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February 2, 2023Reviews in Cardiovascular MedicineOpen Access

Intracoronary Imaging: Current Practice and Future Perspectives

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Key result

IVUS and OCT outperform angiography alone for PCI guidance though neither imaging method proves superior.

Why the study?

Does intracoronary imaging (IVUS or OCT) improve clinical outcomes and stent optimization in patients undergoing PCI compared to angiography alone?

Comparison

IVUS vs OCT

Design

Review

Authors

GTGrigorios TsigkasPSPanagiota SpyropoulouEBElena Bousoula

Discussion

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Overview

May support intracoronary imaging in complex PCI; leaves choice between IVUS and OCT unresolved.

Structured PICO

Does intracoronary imaging (IVUS or OCT) improve clinical outcomes and stent optimization in patients undergoing PCI compared to angiography alone?

P
Population
Patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI)
I
Intervention
Intracoronary imaging (Intravascular ultrasound [IVUS] and optical coherence tomography [OCT])
C
Comparator
Intravascular coronary angiography (ICA) guidance alone, or comparison between IVUS and OCT

Intracoronary imaging with IVUS or OCT provides superior PCI guidance and plaque evaluation compared to angiography alone, though neither modality is definitively superior to the other.

Limitations

  • Lack of sufficient clinical evidence establishing the superiority of one intracoronary imaging method (IVUS vs OCT) over the other in different clinical settings

Cite This Study

Tsigkas et al. (2023) conducted a review in Coronary artery disease (CAD). Intracoronary imaging (IVUS and OCT) vs. Invasive coronary angiography (ICA) was evaluated. Intravascular ultrasound and optical coherence tomography provide superior percutaneous coronary intervention guidance compared to intravascular coronary angiography alone, though neither imaging method has proven definitive superiority over the other.

synapsesocial.com/papers/6a16fd3483b2be9fec6ba340https://doi.org/10.31083/j.rcm2402039
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Modern Imaging Techniques for Percutaneous Coronary Intervention Guidance: A Focus on Intravascular Ultrasound and Optical Coherence Tomography2025
  2. 2Intravascular Imaging Guidance for Percutaneous Coronary Interventions2025
  3. 3Contemporary practices using intravascular imaging guidance with IVUS or OCT to optimize percutaneous coronary intervention2020 · 17 citations
  4. 4Intravascular Coronary Imaging Update: Advances, Clinical Applications, and Future Directions2025 · 3 citations
  5. 5Innovations in Intracoronary Imaging: Present Clinical Practices and Future Outlooks2024 · 12 citations