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Purpose <p>Intravascular ultrasound (IVUS) provides a comprehensive real-time assessment of coronary artery lesions, can guide its treatment strategies during percutaneous coronary intervention (PCI) and ensure optimization after intervention. Despite this, use of IVUS remains low, likely from lack of appropriate training or perceived complexity in performing and interpreting the images, which in turn prohibits patients from availing its benefit.</p> Recent Findings <p>Our narrative review article aims to summarize the recent and existing published literature on IVUS during PCI, serving as a guiding tool for the operators. The clinical benefit of IVUS use during PCI for acute or chronic coronary syndrome, complex lesions, concomitant renal dysfunction and even stent optimization has been found to be incremental. These findings are based on the clinical trials and various studies demonstrating superiority of IVUS guided PCI as compared to angiographic guided PCI. Though over the years, IVUS recommendations have evolved, incorporated into clinical guidelines it usage continues to encounter certain challenges which are also addressed.</p> Summary <p>In this review article, we summarize the evidence supporting the use of IVUS during PCI for a wide array of coronary artery disease, the challenges it encounters and also the future directions of its use.</p>

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Intravascular Ultrasound: an Essential for Percutaneous Coronary Intervention Guidance

  • 期刊论文

  • 发表日期：

    2025年11月5日

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  • Beni Rai Verma,
  • Abhishek Chaturvedi,
  • Edward T. Ha,
  • Abhinav Sood,
  • Jason Galo,
  • Itsik Ben-Dor,
  • Brian Case,
  • Gary S. Mintz,
  • Ron Waksman,
  • Hayder Hashim

摘要

Purpose

Intravascular ultrasound (IVUS) provides a comprehensive real-time assessment of coronary artery lesions, can guide its treatment strategies during percutaneous coronary intervention (PCI) and ensure optimization after intervention. Despite this, use of IVUS remains low, likely from lack of appropriate training or perceived complexity in performing and interpreting the images, which in turn prohibits patients from availing its benefit.

Recent Findings

Our narrative review article aims to summarize the recent and existing published literature on IVUS during PCI, serving as a guiding tool for the operators. The clinical benefit of IVUS use during PCI for acute or chronic coronary syndrome, complex lesions, concomitant renal dysfunction and even stent optimization has been found to be incremental. These findings are based on the clinical trials and various studies demonstrating superiority of IVUS guided PCI as compared to angiographic guided PCI. Though over the years, IVUS recommendations have evolved, incorporated into clinical guidelines it usage continues to encounter certain challenges which are also addressed.

Summary

In this review article, we summarize the evidence supporting the use of IVUS during PCI for a wide array of coronary artery disease, the challenges it encounters and also the future directions of its use.