Clinical use of intracoronary imaging. Part 1: guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions
Population
Patients undergoing percutaneous coronary interventions or presenting with stent failure
Design
Guideline
Authors
Discussion
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Member takes
Implication
Prompts routine intracoronary imaging for stent failure and PCI optimization; extends trial evidence into EAPCI consensus recommendations.
Key Points
- Pre-procedural intracoronary imaging optimizes stent sizing and procedural strategy during percutaneous coronary interventions to improve outcomes.
- Consensus guidelines establish specific intravascular ultrasound and optical coherence tomography cut-offs to guide corrective measures for optimal results.
- Routine performance of intracoronary imaging is recommended to assess mechanisms of stent failure, specifically stent thrombosis and restenosis.
Structured PICO
P
Population
Patients undergoing percutaneous coronary interventions (PCIs) or presenting with stent failure (restenosis or stent thrombosis)
I
Intervention
Intracoronary imaging (intravascular ultrasound [IVUS] and optical coherence tomography [OCT]) to guide PCI, optimize stent sizing, and assess stent failure
This EAPCI expert consensus document provides clinical recommendations for using IVUS and OCT to guide PCI, optimize stent implantation, and evaluate stent failure.
Cite This Study
Räber et al. (2018) studied this question.