Contrast Echocardiography : Compendium for Clinical Practice / by Harald Becher, Andreas Helfen.

Format:

Book

Author/Creator:

Becher, Harald, author.

Helfen, Andreas, author.

Contributor:

SpringerLink (Online service)

Series:

Medicine (Springer-11650)

Language:

English

Subjects (All):

Cardiology.

Heart--Imaging.

Heart.

Radiology.

Cardiac Imaging.

Diagnostic Radiology.

Local Subjects:

Cardiology.

Cardiac Imaging.

Diagnostic Radiology.

Physical Description:

1 online resource (XXX, 333 pages) : 434 illustrations, 422 illustrations in color

Edition:

First edition 2019.

Contained In:

Springer eBooks

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2019.

System Details:

text file PDF

Summary:

This book provides a comprehensive overview of the practical aspects of contrast echocardiography. It also covers all the material in the guidelines published by the American Society of Echocardiography (ASE) in 2018 and the recommendations set out by the European Association of Cardiovascular Imaging (EACVI) in 2017. Contrast echocardiography at present is only used in 5-10% of cases, but this is expected to grow rapidly following the recommendations of the ASE and EACVI. The chapters cover the approved indications and provide practical advice on how to administer the contrast agents and how to optimize the recordings as well as how to deal with the pitfalls. The reader will find all the information on how to use contrast agents for assessment of shunts, LV volumes and function as well as myocardial diseases and masses. Detailed protocols are included for stress echocardiography and myocardial perfusion imaging. Other topics covered include the use of contrast agents for coronary sonography and transesophageal echocardiography. Contrast Echocardiography: Compendium for Clinical Practice comprehensively covers all aspects of the clinical use of contrast echocardiography and has been written by two cardiologists who share their experience from their high volume echo laboratories. One of the authors has been a member of both the ASE guidelines and EACVI recommendation writing groups. It is therefore, a critical text for echocardiographers and sonographers who perform echocardiography.

Contents:

Introduction

Agitated saline

Indications

Preparation of right heart contrast agents

Side effects

Gelatine-preparations

Left heart contrast agents

Contraindications

Properties of left heart contrast agents

Side effects: diagnosis and treatment

Metabolism of contrast agents

Preparing the contrast agent the patient for contrast injection

Preparing the patient

Echocardiography scanner - setting for contrast echocardiography

left heart contrast agents

Infusion pump for contrast echocardiography

Operation of the pump

Video-Guide

References

LV-Function and LV disease

LV-Volumes und Function in 2D-und 3D-Echocardiography

Measurement of LV-Volumes und LV-Function according current guidelines

When is accurate measurement clinically relevant?

Limitations of non-contrast 2D- und 3D-Echocardiography

Advantages of Contrast Echocardiography for measurement of LV volumes

Indications for Contrast Echocardiography

Practice of 2D Contrast Echocardiography

Recordings

Criteria for adequate recordings

Step by step analysis, how to avoid pitfalls

Normal values

EF-measurements in cardio-oncology

EF measurements for ICD,CRT

LV Volumes und EF in valvular heart disease

EF and LV volumes in patients with heart failure

Regional LV wall motion

Practice of 3D Contrast Echocardiography

Indications for using contrast agents

3D contrast echo recordings: how to perform/trouble shooting

Analysis/How to avoid

LV-Myocardial disease and masses

Cardiomyopathies

LV aneurysm

LV masses/thrombi

At a glance

Transesophageal Contrast Echocardiography

Anatomy of left atrial appendage (LAA)

What is relevant to the physician?

LAA shapes: chicken wing and non-chicken wing

What causes LAA thrombi?

LAA thrombi basics

Diagnostic criteria of LAA thrombi

Conclusion

Echocardiography scanner settings

General principles for adequate settings

Analysis of contrast TEE recordings

Conclusions

Vivid 7 dimension settings

Vivid E9 XD clear settings

Philips IE 33 settings

LAA thrombi - case studies

Variant 1

Variant 2

Variant 3

Variant 4

Spontaneous echo contrast and thrombi

Exclusion of thrombi using contrast echocardiography

Pericardial effusion and contrast echocardiography

LAA occlude

Aortic dissection

Myxoma

Coronary sonography

Basics of coronary sonography

Introduction

Physiology and pathophysiology of myocardial perfusion

Normal flow signals of coronary arteries

Pathological flow recordings

Coronary flow reserve

Principle of coronary sonography

Practice of coronary sonography

Left coronary artery

Left main stem

Circumflex artery

Right coronary artery

Synopsis of typical scan planes

Bypass grafts

Coronary anomalies

Coronary artery stenosis

Coronary flow velocity reserve (CFR)

How to perform

CFR und FFR

CFR measurement in the right and circumflex arteries

Vivid- GE

Philips EPIQ 7

Siemens Acuson SC 2000

Case study

Stress echocardiography

General principles

Pretest probability

Selection of the stress modality

Echocardiographic parameters of ischemia

Ischemic cascade

Stress echocardiography for exclusion of significant coronary stenosis

False positive and negative findings

Stress echocardiography and ECG

When to repeat stress echocardiography

Referral to coronary angiography after stress echocardiography

Exercise stress echocardiography in 10 steps

Assessment of indications und contraindications

Assessment whether physical stress is the adequate stress modality

Patient preparation

Required echocardiography laboratory equipment and staff

Preparation of the contrast agent

Exercise protocol: mandatory recordings

Management of the patient after finishing the test

Assessment and reporting

Conclusion and recommendations for patient management

Dobutamine stress echocardiography in 10 steps

Assessment whether Dobutamine stress is the adequate stress modality

Preparation of Dobutamine infusion

Dobutamine stress protocol: mandatory recordings

Dobutamine stress echocardiography for assessment of myocardial viability

Video guide

Multi-parametric stress echocardiography

Rationale for multi-parametric stress echocardiography

Basics of perfusion echocardiography

Display of myocardial perfusion

Flash-replenishment-method

Triggered vs continuous recording

Quality assessment of perfusion recordings

Characteristics of abnormal perfusion

Artifacts in perfusion imaging

Analysis of the recordings

Adenosine

Pharmacology

Indications und contraindications.-Regadenoson

Practice of multi-parametric stress echocardiography

Case studies

Normal findings

LAD stenosis

Reporting

Acute coronary syndrome (ACS)

Diagnostic criteria of ACS

Role of echocardiography

Impact of contrast echocardiography

Safety of contrast media in ACS

Myocardial perfusion and risk stratification during ACS

Myocardial perfusion and risk stratification after ACS, stunning and no-reflow

Myocardial rupture, perforation of coronary arteries

Aortic dissection/rupture

EACVI Core Syllabus

References. .

Other Format:

Printed edition:

ISBN:

978-3-030-15962-7

9783030159627

Access Restriction:

Restricted for use by site license.