The potential clinical utility of intravascular ultrasound guidance in patients undergoing percutaneous coronary intervention with drug-eluting stents

Intravascular ultrasound guidance during percutaneous coronary intervention has been demonstrated to be useful in optimizing stent deployment

P. Roy; T. Okabe; T.L. Pinto Slottow; D.H. Steinberg; K. Kaneshige; Z. Xue; L.F. Satler; K.M. Kent; W.O. Suddath; A.D. Pichard; R. Waksman

2008

Scholarcy highlights

  • Intravascular ultrasound guidance during percutaneous coronary intervention has been demonstrated to be useful in optimizing stent deployment
  • At 30 days and at 12 months, a higher rate of definite stent thrombosis was seen in the no-IVUS group
  • IVUS guidance should be considered for routine use during DES implantation in patients at increased risk for these events
  • The tomographic orientation of ultrasound enables visualization of the full vessel wall, as opposed to the 2-dimensional projection of the lumen provided by angiography
  • The equipment required to perform coronary IVUS consists of a catheter with a miniaturized transducer and a console to reconstruct the image
  • IVUS is likely to emerge as the “gold standard” in the study of atherosclerosis progression-regression over the few years

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