Augmented Curriculum |
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Basics, plaque type/features, and measurements |
1. Measure the outer area of the catheter sheath |
2. Identify and outline the vessel lumen, intima, media, and adventitia |
3. Measure the luminal and external elastic membrane areas |
4. Identify the guidewire shadow by tracing its borders with the “length” tool |
5. Measure the maximal intimal thickness three times to ensure consistency |
6. Does this cross-sectional image classify as intimal thickening or fibrous plaque? |
7. Adjust the calibration using the “adjust calibration” tool at the bottom of the screen |
8. Identify the predominant plaque type |
9. Measure the calcium and lipid areas and arcs |
10. Measure the minimum fibrous cap thickness three times |
11. Does this lipid plaque classify as a ThCFA or TCFA? |
12. Identify and describe the plaque features and list possible etiologies of the observed patterns |
Stents |
1. Using the “area” tool, outline the stent circumference. Is this stent well-apposed? |
2. What is the maximal distance from the stent to the vessel wall? |
3. What is the predominant feature of this cross-sectional image? |
Artifacts |
1. Measure the luminal area |
2. Identify the imaging artifacts |
Practice pullback |
1. Identify the reference and minimal lumen frames and measure the areas |
2. Calculate the percentage area stenosis of the minimal lumen area |
3. Identify the proximal and distal edges of the lesion by frame number |
4. Calculate the lesion length |