By Paul Schoenhagen
Intravascular ultrasound (IVUS) is an imaging method used in the course of coronary angiography. This ebook offers a scientific advent to coronary imaging with (IVUS). it really is divided into built-in and generally cross-referenced components, the Atlas and the guide. The guide describes the explanation, process, and interpretation of IVUS imaging for healing and diagnostic reasons. It additionally provides a variety of either verified and evolving medical and study purposes. The Atlas good points non-illustrated IVUS photographs including corresponding illustrated figures. The reference record and topic index are attached to the Atlas and the guide, bearing in mind speedy and straightforward entry to details.
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When used clinically, great care is necessary to prevent accidents with this potentially explosive solvent. After gallstone treatment the ether/bile/cholesterol mixture should be disposed of as a toxic-waste product. The Technique of Gallstone Dissolution The treatment room must at all times have good ventilation. An extractor for removal of the ether vapour is installed, situated close to the patient's abdomen and to the doctor or nurse carrying out the dissolution. A number of glass syringes containing increasing volumes of MTBE are prepared and stored in a rack in the treatment room.
C Cholecystography at 12 h showing complete stone lysis and no contrast medium passing from the common bile duct into the duodenum. d Repeat percutaneous cholecystocholangiography after saline irrigation of the gallbladder and bile ducts, during which the patient complained of severe abdominal pain. A calculus is impacted at the papilla. This was immediately removed by endoscopic sphincterotomy. The patient remains stone free after 13 months 38 Percutaneous Transhepatic Catheterisation of the Gallbladder a b Fig.
Fig. 9. a-e. Changing the catheter position within the gallbladder. a Catheter in the fundus of the gallbladder or lower compartment of the gallbladder. b The catheter is withdrawn over a guide wire until the pigtail is straight (c) Repositioning the Catheter During Percutaneous Cholecystostomy 41 42 Percutaneous Transhepatic Catheterisation of the Gallbladder Fig. 9. d The wire is pushed into the neck or upper compartment anq the catheter is reintroduced over the wire. e Catheter is pushed over the wire into the fundus and coiled Repositioning the Catheter During Percutaneous Cholecystostomy 43 Repositioning the Catheter Around Gallstones The guide wire is inserted into the catheter until its tip lies free in the lumen.