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Intravascular Imaging During Percutaneous Coronary Intervention: JACC State-of-the-Art Review
Alexander G Truesdell1, Mirvat A Alasnag2, Prashant Kaul3
1Virginia Heart, Falls Church, Virginia, USA; Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
Journal of the American College of Cardiology
|February 8, 2023
Summary
Contemporary intravascular imaging (IVI) complements coronary angiography for diagnosing coronary artery disease and guiding percutaneous coronary intervention (PCI). IVI enhances lesion assessment, procedural guidance, and optimization, with emerging data supporting its use in complex cases.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Coronary angiography is the standard for diagnosing coronary artery disease and guiding percutaneous coronary intervention (PCI).
- Intravascular imaging (IVI) technologies offer advanced plaque characterization and procedural optimization beyond conventional angiography.
Purpose of the Study:
- To provide an overview of current IVI technologies.
- To review evidence supporting IVI in PCI guidance and optimization.
- To advocate for the broader adoption of IVI in clinical practice.
Main Methods:
- Review of available IVI technologies.
- Analysis of existing data on IVI utilization in PCI.
- Proposal of best practices for IVI implementation.
Main Results:
- IVI aids in pre-PCI lesion assessment, periprocedural guidance, and post-PCI evaluation.
- Emerging evidence suggests IVI's role in reducing adverse cardiac events in complex lesions.
- Ongoing studies are evaluating the expanded use of IVI.
Conclusions:
- IVI is a valuable adjunct to coronary angiography for PCI.
- Best practices and broader utilization of IVI are recommended for contemporary practice.
- Further research is needed to fully establish IVI's impact on patient outcomes.
Keywords:
intravascular imagingintravascular ultrasoundoptical coherence tomographypercutaneous coronary interventionMore Related Videos
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