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February 1, 2020Expert Review of Cardiovascular Therapy

Contemporary practices using intravascular imaging guidance with IVUS or OCT to optimize percutaneous coronary intervention

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Key result

Intravascular imaging with IVUS or OCT optimizes PCI results over angiography despite persistent underutilization.

Why the study?

Angiography has many limitations preventing accurate coronary lesion assessment, whereas intravascular imaging with IVUS or OCT helps optimize PCI results.

Does intravascular imaging guidance with IVUS or OCT improve outcomes in patients undergoing percutaneous coronary intervention compared with angiography?

Comparison

IVUS vs OCT guidance during PCI

Design

Literature review

Authors

PNPeter NguyenUniversity of California, IrvineASArnold H. SetoSaint Thomas Health

Discussion

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Implication

May encourage wider intravascular imaging use in PCI; leaves open strategies to address persistent underutilization.

Structured PICO

Does intravascular imaging guidance with IVUS or OCT improve outcomes in patients undergoing percutaneous coronary intervention compared with angiography?

P
Population
Patients undergoing percutaneous coronary intervention (PCI)
I
Intervention
Intravascular imaging guidance with intravascular ultrasound (IVUS) or optical coherence tomography (OCT)
C
Comparator
Angiography
O
Outcome
Optimization of PCI results and clinical outcomes

Intravascular imaging with IVUS or OCT is an essential, though underutilized, tool that optimizes PCI results and improves clinical outcomes compared to angiography alone.

Cite This Study

Nguyen et al. (2020) conducted a review in Percutaneous coronary intervention (PCI). Intravascular imaging guidance (IVUS or OCT) vs. Angiography was evaluated. Intravascular imaging guidance with IVUS or OCT optimizes percutaneous coronary intervention results compared with angiography, though it remains underutilized.

synapsesocial.com/papers/6aa4d98f8cfe0c48ab283ca5https://doi.org/10.1080/14779072.2020.1732207

Topics

Coronary artery diseasePercutaneous coronary interventionCoronary CT angiographyChronic total occlusion PCI
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Also Consider

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

  1. 1Clinical use of intracoronary imaging. Part 1: guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions2018 · 768 citations
  2. 2Separation of absorption and scattering profiles in spectroscopic optical coherence tomography using a least-squares algorithm2004 · 68 citations
  3. 3Optical coherence tomography imaging during percutaneous coronary intervention impacts physician decision-making: ILUMIEN I study2015 · 239 citations
  4. 4Approach for Chronic Total Occlusion With Intravascular Ultrasound–Guided Reverse Controlled Antegrade and Retrograde Tracking Technique: Single Center Experience2013 · 36 citations
  5. 5Expert recommendations on the assessment of wall shear stress in human coronary arteries: existing methodologies, technical considerations, and clinical applications2019 · 325 citations