Intravascular Ultrasound for Guidance and Optimization of Percutaneous Coronary Intervention

Dhruv Mahtta; Akram Y Elgendy; Islam Y Elgendy; Ahmed N Mahmoud; Jonathan M Tobis; Mohammad K Mojadidi

doi:10.1016/j.iccl.2018.03.002

Intravascular Ultrasound for Guidance and Optimization of Percutaneous Coronary Intervention

Interv Cardiol Clin. 2018 Jul;7(3):315-328. doi: 10.1016/j.iccl.2018.03.002. Epub 2018 Jun 29.

Authors

Dhruv Mahtta¹, Akram Y Elgendy², Islam Y Elgendy², Ahmed N Mahmoud², Jonathan M Tobis³, Mohammad K Mojadidi⁴

Affiliations

¹ Department of Medicine, University of Florida, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
² Division of Cardiovascular Medicine, Department of Medicine, University of Florida, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
³ Program in Interventional Cardiology, Division of Cardiology, University of California, Los Angeles, 10833 Le Conte Avenue, Factor Building CHS, Room B-976, Los Angeles, CA 90095, USA.
⁴ Division of Cardiovascular Medicine, Department of Medicine, University of Florida, 1600 Southwest Archer Road, Gainesville, FL 32610, USA. Electronic address: mkmojadidi@gmail.com.

PMID: 29983144
DOI: 10.1016/j.iccl.2018.03.002

Abstract

Percutaneous coronary intervention (PCI) remains the mainstay management of symptomatic obstructive stable coronary artery disease (despite optimal medical treatment) and acute coronary syndrome. Intravascular ultrasound (IVUS) has emerged as an adjunct to angiography, permitting better assessment of the coronary lesion and stent apposition. Data from multiple studies have demonstrated improved clinical and procedural outcomes with IVUS-guided PCI. This review discusses the use of IVUS, with emphasis on technique, parameters, and applications during coronary interventions. In addition, the clinical outcomes data are highlighted with IVUS compared with conventional angiography-guided PCI.

Keywords: Drug-eluting stent; Intravascular ultrasound; Major adverse cardiac events; Minimum lumen area; Minimum lumen diameter; Percutaneous coronary intervention; Planimetry.

Publication types

Review

MeSH terms

Coronary Angiography / methods
Coronary Artery Disease / diagnostic imaging
Coronary Artery Disease / surgery*
Coronary Stenosis / diagnostic imaging
Coronary Stenosis / surgery
Coronary Vessels / diagnostic imaging
Drug-Eluting Stents
Epidemiologic Methods
Humans
Percutaneous Coronary Intervention / methods*
Prosthesis Implantation / methods
Stents
Surgery, Computer-Assisted / methods
Ultrasonography, Interventional / methods
Vascular Calcification / diagnostic imaging
Vascular Calcification / surgery