Routine intravascular ultrasound guidance of percutaneous coronary intervention
| Autor: | Amir Lerman, David R. Holmes, James L. Orford |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Interventional cardiology business.industry medicine.medical_treatment Percutaneous coronary intervention Fractional flow reserve equipment and supplies Revascularization medicine.disease surgical procedures operative Angioplasty Internal medicine Intravascular ultrasound Coronary stent cardiovascular system medicine Cardiology cardiovascular diseases Radiology Myocardial infarction business Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of the American College of Cardiology. 43(8):1335-1342 |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/j.jacc.2003.12.035 |
| Popis: | Intravascular ultrasound (IVUS) has played an integral role in the evolution of interventional cardiology. However, routine IVUS guidance of coronary stent implantation is not supported by a critical reappraisal of the available evidence. Although there is a trend toward a benefit with respect to target lumen revascularization favoring IVUS-guided coronary stent implantation, it is likely that this effect is driven by improved outcomes in small vessels, long coronary stenoses, and possibly saphenous vein graft interventions. No consistent trend in the incidence of death or myocardial infarction is apparent. Furthermore, the safety, efficacy, and effectiveness of IVUS should be taken into account when considering the goals, risks, benefits, and alternatives to such a treatment strategy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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