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To our knowledge, this is the first book dealing exclusively with
myocardial contrast two-dimensional echocardiography (MC-2DE), a
new and exciting diagnostic methodology for assessment of
myocardial perfusion, which has seen rapid development and has now
entered the clinical stage. The experi mental research and human
applications have been described in technical papers published in a
variety of journals, but our objective is to provide the reader
with a comprehensive and concentrated overview of the field and of
the current state of the art. To facilitate appreciation of the
significant ad vances made and issues yet to be resolved, we are
pleased to have several well known specialists contribute their own
assessment of specific aspects of MC- 20E and illustrate the
method's principles as well as applications. We were faced with
inevitable overlaps and some repetitions in the discussion of quan
titative potentials or limilations of the methodology. Rather than
strictly 'streamlining' the text, we decided to accept some
redundancy in the interest of presenting a diversity of points of
views, reflecting the current evolutionary state of MC-20E.
Following a brief reference to the established clinical contrast
echocardiog raphy, recent developments and validations of the
specialized MC-2DE tech nique are reviewed, bearing in mind that
the field is in a flux and some of the ongoing activities have not
as yet been formally reported. Mechanisms of the echo contrast and
several new agents are decribed next, and an additional chapter
illustrates current thoughts-on optimizing the echo contrast
medium."
The primary goal of this book is to survey issues pertaining to
coronary venous retroperfusion, a potentially beneficial treatment
of myocardial ischemia. Since attention will be focused on the
myocardium, its normal or deranged antegrade perfusion will be
discussed first, along with factors affecting blood supply to
region ally ischemic tissue. After pointing to coronary reperfusion
and its rapidly expand ing applications, the principle of coronary
venous interventions will be discussed. Recent anatomic
observations are presented to clarify features of the coronary
venous sytems, some of which remain inadequately defined, yet play
a crucial role in determining effectiveness of all retrograde
methods. The remainder of the text concentrates on the development
of retroperfusion sytems designed for retrograde treatment of
myocardium jeopardized by deficient ante grade blood delivery, sec
ondary to coronary artery obstruction. Retroinfusion of contrast is
also considered as a potential diagnostic tool. The final chapter
of the book reports on recent efforts aimed at a mathematical
modeling of mechanisms and effects of coronary venous
interventions."
To our knowledge, this is the first book dealing exclusively with
myocardial contrast two-dimensional echocardiography (MC-2DE), a
new and exciting diagnostic methodology for assessment of
myocardial perfusion, which has seen rapid development and has now
entered the clinical stage. The experi mental research and human
applications have been described in technical papers published in a
variety of journals, but our objective is to provide the reader
with a comprehensive and concentrated overview of the field and of
the current state of the art. To facilitate appreciation of the
significant ad vances made and issues yet to be resolved, we are
pleased to have several well known specialists contribute their own
assessment of specific aspects of MC- 20E and illustrate the
method's principles as well as applications. We were faced with
inevitable overlaps and some repetitions in the discussion of quan
titative potentials or limilations of the methodology. Rather than
strictly 'streamlining' the text, we decided to accept some
redundancy in the interest of presenting a diversity of points of
views, reflecting the current evolutionary state of MC-20E.
Following a brief reference to the established clinical contrast
echocardiog raphy, recent developments and validations of the
specialized MC-2DE tech nique are reviewed, bearing in mind that
the field is in a flux and some of the ongoing activities have not
as yet been formally reported. Mechanisms of the echo contrast and
several new agents are decribed next, and an additional chapter
illustrates current thoughts-on optimizing the echo contrast
medium."
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