{"id":9720,"date":"2022-07-14T07:31:29","date_gmt":"2022-07-14T07:31:29","guid":{"rendered":"https:\/\/acist.com\/?page_id=9720"},"modified":"2023-06-26T15:55:39","modified_gmt":"2023-06-26T15:55:39","slug":"optimize-contrast-supply","status":"publish","type":"page","link":"https:\/\/acist.com\/int\/optimize-contrast-supply\/","title":{"rendered":"Optimize-Contrast-Supply"},"content":{"rendered":"\t\t
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Optimize Contrast Supply with ACIST CVi\u00ae<\/sup><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Optimize Contrast Supply with ACIST CVi\u00ae<\/sup><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRequest More Information<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tApproximately 30%<\/span> of patients presenting for coronary angiography procedures\nare at risk of post-procedure CI-AKI.1<\/sup> There are several CVi features and methods\nthat can help reduce contrast media usage without compromising image quality.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Parameters<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tThe touch screen on CVi allows for quick parameter\nadjustments to lower the contrast dose.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Real-time Dose Tracking*<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tReal-time contrast tracking facilitates close monitoring\nand accurate reporting of contrast dose as recommended\nin the SCAI and ACC Guidelines.2<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Optimize the Hand Controller<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tOver-delivery of contrast can occur in high-flow\nvessels. The responsiveness of the hand controller allows\nfor quick halt of the injection as soon as the ostium is\nvisualized to reduce excess delivery of contrast.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Smaller Catheter Use<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tCVi facilitates the use of 4 and 5 Fr catheters over hand\nmanifold injections, which allows for effective contrast\ndelivery during angiography with minimized arterial\npuncture sites.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Cine Diagnosing<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tDiagnosing from the cine rather than during angiography\nmay reduce contrast delivery by reducing the length of\ninjection time necessary to develop the clinical plan.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tThe default settings on the\nCVi System are as follows:\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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CVi Default Settings<\/div>\n\n\n\n\n\n\n
Vessal<\/th>\nFlow Rate\n(mL\/sec)<\/small><\/th>\nVolume\n(total)<\/small><\/th>\n<\/tr>\n
LCA<\/td>\n4<\/td>\n10<\/td>\n<\/tr>\n
RCA<\/td>\n3<\/td>\n6<\/td>\n<\/tr>\n
LV<\/td>\n13<\/td>\n45<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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There are opportunities to reduce contrast volumes during standard
angiography procedures. The examples below may deliver less contrast
to patients without compromising image quality. Contrast volume reduction may also lead to cost savings for your hospital system<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Low Dose Options<\/div>\n\n\n\n\n\n\n\n
Example1<\/td>\nExample1<\/td>\n<\/tr>\n
Vessal<\/th>\nFlow Rate (mL\/sec)<\/small><\/th>\nVolume (total) <\/small><\/th>\n\nVessal<\/th>\nFlow Rate (mL\/sec)<\/small><\/th>\nVolume (total) <\/small><\/th>\n\n<\/tr>\n\n
LCA<\/td>\n3<\/td>\n6<\/td>\nLCA<\/td>\n3<\/td>\n5<\/td>\n<\/tr>\n\n
RCA<\/td>\n2<\/td>\n4<\/td>\nRCA<\/td>\n2<\/td>\n4<\/td>\n<\/tr>\n\n
LV<\/td>\n12<\/td>\n24<\/td>\nRCA<\/td>\n12<\/td>\n20<\/td>\n<\/tr>\n\n\n<\/tbody>\n<\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tVariability in patient size and anatomy, disease state, and system usage may require modifications to these\nrecommended settings. For patients at high risk for CI-AKI, the publication Reduction in Contrast Nephropathy\nfrom Coronary Angiography and Percutaneous Coronary Intervention with Ultra-Low Contrast Delivery using an\nAutomated Contrast Injector System3<\/sup> provides tips on how to further reduce contrast for this patient demographic.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t*Dependent on correct usage of Inject and Purge modes. While in Inject mode, all contrast delivery will be counted\nand while in Purge mode, contrast delivered will not be counted.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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References<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. Tsai T, et al., Contemporary Incidence, Predictors, and Outcomes of Acute Kidney Injury in Patients Undergoing Percutaneous Coronary\nInterventions. JACC, Vol. 7, Jan. 2014<\/li>\n \t
  2. Levine GN, et al., http:\/\/circ.ahajournals.org\/content\/circulationaha\/124\/23\/e574.full.pdf<\/a> ACCF\/AHA\/SCAI \u2013 Guideline for Percutaneous\nCoronary Intervention. A Report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice\nGuidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011; 124:e574-e651.<\/li>\n \t
  3. Kelly SC, Li S, Stys TP, et al. Reduction in Contrast Nephropathy from Coronary Angiography and Percutaneous Coronary Intervention with\nUltra-Low Contrast Delivery using an Automated Contrast Injector System. J Inv Cardiol. November 2016;28(11):446-450.<\/li>\n<\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Interested in learning more?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tfind a rep<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Optimize Contrast Supply with ACIST CVi\u00ae Request More Information Optimize Contrast Supply with ACIST CVi\u00ae Request More Information Approximately 30% of patients presenting for coronary angiography procedures are at risk of post-procedure CI-AKI.1 There are several CVi features and methods that can help reduce contrast media usage without compromising image quality. Parameters The touch screen […]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-9720","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/pages\/9720","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/comments?post=9720"}],"version-history":[{"count":0,"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/pages\/9720\/revisions"}],"wp:attachment":[{"href":"https:\/\/acist.com\/int\/wp-json\/wp\/v2\/media?parent=9720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}