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