Intracoronary imaging to guide percutaneous coronary intervention: Clinical implications

International Journal of Cardiology
Giancarla ScaloneHector M Garcia-Garcia

Abstract

Over the last decade, the intra-coronary imaging (ICI) has emerged to guide percutaneous coronary intervention (PCI), thus overcoming the limitations of "luminology" offered by angiography. In this review, we aim at purely focusing on the clinical implications of the employment of ICI in the routine practice, thus providing suggestions for future applications. In particular, we will describe the principal contributions and implications of ICI in the following different clinical settings: 1) assessment of clinical and imaging outcomes of PCI; 2) guiding PCI before and after stent implantation; 3) identification of mechanisms of stent failure. Several studies showed the capability of ICI in assessing the clinical and imaging outcomes of PCI. In particular, they have compared the ICI-guided PCI with the angiography-guided procedures, emphasizing the advantages of using imaging. Indeed, ICI can characterize the coronary plaque, provide a precise estimation of the coronary stenosis, select the appropriate method of intervention, and optimize stent deployment and lesion coverage. Finally, ICI has been shown to be useful to point out the mechanisms of stent failure. ICI can facilitate decision-making in patients with unclear angiograp...Continue Reading

Citations

Jan 9, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Julian YeohJames C Spratt
Jun 3, 2021·American Heart Journal·Retesh BajajChristos V Bourantas
Sep 11, 2021·International Journal of Cardiology·Stylianos A Pyxaras, Eva K Harmel

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