Intravascular Imaging for Percutaneous Coronary Intervention Guidance and Optimization: The Evidence for Improved Patient Outcomes
Overview
Affiliations
As of this writing, there have been approximately 24 randomized controlled trial publications, 32 meta-analyses, and 85 registries comparing intravascular ultrasound (IVUS) or optical coherence tomography (OCT) versus angiography-guided drug-eluting stent implantation (or IVUS versus OCT guidance). Although in specific clinical scenarios IVUS or OCT may be preferred, in most drug-eluting stent implantation procedures, either intravascular ultrasound or OCT can be used safely, efficiently, effectively, and interchangeably and will improve patient outcomes compared with stent implantation procedures performed just with angiography guidance.
CVIT 2025 clinical expert consensus document on intravascular ultrasound.
Saito Y, Kobayashi Y, Fujii K, Sonoda S, Tsujita K, Hibi K Cardiovasc Interv Ther. 2025; 40(2):211-225.
PMID: 39870989 DOI: 10.1007/s12928-025-01090-0.
Khan S, Fayyaz A, Ullah I, Naeem K, Liaqat H Cureus. 2024; 16(7):e65268.
PMID: 39184782 PMC: 11342820. DOI: 10.7759/cureus.65268.
Geppert A, Mashayekhi K, Huber K Eur Heart J Open. 2024; 4(2):oeae007.
PMID: 38511148 PMC: 10954236. DOI: 10.1093/ehjopen/oeae007.
Sreenivasan J, Reddy R, Jamil Y, Malik A, Chamie D, Howard J J Am Heart Assoc. 2024; 13(2):e031111.
PMID: 38214263 PMC: 10926835. DOI: 10.1161/JAHA.123.031111.
The Evaluation and Management of Coronary Artery Disease in the Lung Transplant Patient.
Serrao G, Vinayak M, Nicolas J, Subramaniam V, Lai A, Laskey D J Clin Med. 2023; 12(24).
PMID: 38137713 PMC: 10743826. DOI: 10.3390/jcm12247644.