000 03191cam a2200349 a 4500
003 EG-GiCUC
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008 160510s2015 ua do f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.09.Ph.D.2015.Mo.I
100 0 _aMohamed Hassan Abdelwahab Laimoud
245 1 0 _aImmodiale and long torm assessment of coronary stent expansion using stent boost enhancement in comparison to intravascular ultrasound /
_cMohamed Hassan Abdelwahab Laimoud ; Supervised Helmy H. Elghawaby , Akram Abdelbary , Yasser Nassar
246 1 5 _aمقارنة بين الموجات فوق الصوتية و تقنية تعزيز دفعة الدعامة فى تقييم تمدد الدعامات بالشرايين التاجية
260 _aCairo :
_bMohamed Hassan Abdelwahab Laimoud ,
_c2015
300 _a209 P. :
_bcharts , photographs ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520 _aStent underexpansion is a major risk factor for in stent restenosis and acute in stent thrombosis. Intravascular ultrasound (IVUS) is the gold standard for detection of stent underexpansion. Stent boost (SB) is a recently developed technique that allows an improved angiographic visualization of the stent. To compare stent expansion parameters by IVUS, SB enhancement and QCA and to evaluate the efficiency of SB guiding the stent postdilatation. From June 2013 to August 2014, 33 stents (30 patients) were evaluated after eclective PCI using QCA, SB enhancement and IVUS. Optimization of stent deployment of inadequately expanded stents using balloon postdilatation was done then post dilatation reassessment using the previous 3 modalities. The maximal SD measured by IVUS and SB was (3.45 ± 0.62 vs 3.55 ± 0.56, p 0.53) respectively with correlation (p < 0.0001 and r 0.74). the minimal SD measured by IVUS and SB was (2.77 ± 0.53 vs 2.58 ± 0.56, p 0.07) respectively with correlation (p < 0.0001 and r 0.68). The maximal SD measured by IVUS and QCA (3.45 ± 0.62 vs 2.97 ± 0.59, p 0.009) respectively with correlation (p < 0.0001 and r 0.69). The minimal SD measured by IVUS and QCA (2.77 ± 0.53 vs1.88 ± 0.60, p 0.001) respectively with correlation (p < 0.0001 and r 0.63). The maximal SD measured by SB and QCA was (3.55 ± 0.56 vs 2.97 ± 0.59, p 0.001) respectively with correlation (p < 0.0001and r 0.61). The minimal SD measured by SB and QCA was (2.58 ± 0.56 vs 1.88 ± 0.60, p 0.001) respectively with correlation (p 0.003 and r 0.49). the postdilatation stent diameters obtained by QCA, SB and IVUS were significantly higher than poststenting diameters
530 _aIssued also as CD
653 4 _aIntravascular ultrasound (IVUS)
653 4 _aQuantitative coronary angiography (QCA)
653 4 _aStent boost (SB)
700 0 _aAkram Abdelbary ,
_eSupervisor
700 0 _aHelmy Hassan Elghawaby ,
_eSupervisor
700 0 _aYasser Nassar ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c56347
_d56347