Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review

Common practice dictates the performance of percutaneous coronary intervention under conventional angiographic guidance. With studies suggesting the high incidence of intraobserver variability, especially in angiographic borderline lesions, new modalities such as intravascular ultrasound (IVUS) guid...

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Main Authors: Dhruv Mahtta, Islam Y. Elgendy
Format: Article
Language:English
Published: Compuscript Ltd 2018-06-01
Series:Cardiovascular Innovations and Applications
Online Access:https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0029
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author Dhruv Mahtta
Islam Y. Elgendy
author_facet Dhruv Mahtta
Islam Y. Elgendy
author_sort Dhruv Mahtta
collection DOAJ
description Common practice dictates the performance of percutaneous coronary intervention under conventional angiographic guidance. With studies suggesting the high incidence of intraobserver variability, especially in angiographic borderline lesions, new modalities such as intravascular ultrasound (IVUS) guidance during percutaneous coronary intervention have surfaced. Multiple studies have shown improved outcomes with IVUS guidance, mainly driven by a decrease in ischemia-driven target lesion revascularization. In the past two decades, a multitude of studies have investigated the uses and clinical outcomes associated with this technology. In this review, we highlight the utility, advantages, economic implications, and clinical outcomes of IVUS guidance over standard angiographic guidance, with emphasis on data as they pertain to IVUS-guided stent implantation.
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spelling doaj.art-1b09746df8f74b6f871d579b35e326c22023-06-28T14:10:14ZengCompuscript LtdCardiovascular Innovations and Applications2009-86182009-87822018-06-013212710.15212/CVIA.2017.0029Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated ReviewDhruv MahttaIslam Y. ElgendyCommon practice dictates the performance of percutaneous coronary intervention under conventional angiographic guidance. With studies suggesting the high incidence of intraobserver variability, especially in angiographic borderline lesions, new modalities such as intravascular ultrasound (IVUS) guidance during percutaneous coronary intervention have surfaced. Multiple studies have shown improved outcomes with IVUS guidance, mainly driven by a decrease in ischemia-driven target lesion revascularization. In the past two decades, a multitude of studies have investigated the uses and clinical outcomes associated with this technology. In this review, we highlight the utility, advantages, economic implications, and clinical outcomes of IVUS guidance over standard angiographic guidance, with emphasis on data as they pertain to IVUS-guided stent implantation.https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0029
spellingShingle Dhruv Mahtta
Islam Y. Elgendy
Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review
Cardiovascular Innovations and Applications
title Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review
title_full Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review
title_fullStr Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review
title_full_unstemmed Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review
title_short Intravascular Ultrasound–Guided Percutaneous Coronary Intervention: An Updated Review
title_sort intravascular ultrasound guided percutaneous coronary intervention an updated review
url https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0029
work_keys_str_mv AT dhruvmahtta intravascularultrasoundguidedpercutaneouscoronaryinterventionanupdatedreview
AT islamyelgendy intravascularultrasoundguidedpercutaneouscoronaryinterventionanupdatedreview