Open AccessRole of Intravascular Ultrasound in Guiding Complex Percutaneous Coronary Interventions
Author(s) -
Brandon Quintana,
Akram W. Ibrahim
Publication year - 2020
Publication title -
us cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.148
H-Index - 3
eISSN - 1758-390X
pISSN - 1758-3896
DOI - 10.15420/usc.2020.12
Subject(s) - intravascular ultrasound , conventional pci , medicine , percutaneous , stent , coronary artery disease , psychological intervention , percutaneous coronary intervention , cardiology , interventional cardiology , radiology , fractional flow reserve , ultrasound , coronary angiography , myocardial infarction , psychiatry
Complex percutaneous coronary interventions (PCIs) are increasing in frequency due to the rapid advances in interventional cardiology. This has had a favorable impact on patients with extensive coronary artery disease and multiple comorbidities with regard to symptomatic relief and mortality. With this increase, cardiologists must develop a standardized way to approach complex PCI in an era in which angiographic guidance alone yields suboptimal results. Intravascular ultrasound (IVUS) has been shown to improve outcomes with better preprocedural planning, improved stent placement, and larger stent diameters. Considering the supportive data, the use of IVUS is crucial in all cases of complex PCI.