Related Experiment Video

Updated: Jun 7, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Enhanced Outcomes of Intravascular Ultrasound-Guided Versus Angiography-Guided Percutaneous Coronary Intervention in

Zhengya Fang1, Suwen Zhu1, Shaodong Zhang1

  • 1Department of Cardiovascular Medicine, Liyang People's Hospital, Liyang, Jiangsu, China.

Journal of Intensive Care Medicine
|June 5, 2026
PubMed

Insights

Intravascular ultrasound (IVUS)-guided percutaneous coronary intervention (PCI) in coronary heart disease (CHD) patients improved stent implantation and reduced major adverse cardiovascular events (MACE). IVUS guidance offers superior outcomes compared to traditional coronary angiography (CAG) guidance alone.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Cardiology

Background:

  • Coronary heart disease (CHD) remains a leading cause of mortality worldwide.
  • Percutaneous coronary intervention (PCI) is a common treatment for CHD.
  • Optimizing PCI outcomes is crucial for patient prognosis.

Purpose of the Study:

  • To compare the clinical efficacy of intravascular ultrasound (IVUS)-guided PCI versus coronary angiography (CAG)-guided PCI in CHD patients.
  • To evaluate the impact of IVUS guidance on lesion characteristics, stent parameters, and clinical outcomes.

Main Methods:

  • A randomized controlled trial involving 100 CHD patients.
  • Patients were assigned to either CAG-guided PCI (control group) or IVUS-guided PCI (study group).
  • Outcomes assessed included lesion characteristics, stent parameters, complications, MACE, and restenosis over a one-year follow-up.

Main Results:

  • IVUS-guided PCI resulted in a wider minimal lumen diameter and reduced diameter stenosis and plaque burden post-stenting.
  • Key stent implantation parameters, including minimum stent cross-sectional area, were significantly improved with IVUS guidance.
  • The study group showed a lower incidence of MACE during one-year follow-up compared to the control group.

Conclusions:

  • IVUS-guided PCI is more effective than CAG-guided PCI in improving coronary blood flow and stent implantation in CHD patients.
  • IVUS guidance significantly reduces the incidence of major adverse cardiovascular events.
  • This technique enhances the safety and efficacy of percutaneous coronary intervention for coronary heart disease.

Keywords:
coronary angiographycoronary heart diseasecoronary plaque propertiesefficacyintravascular ultrasoundmajor adverse cardiovascular eventspercutaneous coronary interventionstent placement

More Related Videos

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...