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  • Submit Your Image Review
  • Image Review

    CLICK HERE to browse the archive of all current and past Imaging Center Image Reviews.

  • Get Involved! Submit Your Image Review Presentation

    Want to submit your original clinical case study to a SCAI.org Clinical Interest Section?

    CLICK HERE to learn more about how to submit your Image Review presentation.

  • Documents & Resources

    Additional Imaging Center resources including critical publications:

    • SCAI 2013 Expert Consensus Statement on the Use of Fractional Flow Reserve, Intravascular Ultrasound, and Optical Coherence Tomography

  • SCAI Imaging Center
    Supported by:St. Jude

    SCAI IMAGING CENTER features a variety of resources aimed at helping interventional cardiologists and other members of the cardiovascular care team become proficient in the latest imaging modalities—including FFR, IVUS and OCT—whether you are at a beginner or an advanced training level.

    WHAT'S NEW

    Image Review

    Emmanouil Brilakis, MD reviews the case of a how to use OCT to guide antegrade dissection and/or re-entry during CTO PCI. REVIEW

     


    Image Review

    Hoang Thai, MD reviews the case of a 49-year-old patient admitted with an inferior STEMI. LAUNCH REVIEW

     



    DANAMI-3 Supports FFR-Based STEMI Complete Revascularization

    Heartwire from Medscape: Another randomized trial presented at EuroPCR 2015 has concluded in favor of complete revascularization in patients with STEMI. FIND OUT MORE ABOUT THE DANAMI-3 RESULTS

     



    Positive Signs for OCT Guidance in PCI

    TCTMD: No fewer than 3 Hot Line presentations on May 20, 2015, at EuroPCR addressed the question of how well optical coherence tomography (OCT) might inform PCI. MORE ON THE DATA FROM THESE STUDIES

     



    Image Review

    Arnold Seto, MD reviews the case of an 85-year-old patient with a history of hypertension, chronic kidney disease, and a recent NSTEMI. VIEW IMAGE REVIEW

     



    Image Review

    Arnold Seto, MD reviews the case of a 27-year-old patient with scleroderma and CREST syndrome, presenting with angina and troponin-I.  LAUNCH IMAGE REVIEW

     



    Small Study Shows Benefit of IVUS During Endovascular Repair of Popliteal Aneurysms

    Endovascular Today: A study in Catheterization & Cardiovascular Interventions designed to evaluate the outcomes of IVUS-directed endovascular exclusion of popliteal artery aneurysms (PAAs) using stent grafts found that use of IVUS during endovascular treatment of PAAs allows the physician to fully appreciate the anatomy of PAAs, including location and extent of thrombus burden and the diameter and location of desired landing zones for appropriate sealing of an aneurysm proximally and distally. In the study, IVUS-guided treatment was associated with excellent outcomes and no increased procedural radiation and contrast load. MORE

     


    Image Review

    Hoang M Thai, MD, FSCAI reviews optical coherence tomography of a 76-year-old male admitted with a NSTEMI. WHAT IS THE DIAGNOSIS?

     



    Dextran Subs for Contrast in OCT with Similar Results

    Cardiovascular Business: Dextran offers an inexpensive and possibly safe alternative to standard contrast dyes used in coronary optical coherence tomography (OCT) imaging, according to a feasibility study published in the Nov. 1 issue of Catheterization & Coronary Interventions (CCI). ADDITIONAL INFORMATION

     



    OCT Predicted Incomplete Stent Apposition, Associated Outcomes

    Cardiology Today: Optical coherence tomography demonstrated that second-generation DES show greater capacity to heal acute incomplete stent apposition than first-generation DES and can provide useful information to optimize PCI, new data concluded. Researchers of the study aimed to compare first-generation sirolimus-eluting stents (SES) with second-generation everolimus-eluting stents (EES) for the natural course of incomplete stent apposition and used OCT to assess outcomes. MORE

     



    Image Review

    Review of combined anatomic and physiologic assessment with Arnold Seto, MD, FSCAI. REVIEW

     



    Risk Model Using FFR Predicted Deferred Lesion Intervention

    Cardiology Today: A prediction model using fractional flow reserve and five clinical variables may aid clinicians in predicting risk for deferred lesion intervention during the first year after FFR assessment, according to recent findings. The researchers aimed to develop a model that predicted estimated 1-year risk for deferred lesion intervention in coronary lesions in which revascularization was not performed after assessment with FFR. MORE

     



    OCT STEMI Trial Supports OCT Guidance in Primary PCI

    Cardiac Interventions Today: Data from OCT STEMI, the first randomized trial to examine serial optical coherence tomography (OCT) in a primary percutaneous coronary intervention (PCI), were reported today at the 26th annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium. MORE

     



    SCAI Outlines Best Uses for Intra-coronary Diagnostic Tools in Interventional Cardiology

    In an expert consensus document e-published in Catheterization and Cardiovascular Interventions, the Society for Cardiovascular Angiography and Interventions (SCAI) offers recommendations for optimal use of three technologies that interventional cardiologists often use to assess the severity of blockages in heart arteries. To ensure these technologies are applied in a manner most beneficial to patients, SCAI has issued guidance on fractional flow reserve (FFR), intravascular ultrasound (IVUS) and optical coherence tomography (OCT), three tools for improved patient care, particularly for patients whose heart disease is considered complex or whose disease levels are unclear from angiography. MORE

    DOWNLOAD: "Expert Consensus Statement on the Use of Fractional Flow Reserve, Intravascular Ultrasound, and Optical Coherence Tomography”

     



    VERIFY-2 Study: FFR Remains Gold Standard Over iFR and Pd/Pa in Determining Severity of Coronary Artery Blockages

    SCAI 2014: New measures of the severity of coronary artery blockages do not provide enough accuracy to guide treatment decisions, according to the results of the VERIFY-2 study presented today as a late-breaking clinical trial at the Society for Cardiovascular Angiography and Interventions (SCAI) 2014 Scientific Sessions in Las Vegas. MORE

     

    In CCI

    • Original Studies: Long-term outcomes following fractional flow reserve-guided treatment of angiographically ambiguous left main coronary artery disease: A meta-analysis of prospective cohort studies

    • Editorial Comment: Is the left main just another artery to FFR?

    • Serial intravascular ultrasound analysis of complex bifurcation coronary lesions treated with the tryton bifurcation stent in conjunction with an everolimus-eluting stent: IUVANT (Intravascular ultrasound evaluation of tryton stent) study

    • Optical coherence tomography-based predictors for creatine kinase-myocardial band elevation after elective percutaneous coronary intervention for in-stent restenosis

    • Bivalirudin versus unfractionated heparin for residual thrombus burden: A frequency-domain optical coherence tomography study

    • Influence of microvascular resistance on fractional flow reserve after successful percutaneous coronary intervention

    • The relationship between fractional flow reserve and index of microcirculatory resistance: Be careful with whom you associate

    • Importance of guiding catheter disengagement during measurement of fractional flow reserve in patients with an isolated proximal left anterior descending artery stenosis

    • Fractional Flow Reserve for the Evaluation of Coronary Stenoses: Limitations and Alternatives

    • Differences determined by optical coherence tomography volumetric analysis in non-culprit lesion morphology and inflammation in ST-segment elevation myocardial infarction and stable angina pectoris patients

    • Optical coherence tomography imaging of the patent ductus arteriosus: First known uses in congenital heart disease

    • Bridging antiplatelet therapy prior to surgery in DES patients: Is less more?

    • A combination of plaque components analyzed by integrated backscatter intravascular ultrasound and serum pregnancy-associated plasma protein a levels predict the no-reflow phenomenon during percutaneous coronary intervention

    • Aspiration thrombectomy in patients undergoing primary angioplasty: Totality of data to 2013

    • Techniques and best practices for optical coherence tomography: A practical manual for interventional cardiologists

    • Comparison of near-infrared spectroscopy and optical coherence tomography for detection of lipid

    • Optical coherence tomography derived differences of plaque characteristics in coronary culprit lesions between type 2 diabetic patients with and without acute coronary syndrome

    • Low molecular weight dextran provides similar optical coherence tomography coronary imaging compared to radiographic contrast media

    • Limiting contrast dye exposure every way we can: Use of dextran during coronary optical coherence tomography imaging

    • Optical coherence tomography evaluation of late strut coverage patterns between first-generation drug-eluting stents and everolimus-eluting stent

    • Difference of neointimal growth patterns in bifurcation lesions among four kinds of drug-eluting stents

    • Plaque characterization in unstable versus stable diabetics: Insights illuminated by OCT

    • Comparing imaging lipid plaque with NIRS and OCT: “All that's yellow is not gold (a vulnerable plaque)”

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  • St. Jude

    The SCAI Imaging Center is developed and maintained with the generous support of St. Jude Medical. SCAI gratefully acknowledges this support, while taking sole responsibility for all content developed and disseminated through this effort.

  • Imaging Center Poll: Applications OCT Should Replace IVUS - Part 1

    For which applications, if any, do you think OCT should replace IVUS?
    After PCI for stent expansion/apposition/edge dissection/complications
    Assessment of in-stent restenosis
    After stent thrombosis
    Before PCI, for assessment of coronary calcification
    For potential assessment of vulnerable plaque (thin cap fibroatheroma)
      Results
  • SCAI Imaging Center Editors

    Emmanouil S. Brilakis, MD, FSCAI
    View Bio
     

    Arnold H. Seto, MD, MPH, FSCAI
    View Bio


    Hoang M. Thai, MD, FSCAI
    View Bio

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