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Workflow-based Framework to Aid with High-Definition Intravascular Ultrasound-Optimised Coronary Stenting:

Simon J Walsh1, Rafael Cavalcante2,3, Kevin Croce4

  • 1Cardiology Department, Belfast Health and Social Care Trust, Royal Victoria Hospital Belfast, Northern Ireland, UK.

Interventional Cardiology (London, England)
|February 12, 2026
PubMed
Summary
This summary is machine-generated.

Intravascular ultrasound (IVUS) offers proven benefits in percutaneous coronary intervention (PCI), yet its adoption is low. This paper provides evidence-based protocols to improve IVUS image interpretation and clinical workflow, aiming to enhance patient outcomes.

Keywords:
Percutaneous coronary interventionintravascular ultrasoundpatient outcomes

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Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology

Background:

  • Intravascular ultrasound (IVUS) has been clinically available for over 30 years.
  • Multiple studies support IVUS application, but its clinical adoption remains limited.
  • Barriers include challenges in image interpretation and workflow integration.

Purpose of the Study:

  • To summarize evidence-based protocols for IVUS application during percutaneous coronary intervention (PCI).
  • To present these protocols in an easily understandable workflow format.
  • To address barriers hindering IVUS adoption and improve its clinical utility.

Main Methods:

  • Review and synthesis of existing evidence on IVUS use in PCI.
  • Development of standardized, evidence-based protocols.
  • Focus on practical image interpretation and workflow integration.

Main Results:

  • Established protocols for IVUS-guided PCI.
  • A simplified workflow for incorporating IVUS into clinical practice.
  • Guidelines to enhance understanding and application of IVUS.

Conclusions:

  • Standardizing IVUS protocols can overcome adoption barriers.
  • Optimized PCI using IVUS is expected to improve patient outcomes.
  • Wider adoption of IVUS-optimized PCI can enhance long-term procedural durability.