The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


IVUS for guidance of coronary interventions: applying optimisation targets to improve clinical outcomes

EuroIntervention 2020;16:448-450. DOI: 10.4244/EIJV16I6A81

While coronary angiography is the gold standard for diagnostic assessment and treatment guidance of coronary artery disease, it is limited by depicting contrast-filled lumen rather than the vessel wall itself. Intravascular ultrasound (IVUS) and its light analogue, optical coherence tomography (OCT), can overcome inherent limitations of the “lumenogram” by directly visualising the coronary arteries. Intracoronary imaging guidance of percutaneous coronary interventions (PCI) not only facilitates a better procedural result but also has the potential to improve clinical outcomes, mainly by reducing the need for repeat revascularisation. Early studies in the era of bare metal stents (BMS), followed ...

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