Discover and read the best of Twitter Threads about #intracoronary

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Another #FITSurvivalGuide tweetorial. This time on #intracoronary imaging w/ focus on IVUS and OCT
➡️ Rationale for use
➡️ Tech basics
➡️ Uses
➡️ Data
➡️ Images (high-yield)
@z_alirhayim @Almanfi_Cardio @AntoniousAttall @abashirMD @Babar_Basir
Why use them?
- Cor angio limited by: 2D view of 3D artery, diffuse dx, foreshortening, angulations, Ca++, eccentricity, vessel overlap, contrast streaming
- Angio alone ➡️ undetected edge complications, suboptimal stent exp in 15-20% ➡️ adverse events @cardiojaydoc02
IVUS tech: US reflected from vessel wall
➡️ 2 types: Rotational; Phased-array
➡️Rotational: 40-45 MHz, 3.2 Fr, 5 Fr guide, Rx, better near field resolution
➡️Phased-array: 20 MHz, 3.5 Fr, 5 Fr guide, Rx, more trackable
➡️Co-registration with angio now available
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