Intravascular ultrasound guidance during percutaneous coronary intervention improves clinical outcomes and reduces major adverse cardiac events compared to conventional angiographic guidance, particularly in complex lesions.
Does intravascular ultrasound (IVUS)-guided PCI improve clinical and procedural outcomes compared to conventional angiography-guided PCI in patients with coronary artery disease?
Routine use of intravascular ultrasound for PCI guidance improves clinical and angiographic outcomes, particularly in complex lesions, compared to conventional angiography.
Percutaneous coronary intervention (PCI) remains the mainstay management of symptomatic obstructive stable coronary artery disease (despite optimal medical treatment) and acute coronary syndrome. Intravascular ultrasound (IVUS) has emerged as an adjunct to angiography, permitting better assessment of the coronary lesion and stent apposition. Data from multiple studies have demonstrated improved clinical and procedural outcomes with IVUS-guided PCI. This review discusses the use of IVUS, with emphasis on technique, parameters, and applications during coronary interventions. In addition, the clinical outcomes data are highlighted with IVUS compared with conventional angiography-guided PCI.
Mahtta et al. (Fri,) conducted a review in Coronary artery disease undergoing percutaneous coronary intervention. Intravascular ultrasound (IVUS) guidance vs. Conventional angiographic guidance was evaluated. Intravascular ultrasound guidance during percutaneous coronary intervention improves clinical outcomes and reduces major adverse cardiac events compared to conventional angiographic guidance, particularly in complex lesions.
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