A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
Why the study?
Intracoronary imaging is recommended by guidelines to guide and optimise PCI, but uptake in contemporary practice in the United Kingdom lags behind these recommendations.
Does intracoronary imaging (IVUS or OCT) improve the guidance and optimization of percutaneous coronary intervention compared to standard angiography?
Design
Review
Authors
Discussion
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Member takes
Implication
May optimize complex PCI now; leaves open routine use given low uptake and limited OCT outcome trials.
Structured PICO
Does intracoronary imaging (IVUS or OCT) improve the guidance and optimization of percutaneous coronary intervention compared to standard angiography?
P
Population
Patients undergoing percutaneous coronary intervention, particularly those with complex coronary lesions (left main stem, bifurcation, heavily calcified) or complex clinical presentations (acute, atypical, renal dysfunction)
I
Intervention
Intracoronary imaging (intravascular ultrasound [IVUS] or optical coherence tomography [OCT]) to guide and optimize percutaneous coronary intervention
Intracoronary imaging with IVUS or OCT is recommended to guide and optimize PCI, especially in complex lesions and patients, though its contemporary uptake in the UK lags behind international guidelines.
Cite This Study
Richards et al. (2021) studied this question.