A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI

The use of intracoronary imaging with intravascular ultrasound (IVUS) or optical coherence tomography (OCT) can define vessel architecture and has an established role in guidance and optimisation of percutaneous coronary intervention. Additionally intracoronary imaging has an emerging role in diagno...

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Autores principales:	Gavin Richards, Thomas Johnson
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/6d0bb7ba32ec432699c7931de9604158
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spelling	oai:doaj.org-article:6d0bb7ba32ec432699c7931de96041582021-11-03T21:34:15ZA Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI2048-004010.1177/20480040211049978https://doaj.org/article/6d0bb7ba32ec432699c7931de96041582021-11-01T00:00:00Zhttps://doi.org/10.1177/20480040211049978https://doaj.org/toc/2048-0040The use of intracoronary imaging with intravascular ultrasound (IVUS) or optical coherence tomography (OCT) can define vessel architecture and has an established role in guidance and optimisation of percutaneous coronary intervention. Additionally intracoronary imaging has an emerging role in diagnosis, afforded by the ability to depict vessel wall characteristics not seen on angiography alone. Use of intracoronary imaging is recommended by international consensus guidelines from the European Society of Cardiology and two recent expert consensus position statements from the European Association of Percutaneous Coronary Interventions (EAPCI). However, uptake in contemporary practice in the United Kingdom appears to lag behind these recommendations. Imaging is particularly advantageous in complex coronary lesions (such as left main stem coronary artery, bifurcation, or heavily calcified lesions) and in complex patients (acute presentations, atypical presentations, and renal dysfunction). Stent detail to the level of individual struts can be appreciated with intracoronary imaging, which facilitates appropriate stent selection and optimisation of the final stent result. We highlight specific subgroups that benefit from an imaging guided approach to percutaneous coronary intervention. We review the evidence and the role of intracoronary imaging and highlight specific subgroups that show particular benefit from imaging guided percutaneous coronary intervention.Gavin RichardsThomas JohnsonSAGE PublishingarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENJRSM Cardiovascular Disease, Vol 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Gavin Richards Thomas Johnson A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
description	The use of intracoronary imaging with intravascular ultrasound (IVUS) or optical coherence tomography (OCT) can define vessel architecture and has an established role in guidance and optimisation of percutaneous coronary intervention. Additionally intracoronary imaging has an emerging role in diagnosis, afforded by the ability to depict vessel wall characteristics not seen on angiography alone. Use of intracoronary imaging is recommended by international consensus guidelines from the European Society of Cardiology and two recent expert consensus position statements from the European Association of Percutaneous Coronary Interventions (EAPCI). However, uptake in contemporary practice in the United Kingdom appears to lag behind these recommendations. Imaging is particularly advantageous in complex coronary lesions (such as left main stem coronary artery, bifurcation, or heavily calcified lesions) and in complex patients (acute presentations, atypical presentations, and renal dysfunction). Stent detail to the level of individual struts can be appreciated with intracoronary imaging, which facilitates appropriate stent selection and optimisation of the final stent result. We highlight specific subgroups that benefit from an imaging guided approach to percutaneous coronary intervention. We review the evidence and the role of intracoronary imaging and highlight specific subgroups that show particular benefit from imaging guided percutaneous coronary intervention.
format	article
author	Gavin Richards Thomas Johnson
author_facet	Gavin Richards Thomas Johnson
author_sort	Gavin Richards
title	A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
title_short	A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
title_full	A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
title_fullStr	A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
title_full_unstemmed	A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI
title_sort	vision of percutaneous coronary revascularisation in 2021: how to take advantage of intra-coronary imaging to perform more effective pci
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/6d0bb7ba32ec432699c7931de9604158
work_keys_str_mv	AT gavinrichards avisionofpercutaneouscoronaryrevascularisationin2021howtotakeadvantageofintracoronaryimagingtoperformmoreeffectivepci AT thomasjohnson avisionofpercutaneouscoronaryrevascularisationin2021howtotakeadvantageofintracoronaryimagingtoperformmoreeffectivepci AT gavinrichards visionofpercutaneouscoronaryrevascularisationin2021howtotakeadvantageofintracoronaryimagingtoperformmoreeffectivepci AT thomasjohnson visionofpercutaneouscoronaryrevascularisationin2021howtotakeadvantageofintracoronaryimagingtoperformmoreeffectivepci
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A Vision Of Percutaneous Coronary Revascularisation In 2021: How to take advantage of intra-coronary imaging to perform more effective PCI

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