1. Optical coherence tomography- vs. intravascular ultrasound-guided percutaneous coronary intervention (Editorial)

    Optical coherence tomography- vs. intravascular ultrasound-guided percutaneous coronary intervention (Editorial)

    Coronary angiography is routinely used to guide percutaneous coronary interventions (PCI) despite obvious limitations of this lumen based approach. Intravascular imaging including intravascular ultrasound (IVUS) and optical coherence tomography (OCT) represent two techniques that provide essential information on pre-procedural lesion characteristics (i.e., lesion severity, landing zone, and plaque composition) and the result after stent implantation (i.e., stent expansion and eccentricity, strut apposition, lesion coverage, tissue protrusion, and dissections). A total of 11 randomized controlled trials investigated the effect of IVUS-guided PCI with mixed results ( 1 - 11 ). Of note, studies including patients with an increased complexity [i.e., chronic ...

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