Discover and read the best of Twitter Threads about #imagelast
Most recents (3)
74 y/o previous PCI of the prox LAD LM at that time IFR -; IVUS with dLM nodule but adequate lumen. 6 months later progressive anginal sxs. Nodule eruptive MLA down from 7.5 to 6.7ish and %stenosis 71 with heavy plaque burden. Utilized #shaveandshock w/ @csi360 and @ShockwaveIVL 
with Impella support (flat-lined while using 4.0 shockwave). MLA 6.7 -> 11.7 m2! Closed up the hole with a 14French @TeleflexCardiol manta with excellent results. Home following day!
1/Week 2. How does proper identification of morphology with OCT impact treatment strategy?
Today we discuss the 1st step in the OCT-guided PCI workflow #MLDMAX: Morphology (M)
At the end, assess your morphology skills w/ a quiz.
Important Safety Info: bit.ly/2VIph7r
Today we discuss the 1st step in the OCT-guided PCI workflow #MLDMAX: Morphology (M)
At the end, assess your morphology skills w/ a quiz.
Important Safety Info: bit.ly/2VIph7r
2/ Morphology assessment affects vessel prep which impacts stenting strategy.
In the LightLab Clinical Initiative, #OCTimaging changed physician’s angiographic assessment of lesion morphology in 48% of lesions or about 1 out of every 2 lesions.
#imagefirst
In the LightLab Clinical Initiative, #OCTimaging changed physician’s angiographic assessment of lesion morphology in 48% of lesions or about 1 out of every 2 lesions.
#imagefirst
3/ When a lesion type change occurred, calcification was the predominant morphology observed in pre-PCI OCT pullback. Misdiagnosis of calcification changed vessel preparation strategy in 28% of lesions.
1/Welcome to our third #OCTober #Tweetorial 🎃🤓. Here we’ll talk
about how #OCTImaging can help detect the mechanisms of in-stent
restenosis (ISR) to guide treatment. #imagefirst #imagelast
Important Safety Info: abbo.tt/2GyBrZ1
about how #OCTImaging can help detect the mechanisms of in-stent
restenosis (ISR) to guide treatment. #imagefirst #imagelast
Important Safety Info: abbo.tt/2GyBrZ1
2/ What causes ISR? Stent underexpansion and neointimal hyperplasia (NIH) are the two predominant mechanisms of stent failure, as cited in this expert consensus document of the European Association of PCI: bit.ly/2PdMGtt
Important Safety Info: abbo.tt/2GyBrZ1
Important Safety Info: abbo.tt/2GyBrZ1
3/Here’s how stent underexpansion and NIH are seen on angiography and OCT respectively. To spot NIH, look for a large layer of growth on top of an already fully expanded stent.
Important Safety Info: abbo.tt/2GyBrZ1
Important Safety Info: abbo.tt/2GyBrZ1
