This study examines the influence of post-PCI intravascular ultrasound (IVUS) evaluation on operator strategy. The objective is to evaluate the effects of additional optimization in patients with low post-PCI FFR values. The trial indicates that performing additional optimization techniques improves post-PCI FFR in patients with FFR < 0.90. The FFR REACT trial utilized IVUS guidance to optimize PCI in patients with low post-PCI FFR values.
Background: Additional optimization in patients with low post-PCI FFR significantly improves post-PCI FFR values. In the FFR REACT trial, we used IVUS to guide PCI optimization in patients with post-PCI FFR < 0.90.
Aims: To assess the impact of post-PCI FFR pullback data and post-PCI IVUS findings on operator strategy.
IVUS evaluation changed treatment strategy in 53.1% of vessels (76/143, p<0.001)
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Dr. Ziad A. Ali, Interventional Cardiologist at Saint Francis Hospital and Heart Center, emphasizes the significance of reducing contrast exposure and utilizing the least nephrotoxic contrast agents in angiography and percutaneous coronary intervention, particularly in patients with pre-existing chronic kidney disease. By implementing intravenous volume hydration, ensuring appropriate catheter engagement, and limiting contrast injection volume, the risk of acute kidney injury (CA-AKI) can be mitigated. The ACIST CVi® Contrast Delivery System addresses these concerns by offering controlled volume and rise settings, as well as the ability to record injection volume for documentation purposes. During cardiovascular intervention other physiology and imaging devices (IVUS) are often used as well. The ACIST HDi® HD IVUS System with enhanced imaging modes provides a better defined IVUS image for preprocedural planning and post procedural assessment. The ACIST RXi® Rapid Exchange FFR System along with the ACIST Navvus® II MicroCatheter give you the freedom to quickly and easily assess Fractional Flow Reserve (FFR) and dPR (diastolic Pressure Ration) using you 0.014” guidewire of choice. Continue reading to learn more.
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Dr. Joost Daemen, an Interventional Cardiologist at the Erasmus Medical Center, Rotterdam, the Netherlands and Jurgen Ligthart, a Percutaneous Imaging Specialist at Erasmus, are the hosts of this informative webinar series. The primary focus is on enhancing PCI (percutaneous coronary intervention) using FFR (fractional flow reserve) and HD-IVUS (high-definition intravascular ultrasound). The series addresses the pressing need to mitigate the long-term risk of target vessel failure (TVF) following contemporary PCI procedures. To achieve this, the webinar series explores the utilization of the ACIST HDi® HD IVUS System and Kodama® HD IVUS Catheter in conjunction with the Rxi® Rapid Exchange FFR System and Navvus®II Rapid Exchange MicroCatheter. Through an examination of diverse imaging, real-life cases, and corresponding outcomes, the effectiveness of the HDi® System for optimizing PCI is evaluated. Join us in this session to gain insights into the potential of the HDi® System in driving PCI optimization.
Background:
- The long-term risk of target vessel failure (TVF) after contemporary PCI remains concerning
- Post-PCI FFR <.90 has been linked to an increased rate of major adverse cardiac events
- Post-PCI FFR values can be increased by additional treatment
- Whether additional optimization improves outcome remains unknown
“The Navvus® MicroCatheter, which is a thin monorail micro catheter with optical sensor technology, allowing a physiological lesion assessment over any type of routine guidewire. So that is the big advantage of this system. With the optical technology that really limits the amount of drift you will encounter and with the ability to do a pullback without losing wire position. I think that is a critical advantage of this product that can be used as we will demonstrate to you both pre as well as post procedurally.” – Dr. Daemen
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Dr. Florent Chevalier, Interventional Cardiologist at Centre Hospitalier de Saint-Quentin in France, presents his reasoning for the usefulness of investment procedure. He presents several patient cases using diagnostic imaging (IVUS) to back up his explanations. ACIST® Medical Systems, a Bracco Group company, is a market leader in contrast injection technologies that simplify complex cardiac cath lab procedures and radiology imaging. The all-in-one ACIST CVi® contrast injection system has been used to diagnose and treat more than 10 million patients around the world. Continue watching to get a better understanding of investment procedure and its usefulness.
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Welcome to this comprehensive and concise guide for the HDi® HD IVUS (intravascular ultrasound) System. Familiarizing yourself with the components and their functions is key when utilizing the High-definition IVUS system. Among the essential components are the monitor, console, DVD/USB ports, ports and controls, cart, power supply, Patient Interface Module (PIM), Linear Translation System (LTS), and ACIST Kodama® HD IVUS Catheter. The PIM, equipped with user-friendly buttons, serves to control imaging and recording functions. The LTS enables calibrated pullback, available in both manual and automatic modes. Key consumables for the HDi® system include the Kodama® Catheter and the sterile bag. Further explore this guide to learn essential steps for preparing the HDi® IVUS System for usage. This consists of setting up the Kodama® Catheter, entering patient information, utilizing start and stop live imaging, as well as shutdown procedures and troubleshooting techniques.
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The ACIST HDi® High-definition IVUS System is designed to enhance visualization, providing valuable insights to guide and enhance coronary and peripheral intervention strategies. This intravascular ultrasound product brings benefits to both patients and medical professionals. With its advanced imaging modules, the HDi® system offers improved clarity and definition, enabling precise pre-procedural planning and accurate post-procedural assessment. The ACIST HDi® features a compact console with a touch screen interface, allowing for efficient analysis and seamless integration into cath lab settings with its small footprint. Notably, the system is now indicated for both coronary and peripheral vasculature procedures, expanding its versatility. The Kodama® HD IVUS Catheter’s optimized deliverability and unique variable flexibility contributes to its ability to capture quality images even in complex procedures. For further information on the ACIST HDi® system, ACIST Kodama®, and to explore imaging results, please continue reading.
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Take a moment to watch the video below, showcasing the distinctive perspectives on Circumflex Calcium provided by the ACIST HDi® 60 MHz and the competing IVUS 20 MHz systems. This video offers an opportunity to observe and compare the imaging capabilities of these two technologies. Witness firsthand how the ACIST HDi® 60 MHz system presents a different and enhanced view of Circumflex Calcium, setting it apart from the IVUS 20 MHz system.
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Take a moment to watch the informative video below, which highlights the distinct capabilities of the ACIST HDi® 60 MHz and the competing IVUS 20 MHz systems in visualizing the Circumflex Stent. The video provides a comparative analysis, allowing you to observe the differences in image quality and visualization between these two technologies. By examining the ACIST HDi® 60 MHz, you will discover its advanced imaging capabilities, offering enhanced clarity and detailed views of the stent.
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Take a moment to watch this video, presenting two contrasting imaging views of a tibial dissection. On the left side, you will witness the ACIST HDi HD IVUS System 60 MHz with a 10 mm field of view, while on the right side, the competing IVUS 20 MHz with a 10 mm field of view is showcased. This video offers you the opportunity to observe and compare the imaging capabilities of these two technologies.
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Learn about the ACIST HDi® HD IVUS system, a preferred choice for optimized imaging by leading professionals. With its 60 MHz capability, this intravascular ultrasound system provides easy-to-use touchscreen functionality, superior visualization for media compared to OCT, 8x better detection of liquid pools than 40 MHz, and a 74% treatment strategy change during procedures. It is the first high-definition IVUS (intravascular ultrasound) system approved for coronary and peripheral vasculature procedures. The accompanying video showcases the advancements of the ACIST Kodama® HD IVUS Catheter, offering a 90% reduction in procedure time and 10x faster pullback speed. Experience the different imaging modes — ClasicView™, LumenView™, and SilkView™ — for comprehensive vascular assessment.
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