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Intracoronary Imaging for PCI Planning and Stent Optimization

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Interventional Cardiology Imaging

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Abstract

The currently available intracoronary imaging techniques in the US, including intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near-infrared spectroscopy (NIRS), play an important role in percutaneous coronary interventions (PCI). The applications of intracoronary imaging in PCI include its use for PCI planning, in which imaging is performed prior to PCI, and its use for stent optimization, in which imaging is performed after PCI. With respect to PCI planning, intracoronary imaging is useful in assessing lesions of intermediate stenosis severity, in sizing the target vessel for stent selection, and in providing risk assessment for peri-procedural myocardial infarction and angiographic no-reflow prior to PCI. With respect to stent optimization, the utilization of intracoronary imaging to assess the adequacy of the PCI result has been associated with improved clinical outcomes. Given the current litigious medical environment and the advent of public reporting of outcomes, the use of intracoronary imaging for PCI optimization is likely to gain increasing importance.

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Frederik Meijer Heart & Vascular Institute, Spectrum Health, Grand Rapids, MI, USA

    Ryan D. Madder MD, FACC

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  1. Ryan D. Madder MD, FACC
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Correspondence to Ryan D. Madder MD, FACC .

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  1. Interventional Cardiology Research, Beaumonth Health System, Royal Oak, Michigan, USA

    Amr E. Abbas

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Madder, R.D. (2015). Intracoronary Imaging for PCI Planning and Stent Optimization. In: Abbas, A. (eds) Interventional Cardiology Imaging. Springer, London. https://doi.org/10.1007/978-1-4471-5239-2_11

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  • DOI: https://doi.org/10.1007/978-1-4471-5239-2_11

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  • Online ISBN: 978-1-4471-5239-2

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