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
| Autor: | Raber, L., Mintz, G. S., Koskinas, K. C., Johnson, T. W., Holm, N. R., Onuma, Y., Radu, M. D., Joner, M., Yu, B., Jia, H., Meneveau, N., De La Torre Hernandez, J. M., Escaned, J., Hill, J., Prati, F., Colombo, A., Di Mario, C., Regar, E., Capodanno, D., Wijns, W., Byrne, R. A., Guagliumi, G., Alfonso, F., Bhindi, R., Ali, Z., Carter, R. |
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| Přispěvatelé: | University of Zurich, Guagliumi, Giulio, Cardiology |
| Rok vydání: | 2018 |
| Předmět: |
Percutaneous
medicine.medical_treatment Psychological intervention Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography Graft Occlusion Coronary artery disease Postoperative Complications 0302 clinical medicine Restenosis Intravascular ultrasound Percutaneous coronary intervention (PCI) 030212 general & internal medicine Tomography Ultrasonography Interventional medicine.diagnostic_test Graft Occlusion Vascular Prosthesis Failure Treatment Outcome surgical procedures operative Stents Cardiology and Cardiovascular Medicine Tomography Optical Coherence medicine.medical_specialty Consensus 610 Medicine & health 2705 Cardiology and Cardiovascular Medicine 03 medical and health sciences Percutaneous Coronary Intervention Vascular Medical imaging medicine Humans Medical physics cardiovascular diseases Ultrasonography Interventional Optical coherence tomography business.industry Percutaneous coronary intervention Stent Intracoronary imaging equipment and supplies medicine.disease 10020 Clinic for Cardiac Surgery Optical Coherence Conventional PCI business |
| Zdroj: | European Heart Journal, 39(35), 3281-3300. Oxford University Press Räber, L, Mintz, G S, Koskinas, K C, Johnson, T W, Holm, N R, Onuma, Y, Radu, M D, Joner, M, Yu, B, Jia, H, Meneveau, N, de la Torre Hernandez, J M, Escaned, J, Hill, J, Prati, F, Colombo, A, Di Mario, C, Regar, E, Capodanno, D, Wijns, W, Byrne, R A & Guagliumi, G 2018, ' 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 ', EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, vol. 14, no. 6, pp. 656-677 . https://doi.org/10.4244/EIJY18M06_01 EuroIntervention, 14(6), 656-677. EuroPCR |
| ISSN: | 1774-024X 0195-668X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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