Search results for "Diffuse disease"
showing 3 items of 3 documents
Imaging in the catheterization laboratory
1993
Recent work confirms that visual assessment of the effect of widely employed coronary interventions is highly inaccurate. Rapid and reliable on-line angiographic quantitation is a useful advance, but problems in the application of the technique are encountered in a substantial number of cases. New algorithms have been devised to provide a comprehensive assessment of the geometry and likely functional significance of lesions as well as an objective evaluation of lesion morphology, and recent work has provided the framework for the quantitation of diffuse disease. Studies with intravascular ultrasound confirm the inadequate sensitivity of angiography in demonstrating mild to moderate atheroma…
The Assessment of Diffuse Disease
2016
A significant drop in pressure can be observed also in the absence of focal lesions. The presence of hemodynamically relevant, diffuse atherosclerosis is actually very frequent and it may affect as many as 50 % of those patients who have at least one focal lesion in another vessel. FFR in this setting may clarify the possible reason for residual angina after successful stenting.
Lights and shadows of cardiac magnetic resonance imaging in acute myocarditis
2016
Cardiac magnetic resonance (CMR) is considered a primary tool for the diagnosis of acute myocarditis, due to its unique potential for non-invasive identification of the various hallmarks of the inflammatory response, with relevant impact on patient management and prognosis. Nonetheless, a marked variation in sensitivity and negative predictive value has been reported in the literature, reflecting the intrinsic drawbacks of current diagnostic criteria, which are based mainly on the use of conventional CMR pulse sequences. As a consequence, a negative exam cannot reliably exclude the diagnosis, especially in patients who do not present an infarct-like onset of disease. The introduction of new…