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

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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 (US)
Pages (from-to)3281-3300
Number of pages20
JournalEuropean Heart Journal
Volume39
Issue number35
DOIs
StatePublished - Sep 14 2018

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Stents
Percutaneous Coronary Intervention
Optical Coherence Tomography
Thrombosis
Research

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

@article{e22c73889ead4a5cae4822aae8ff4851,
title = "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",
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.",
keywords = "Coronary artery disease, Intracoronary imaging, Intravascular ultrasound, Optical coherence tomography, Percutaneous coronary intervention (PCI)",
author = "{Document Reviewers} and Lorenz R{\"a}ber and Mintz, {Gary S.} and Koskinas, {Konstantinos C.} and Johnson, {Thomas W.} and Holm, {Niels R.} and Yoshinubo Onuma and Radu, {Maria D.} and Michael Joner and Bo Yu and Haibo Jia and Nicolas Meneveau and {De La Torre Hernandez}, {Jose M.} and Javier Escaned and Jonathan Hill and Francesco Prati and Antonio Colombo and {Di Mario}, Carlo and Evelyn Regar and Davide Capodanno and William Wijns and Byrne, {Robert A.} and Giulio Guagliumi and Fernando Alfonso and Ravinay Bhindi and Ziad Ali and Carter, {Rickey E.}",
year = "2018",
month = "9",
day = "14",
doi = "10.1093/eurheartj/ehy285",
language = "English (US)",
volume = "39",
pages = "3281--3300",
journal = "European Heart Journal",
issn = "0195-668X",
publisher = "Oxford University Press",
number = "35",

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TY - JOUR

T1 - Clinical use of intracoronary imaging. Part 1

T2 - Guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions

AU - Document Reviewers

AU - Räber, Lorenz

AU - Mintz, Gary S.

AU - Koskinas, Konstantinos C.

AU - Johnson, Thomas W.

AU - Holm, Niels R.

AU - Onuma, Yoshinubo

AU - Radu, Maria D.

AU - Joner, Michael

AU - Yu, Bo

AU - Jia, Haibo

AU - Meneveau, Nicolas

AU - De La Torre Hernandez, Jose M.

AU - Escaned, Javier

AU - Hill, Jonathan

AU - Prati, Francesco

AU - Colombo, Antonio

AU - Di Mario, Carlo

AU - Regar, Evelyn

AU - Capodanno, Davide

AU - Wijns, William

AU - Byrne, Robert A.

AU - Guagliumi, Giulio

AU - Alfonso, Fernando

AU - Bhindi, Ravinay

AU - Ali, Ziad

AU - Carter, Rickey E.

PY - 2018/9/14

Y1 - 2018/9/14

N2 - 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.

AB - 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.

KW - Coronary artery disease

KW - Intracoronary imaging

KW - Intravascular ultrasound

KW - Optical coherence tomography

KW - Percutaneous coronary intervention (PCI)

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U2 - 10.1093/eurheartj/ehy285

DO - 10.1093/eurheartj/ehy285

M3 - Article

C2 - 29790954

AN - SCOPUS:85051085761

VL - 39

SP - 3281

EP - 3300

JO - European Heart Journal

JF - European Heart Journal

SN - 0195-668X

IS - 35

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