Intravascular ultrasound of normal left main arteries: Insights for stent optimization and standardization

Arka Chatterjee; Massoud A Leesar; William B Hillegass

doi:10.1002/ccd.28077

Intravascular ultrasound of normal left main arteries: Insights for stent optimization and standardization

Catheter Cardiovasc Interv. 2019 Feb 1;93(2):239-240. doi: 10.1002/ccd.28077.

Authors

Arka Chatterjee¹, Massoud A Leesar¹, William B Hillegass^{1

2}

Affiliations

¹ University of Alabama at Birmingham Cardiovascular Division, Birmingham, Alabama.
² Departments of Medicine and Data Science, University of Mississippi Medical Center, Jackson, Mississippi.

PMID: 30719851
DOI: 10.1002/ccd.28077

Abstract

Left main (LM) lumen diameters >4 mm are the norm and diameter >4.5 mm is present in almost 50% of patients by intravascular ultrasound (IVUS). Normal LM minimum lumen area averages 14.1 mm² for women and 16.2 mm² for men, requiring an area stenosis of 57-63% for LM lesion to be hemodynamically significant using the prevailing criterion of 6 mm² as a cut-off for revascularization. Incomplete LM visualization with IVUS is common (68%) without dedicated and specific LM IVUS techniques.

Publication types

Editorial
Comment

MeSH terms

Coronary Angiography
Coronary Vessels*
Cross-Sectional Studies
Female
Humans
Male
Stents
Ultrasonography, Interventional*