State-of-art review: Intravascular imaging in percutaneous coronary interventions

Tarek Nafee, Areeb Shah, Michael Forsberg, Jingsheng Zheng, Jiafu Ou

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

The history of intravascular ultrasound (IVUS) and optical coherence tomography (OCT) reflects the relentless pursuit of innovation in interventional cardiology. These intravascular imaging technologies have played a pivotal role in our understanding of coronary atherosclerosis, vascular pathology, and the interaction of coronary stents with the vessel wall. Two decades of clinical investigations demonstrating the clinical efficacy and safety of intravascular imaging modalities have established these technologies as staples in the contemporary cardiac catheterization lab's toolbox and earning their place in revascularization clinical practice guidelines. In this comprehensive review, we will delve into the historical evolution, mechanisms, and technical aspects of IVUS and OCT. We will discuss the expanding evidence supporting their use in complex percutaneous coronary interventions, emphasizing their crucial roles in optimizing patient outcomes and ensuring procedural success. Furthermore, we will explore the substantial advances that have propelled these imaging modalities to the forefront of contemporary interventional cardiology. Finally, we will survey the latest developments in the field and explore the promising future directions that have the potential to further revolutionize coronary interventions.

Original languageEnglish
Pages (from-to)227-246
Number of pages20
JournalCardiology Plus
Volume8
Issue number4
DOIs
StatePublished - Oct 1 2023

Keywords

  • Coronary artery disease
  • Intravascular ultrasound
  • Optical coherence tomography
  • Percutaneous coronary intervention

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