…issue 14 of the thrice-yearly journal for
medical imaging professionals worldwide.
Controversies and Consensus
in Imaging and Intervention
Encourages debate and informs:
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Computed tomography radiologists
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Interventional cardiologists
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Interventional radiologists
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MRI radiologists
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Radiographers
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Nurses
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Pharmacists
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Practice managers
Clinical updates
All readers should find something of interest
in this issue. A back-to-basics review highlights
the importance of assessing renal function
before procedures that require an iodinated
contrast medium. The second paper looks at
the emerging role of whole-body MRI while
the third reviews the controversial area of the
optimal management of coronary bifurcation
lesions. Finally, the practice of requiring an
overnight fast before cardiac catheterisation
comes under the spotlight.
In this issue...
- Professor Norbert Lameire
of the University Hospital, Ghent, Belgium
provides guidance on the assessment of renal
function and role of renal impairment as a
risk marker for contrast-induced nephropathy.
Estimated glomerular filtration rate is the
most appropriate index of renal function.
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Dr Susanne Ladd from the University
Hospital, Essen, Germany discusses the
latest developments in whole-body MRI
and its potential value in assessing systemic
disease. She also gives some insights into
the most likely future developments.
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Dr Azeem Latib and Dr Antonio Colombo
of San Raffaele Scientific Institute and
EMO Centro Cuore Columbus, Milan, Italy
provide a comprehensive overview of the
current strategies for managing coronary
bifurcations. They recommend stenting
of the main branch only as the treatment
of choice in most cases and highlight the
contribution of drug-eluting stents.
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Dr James Rosengarten, Dr Muhiddin Ozkor
and Dr Charles Knight (Barts and London
NHS Trust, London, UK) assess current
practice with regard to fasting before
cardiac catheterisation. They conclude that
there is little evidence to support it and
propose that patients should be allowed
to drink clear fluids up to the time of the
procedure.
As always, we hope that you will enjoy
reading this issue of C2I2 and that you will find
the content useful in your clinical practice.
07-2007 BUY1159387/JB2812/MB002520/CMC 14th edition
Source: C2I2, Volume V, Issue 2, 2007
In this issue
Screening of renal function prior to administration of iodinated contrast medium
Author: Norbert Lameire
Renal impairment at baseline (estimated glomerular
filtration rate [eGFR] <60 ml/min/1.73 m2) is the most
important risk marker to predict the risk of contrastinduced
nephropathy (CIN) in patients receiving iodinated
contrast media. Read more...
Whole-body MRI
Author: Susanne C. Ladd
This article discusses recent developments in whole body magnetic resonance imaging (wb-MRI) and its clinical indications. Improvements in hardware, such as extended table translation, and a high number of simultaneous receiver channels are prerequisites for wb-MRI. Generally, two different strategies can be followed: multi-station wb-MRI and data acquisition during continuous table movement, both permitting a variety of different sequences and contrasts. Read more...
Management of bifurcation lesions
Author: Azeem Latib and Antonio Colombo
Coronary bifurcations are frequently encountered by interventional cardiologists and remain a challenging subset of lesions to treat. Recent advances in percutaneous coronary intervention and the introduction of drug-eluting stents have dramatically improved our ability to successfully treat patients percutaneously, with improved long-term results. Read more...
Fasting and cardiac catheterisation - should we be following the evidence?
Author: James Rosengarten, Muhiddin Ozkor, Charles Knight
It is usual for food and fluids to be withheld for
variable periods before cardiac catheterisation. Fasting
is considered necessary to reduce the risk of aspiration
in the case of emergency surgery or cardiac arrest. Read more...
