The Lancet Nov. 2016

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Case example. Female, 70yrs old, with non-STEMI. PCI in

LAD with a stent Resolute 2,75/22mm 6 months ago because

of STEMI.

PCI RESULT 10/2017 New angiography 4/2018

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MalappositionUnderexpansion

MSA=4,2mm2

Neointimahypeplasia+thrombus

OCT pullback LAD

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PCI result after implantation of a stent

Promus 3,0/20mm in 20Atm

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OCT in LAD

Post-PCICa

Stent underexpansion

Ca

Ca

MSA=3,8mm2

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Final result after post dilatation with non

compliant balloon 3,5/15mm

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OCT after final dilatation

MSA=6,2mm2

Tissue protrusion

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• Οργάνωση, μεθοδικότητα και σχολαστική επιμέλεια στη χρήση αυτών των εξελιγμένων και ιδιαίτερων υλικών.

• Ολιστική νοσηλευτική προσέγγιση και• Συνεχή ανανέωση των γνώσεων και εμπειριών στις νέες

απεικονιστικές τεχνικές στο αιμοδυναμικό εργαστήριο.

ΝΟΣΗΛΕΥΤΗΣ

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ΣΥΜΠΕΡΑΣΜΑ

1. Η χρήση ενδοαγγειακής απεικόνισης κατά τηνδιάρκεια της αγγειοπλαστικής ελλατώνει τονκίνδυνο εμφάνισης μειζόνων καρδιαγγειακώνσυμβαμάτων.

2. Το κλινικό όφελος είναι μέγιστο στους ασθενείςυψηλού κινδύνου και στις σύμπλοκες βλάβες.

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ΣΑΣ ΕΥΧΑΡΙΣΤΩ

ΠΟΛΥ