Devices, systems, and methods and associated display screens for assessment of vessels
Devices, systems, and methods for visually depicting a vessel and evaluating treatment options are disclosed. The methods can include obtaining pressure measurements from first and second instruments positioned within a vessel of a patient while the second instrument is moved longitudinally through the vessel from a first position to a second position and the first instrument remains stationary within the vessel; and outputting a visual representation of the pressure measurements obtained by the first and second instruments on a display, the output visual representation including a graphical display of a pressure ratio of the obtained pressure measurements and at least a portion of a pressure waveform of the obtained pressure measurements identifying a diagnostic period utilized in calculating the pressure ratio.
1. A method of evaluating a vessel of a patient, comprising:
obtaining pressure measurements from first and second instruments positioned within a vessel of a patient while the second instrument is moved longitudinally through the vessel from a first position to a second position and the first instrument remains stationary within the vessel; and
outputting a screen display having visual representations of the pressure measurements obtained by the first and second instruments on a display, the screen display including:
a graphical display of a pressure ratio of the obtained pressure measurements; and
at least a portion of a pressure waveform of the obtained pressure measurements identifying a diagnostic period utilized in calculating the pressure ratio.
2. The method of claim 1 , wherein the first position is distal of at least one stenosis of the vessel and wherein the second position is proximal of the at least one stenosis of the vessel such that moving the second instrument longitudinally through the vessel comprises a pullback.
3. The method of claim 1 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a numerical value of the pressure ratio.
4. The method of claim 1 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a graph of the pressure ratio.
5. The method of claim 1 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a graph of a change in the pressure ratio.
6. The method of claim 1 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a graph having separate plots of the pressure measurements obtained with the first instrument and the pressure measurements obtained with the second instrument.
7. The method of claim 1 , wherein the screen display further includes a graph of a difference in the pressure measurements obtained with the first instrument and the pressure measurements obtained with the second instrument.
8. The method of claim 1 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a numerical value of the pressure ratio.
9. The method of claim 8 , wherein the screen display further includes a slider, wherein the numerical value of the pressure ratio displayed is updated based on the position of the slider.
10. The method of claim 9 , wherein a first end of the slider corresponds to the second instrument being in the first position and a second end of the slider corresponds to the second instrument being in the second position.
11. The method of claim 1 , wherein the screen display further includes a ruler showing a dimensional scale of the graphical display of the pressure ratio relative to the vessel length.
12. The method of claim 11 , wherein the screen display further includes at least one zoom button, wherein a scale of the ruler automatically updates in response to selective actuation of the at least one zoom button.
13. The method of claim 12 , wherein the dimensional scale of the graphical display of the pressure ratio relative to the vessel length automatically updates in response to selective actuation of the at least one zoom button.
14. The method of claim 1 , wherein the at least a portion of the pressure waveform of the obtained pressure measurements visually accentuates the diagnostic period.
15. The method of claim 14 , wherein the diagnostic period is displayed using a first color and the non-diagnostic period portions of the pressure waveform are displayed using a second color visually distinguishable from the first color.
16. The method of claim 14 , wherein the non-diagnostic period portions of the pressure waveform are displayed in a faded color scale relative to the diagnostic period.
17. The method of claim 14 , wherein the non-diagnostic period portions of the pressure waveform are not displayed.
18. A system for evaluating a vessel of a patient, comprising:
a processing system in communication with first and second instruments sized and shaped for introduction into the vessel of the patient, the processing unit configured to:
obtain pressure measurements from the first and second instruments while the second instrument is moved longitudinally through the vessel of the patient from a first position to a second position while the first instrument is maintained in a fixed longitudinal position with respect to the vessel; and
output a screen display having visual representations of the pressure measurements obtained by the first and second instruments on a display in communication with the processing system, the screen display including:
a graphical display of a pressure ratio of the obtained pressure measurements; and
at least a portion of a pressure waveform of the obtained pressure measurements identifying a diagnostic period utilized in calculating the pressure ratio.
19. The system of claim 18 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes at least one of a graph of the pressure ratio or a graph of a change in the pressure ratio.
20. The system of claim 18 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a graph having separate plots of the pressure measurements obtained with the first instrument and the pressure measurements obtained with the second instrument.
21. The system of claim 18 , wherein the screen display further includes a graph of a difference in the pressure measurements obtained with the first instrument and the pressure measurements obtained with the second instrument.
22. The system of claim 18 , wherein the graphical display of the pressure ratio of the obtained pressure measurements includes a numerical value of the pressure ratio.
23. The system of claim 22 , wherein the screen display further includes a slider, wherein the numerical value of the pressure ratio displayed is updated based on the position of the slider.
24. The system of claim 23 , wherein a first end of the slider corresponds to the second instrument being in the first position and a second end of the slider corresponds to the second instrument being in the second position.
25. The system of claim 18 , wherein the screen display further includes a ruler showing a dimensional scale of the graphical display of the pressure ratio relative to the vessel length.
26. The system of claim 25 , wherein the screen display further includes at least one zoom button, wherein a scale of the ruler automatically updates in response to selective actuation of the at least one zoom button.
27. The system of claim 26 , wherein the dimensional scale of the graphical display of the pressure ratio relative to the vessel length automatically updates in response to selective actuation of the at least one zoom button.
28. The system of claim 18 , wherein the at least a portion of the pressure waveform of the obtained pressure measurements visually accentuates the diagnostic period.
29. The system of claim 28 , wherein the diagnostic period is displayed using a first color and the non-diagnostic period portions of the pressure waveform are displayed using a second color visually distinguishable from the first color.
30. The system of claim 28 , wherein the non-diagnostic period portions of the pressure waveform are not displayed.