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Clinical Evidence of Intravascular Ultrasound-Guided Percutaneous Coronary Intervention

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Coronary Imaging and Physiology

Abstract

Intravascular ultrasound (IVUS) provides anatomic information regarding the coronary artery lumen, wall, and plaques, which can help the accurate evaluation of lesion characteristics with vessel sizing. In addition, after stent implantation, underexpansion, malapposition, or edge dissections can be detected by IVUS. Thus, through further intervention based on these IVUS findings, stent optimization can be achieved, causing the improved clinical outcomes. Current guidelines recommend the use of IVUS to optimize stent implantation for select patients (Class of recommendation IIa, Level of evidence B) [1, 2]. However, recently, many evidences demonstrating the clinical usefulness of IVUS have been accumulated since the prior guidelines were released. In this chapter, clinical evidences of IVUS-guided percutaneous coronary intervention (PCI) will be discussed from observational studies, randomized studies, and meta-analysis.

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Authors and Affiliations

  1. Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea

    Sung-Jin Hong, Yangsoo Jang & Byeong-Keuk Kim

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  1. Sung-Jin Hong
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  2. Yangsoo Jang
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Correspondence to Byeong-Keuk Kim .

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  1. Division of Cardiology, Severance Cardiovascular Hospital , Seoul, Korea (Republic of)

    Myeong-Ki Hong

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Hong, SJ., Jang, Y., Kim, BK. (2018). Clinical Evidence of Intravascular Ultrasound-Guided Percutaneous Coronary Intervention. In: Hong, MK. (eds) Coronary Imaging and Physiology. Springer, Singapore. https://doi.org/10.1007/978-981-10-2787-1_5

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  • DOI: https://doi.org/10.1007/978-981-10-2787-1_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2786-4

  • Online ISBN: 978-981-10-2787-1

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