Editorial

DOI: 10.4244/EIJ-E-24-00049

Stent sizing in imaging-guided percutaneous coronary intervention: potential benefits of a more cautious approach

Tom Adriaenssens1, MD, PhD; Peter Sinnaeve1, MD, PhD

With the publication of several large randomised clinical trials (RCT), intracoronary imaging-guided percutaneous coronary intervention (PCI) was a well-covered topic in 20231234. In general, these studies confirmed the benefit of the application of both sound- (intravascular ultrasound [IVUS]) and light- (optical coherence tomography [OCT] or optical frequency domain imaging [OFDI]) based intracoronary imaging systems. The most important benefits are seen in the most challenging PCI cases, such as in patients with coronary bifurcation lesions2.

In this issue of EuroIntervention, Otake et al report the results of the OPINION ACS randomised controlled trial, a comparison of OFDI- vs IVUS-guided PCI in the specific subset of patients presenting with an acute coronary syndrome (ACS)5. With a total of 158 patients enrolled, the current study is much smaller than other recently reported trials in this field (e.g., ILUMIEN IV: 2,487 patients; OCTIVUS: 2,008 patients; RENOVATE COMPLEX PCI: 1,639 patients; OPINION: 829 patients; OCTOBER: 1,201 patients)12346. It is also not the first report on intracoronary imaging in ACS patients, as more than half of...

Sign in to read
the full article

Forgot your password?
No account yet?
Sign up for free!

Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Volume 20 Number 17
Sep 2, 2024
Volume 20 Number 17
View full issue


Key metrics

Suggested by Cory

10.4244/EIJV17I3A33 Jun 25, 2021
Clinical benefit of pre-stenting intravascular ultrasound
Kubo T and Shiono Y
free

10.4244/EIJV12I13A257 Jan 20, 2017
Small details make a big difference
Kang D and Park S
free

Debate

10.4244/EIJ-E-24-00028 Sep 16, 2024
IVUS has more robust data than OCT for PCI guidance: PROS and CONS
Maehara A et al
free

Debate

10.4244/EIJ-E-24-00008 May 10, 2024
We now have enough evidence to support systematic OCT in daily PCI practice: pros and cons
Ali ZA et al
free
Trending articles
151.43

State-of-the-Art

10.4244/EIJ-D-22-00776 Apr 3, 2023
Computed tomographic angiography in coronary artery disease
Serruys PW et al
free
55.9

Clinical research

10.4244/EIJ-D-22-00621 Feb 20, 2023
Long-term changes in coronary physiology after aortic valve replacement
Sabbah M et al
free
54.9

Expert review

10.4244/EIJ-D-21-01010 Jun 24, 2022
Device-related thrombus following left atrial appendage occlusion
Simard T et al
free
43.75

Clinical Research

10.4244/EIJ-D-21-01091 Aug 5, 2022
Lifetime management of patients with symptomatic severe aortic stenosis: a computed tomography simulation study
Medranda G et al
free
39.95

Clinical research

10.4244/EIJ-D-22-00558 Feb 6, 2023
Permanent pacemaker implantation and left bundle branch block with self-expanding valves – a SCOPE 2 subanalysis
Pellegrini C et al
free
X

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

EuroPCR EAPCI
PCR ESC
Impact factor: 7.6
2023 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2024)
Online ISSN 1969-6213 - Print ISSN 1774-024X
© 2005-2024 Europa Group - All rights reserved