Intravascular ultrasound-guided drug-eluting stent implantation

Tadayuki Kadohira; Yoshio Kobayashi

doi:10.1007/s12928-016-0438-5

Intravascular ultrasound-guided drug-eluting stent implantation

Cardiovasc Interv Ther. 2017 Jan;32(1):1-11. doi: 10.1007/s12928-016-0438-5. Epub 2016 Nov 7.

Authors

Tadayuki Kadohira¹, Yoshio Kobayashi²

Affiliations

¹ Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8677, Japan. t-kadohira@mua.biglobe.ne.jp.
² Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8677, Japan.

PMID: 27822889
DOI: 10.1007/s12928-016-0438-5

Abstract

Intravascular ultrasound (IVUS) is a reliable imaging tool to guide percutaneous coronary intervention. There has been increasing evidence supporting the clinical utility of IVUS-guided drug-eluting stent (DES) implantation, including randomized trials, observational studies, and meta-analyses of both. IVUS provides cross-sectional views of the coronary artery wall, and allows us to assess stenosis severity, identify plaque morphology, optimize stent implantation, and understand mechanism of stent failure. IVUS guidance can increase DES efficacy and decrease clinical events. In this review article, we summarize available evidence on IVUS-guided DES implantation.

Keywords: Drug-eluting stent; Intravascular ultrasound; Percutaneous coronary intervention; Restenosis; Stent thrombosis.

Publication types

Meta-Analysis
Review

MeSH terms

Coronary Angiography
Coronary Artery Disease / diagnosis
Coronary Artery Disease / surgery*
Coronary Vessels / diagnostic imaging
Coronary Vessels / surgery*
Drug-Eluting Stents*
Humans
Percutaneous Coronary Intervention / methods*
Surgery, Computer-Assisted / methods*
Ultrasonography, Interventional / methods*