Unbound MEDLINE

Optimization of stent deployment by intravascular ultrasound.

Abstract

Intravascular ultrasound (IVUS) is a useful diagnostic method that provides valuable information in addition to angiography regarding the coronary vessel lumen, dimensions, plaque burden, and characteristics. The major use of IVUS in coronary intervention is to guide interventional strategies and assess optimal stent deployment. Since the introduction of the drug-eluting stent (DES), concerns about restenosis have decreased. However, high-risk lesion subsets are being routinely treated with DESs, and the incidence of suboptimal results after stent deployment, such as stent underexpansion, incomplete stent apposition, edge dissection, geographic miss, and the risk of stent thrombosis, have correspondingly increased. Thus, optimization of stent deployment under IVUS guidance may be clinically important. In this review, we focus on the potential role of IVUS in stent optimization during percutaneous coronary intervention and its clinical benefits.

Links

  • PMC Free PDF
  • PMC Free Full Text
  • FREE Publisher Full Text
  • Authors

    Yoon HJ, Hur SH

    Source

    The Korean journal of internal medicine 27:1 2012 Mar pg 30-8

    MeSH

    Angioplasty, Balloon, Coronary
    Coronary Artery Disease
    Coronary Restenosis
    Drug-Eluting Stents
    Evidence-Based Medicine
    Humans
    Myocardial Infarction
    Prosthesis Design
    Stents
    Thrombosis
    Treatment Outcome
    Ultrasonography, Interventional

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    22403496