Clinical use of intracoronary imaging. Part 1: Guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions

Lorenz Räber, Gary S. Mintz, Konstantinos C. Koskinas, Thomas W. Johnson, Niels R. Holm, Yoshinubo Onuma, Maria D. Radu, Michael Joner, Bo Yu, Haibo Jia, Nicolas Meneveau, Jose M. De La Torre Hernandez, Javier Escaned, Jonathan Hill, Francesco Prati, Antonio Colombo, Carlo Di Mario, Evelyn Regar, Davide Capodanno, William WijnsRobert A. Byrne, Giulio Guagliumi*, Patrick W. Serruys, Fernando Alfonso, Ravinay Bhindi, Ziad Ali, Rickey Carter

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

23 Citations (Scopus)

Abstract

This Consensus Document is the first of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS) and optical coherence tomography (OCT). The first document appraises the role of intracoronary imaging to guide percutaneous coronary interventions (PCIs) in clinical practice. Current evidence regarding the impact of intracoronary imaging guidance on cardiovascular outcomes is summarized, and patients or lesions most likely to derive clinical benefit from an imaging-guided intervention are identified. The relevance of the use of IVUS or OCT prior to PCI for optimizing stent sizing (stent length and diameter) and planning the procedural strategy is discussed. Regarding post-implantation imaging, the consensus group recommends key parameters that characterize an optimal PCI result and provides cut-offs to guide corrective measures and optimize the stenting result. Moreover, routine performance of intracoronary imaging in patients with stent failure (restenosis or stent thrombosis) is recommended. Finally, strengths and limitations of IVUS and OCT for guiding PCI and assessing stent failures and areas that warrant further research are critically discussed.

Original languageEnglish
Pages (from-to)656-677
Number of pages22
JournalEurointervention
Volume14
Issue number6
Early online date20 Aug 2018
DOIs
Publication statusPublished - 20 Aug 2018

Keywords

  • Coronary artery disease
  • Intracoronary imaging
  • Intravascular ultrasound
  • Optical coherence tomography
  • Percutaneous coronary intervention (PCI)

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