TY - JOUR
T1 - Intracoronary imaging to guide percutaneous coronary intervention: Clinical implications
AU - Scalone, Giancarla
AU - Niccoli, Giampaolo
AU - Gomez Monterrosas, Omar
AU - Grossi, Pierfrancesco
AU - Aimi, Alessandro
AU - Mariani, Luca
AU - Di Vito, Luca
AU - Kuku, Kayode
AU - Crea, Filippo
AU - Garcia-Garcia, Hector M.
PY - 2019
Y1 - 2019
N2 - Background: Over the last decade, the intra-coronary imaging (ICI) has emerged to guide percutaneous coronary intervention (PCI), thus overcoming the limitations of “luminology” offered by angiography. Methods: In this review, we aim at purely focusing on the clinical implications of the employment of ICI in the routine practice, thus providing suggestions for future applications. In particular, we will describe the principal contributions and implications of ICI in the following different clinical settings: 1) assessment of clinical and imaging outcomes of PCI; 2) guiding PCI before and after stent implantation; 3) identification of mechanisms of stent failure. Results: Several studies showed the capability of ICI in assessing the clinical and imaging outcomes of PCI. In particular, they have compared the ICI-guided PCI with the angiography-guided procedures, emphasizing the advantages of using imaging. Indeed, ICI can characterize the coronary plaque, provide a precise estimation of the coronary stenosis, select the appropriate method of intervention, and optimize stent deployment and lesion coverage. Finally, ICI has been shown to be useful to point out the mechanisms of stent failure. Conclusions. ICI can facilitate decision-making in patients with unclear angiographic findings, guide-selected interventions and optimize the final PCI results in complex lesions or. in high-risk patients. Finally, by the identification of specific mechanisms of stent failure, the ICI can allow to adopt a tailored therapy for the singles cases.
AB - Background: Over the last decade, the intra-coronary imaging (ICI) has emerged to guide percutaneous coronary intervention (PCI), thus overcoming the limitations of “luminology” offered by angiography. Methods: In this review, we aim at purely focusing on the clinical implications of the employment of ICI in the routine practice, thus providing suggestions for future applications. In particular, we will describe the principal contributions and implications of ICI in the following different clinical settings: 1) assessment of clinical and imaging outcomes of PCI; 2) guiding PCI before and after stent implantation; 3) identification of mechanisms of stent failure. Results: Several studies showed the capability of ICI in assessing the clinical and imaging outcomes of PCI. In particular, they have compared the ICI-guided PCI with the angiography-guided procedures, emphasizing the advantages of using imaging. Indeed, ICI can characterize the coronary plaque, provide a precise estimation of the coronary stenosis, select the appropriate method of intervention, and optimize stent deployment and lesion coverage. Finally, ICI has been shown to be useful to point out the mechanisms of stent failure. Conclusions. ICI can facilitate decision-making in patients with unclear angiographic findings, guide-selected interventions and optimize the final PCI results in complex lesions or. in high-risk patients. Finally, by the identification of specific mechanisms of stent failure, the ICI can allow to adopt a tailored therapy for the singles cases.
KW - Cardiology and Cardiovascular Medicine
KW - Cardiology and Cardiovascular Medicine
UR - http://hdl.handle.net/10807/129137
UR - http://www.elsevier.com/locate/ijcard
U2 - 10.1016/j.ijcard.2018.09.017
DO - 10.1016/j.ijcard.2018.09.017
M3 - Article
SN - 0167-5273
VL - 274
SP - 394
EP - 401
JO - International Journal of Cardiology
JF - International Journal of Cardiology
ER -