Clinical use of intracoronary imaging modalities in Poland. Expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society

Pawłowski, Tomasz; Legutko, Jacek; Kochman, Janusz; Roleder, Tomasz; Pręgowski, Jerzy; Chmielak, Zbigniew; Kubica, Jacek; Ochała, Andrzej; Parma, Radosław; Grygier, Marek; Dudek, Dariusz; Wojakowski, Wojciech; Bartuś, Stanisław; Witkowski, Adam; Gil, Robert

doi:10.33963/kp.a2022.0071

Cited by 8 publications

(14 citation statements)

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“…Although the prevalence of intravascular imaging support use in our study cohort is above average in general practice [ 38 , 39 ], it is still lower than average in the Left Main Disease PCI subset [ 40 ]. This is probably related to several factors.…”

Section: Discussionmentioning

confidence: 99%

Intravascular Lithotripsy as a Novel Treatment Method for Calcified Unprotected Left Main Diseases—Comparison to Rotational Atherectomy—Short-Term Outcomes

Rola

Kulczycki²,

Włodarczak

et al. 2022

IJERPH

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Background: The unprotected calcified Left Main disease represents a high-risk subset for percutaneous coronary intervention (PCI), and it is associated with a higher number of periprocedural complications and an increased rate of in-stent thrombosis and restenosis. Adequate lesion preparation plays a crucial role in achieving a favorable PCI outcome. Rotational Atherectomy (RA) is a well-established plaque-modifying method; nevertheless, the data regarding the effectiveness of RA in LM diseases is scarce. Recently, the novel ShockWave-Intravascular-Lithotripsy(S-IVL) device has been introduced to the PCI armamentarium in order to modify the calcified plaque. Methods: We performed a retrospective evaluation of 44 consecutive subjects who underwent the LM-PCI, and who were supported by either the RA or S-IVL. Results: The Rota group consisted of 29 patients with a mean syntax score of 28.0 ± 7.5. The S-IVL group was composed of 15 subjects with a syntax score of 23.3 ± 13.0 There were no statistical differences regarding MACE between the RA and Shockwave arms of the in-hospital group (10.3% vs. 6.7%), or in the six month (17.2% vs. 13.3%) follow-up group. Conclusions: RA and S-IVL could be safe and effective therapeutic strategies for calcified LM disease. Further studies with a higher number of participants and longer follow-up times are warranted to establish the potential benefits of RA and S-IVL for the management of LM stenosis.

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Section: Discussionmentioning

confidence: 99%

Intravascular Lithotripsy as a Novel Treatment Method for Calcified Unprotected Left Main Diseases—Comparison to Rotational Atherectomy—Short-Term Outcomes

Rola

Kulczycki²,

Włodarczak

et al. 2022

IJERPH

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“…Wśród głównych wskazań do zastosowania IVUS wymienia się zabiegi angioplastyki w obrębie pnia lewej tętnicy wieńcowej oraz optymalizację implantacji stentu [1]. Metoda ta przydatna jest w celu dokładnego określenia warunków do implantacji w obrazie trójwymiarowym -długości zwężenia, morfologii blaszki miażdżycowej i jej struktury, a także oceny wyniku interwencji [1,2,6]. Zastosowanie IVUS zmniejsza ryzyko niewłaściwego ulokowania i rozprężenia stentu oraz umożliwia rozpoznanie dyssekcji brzeżnych [6].…”

Section: Dyskusjaunclassified

Imaging in patients with ST-segment elevation myocardial infarction - a case report

Gniot

Jankiewicz²

2023

J Educ Health Sport

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Introduction and purpose: Intravascular ultrasound (IVUS) facilitates 3-dimensional visualization of the blood vessels. Nowadays, it becomes increasingly supportive in percutaneous coronary intervention (PCI) guiding in patients with acute myocardial infarction (AMI). This report presents IVUS-guided PCI performed on 43-year-old patient with ST-segment elevation myocardial infarction (STEMI). Brief description of the state of knowledge: IVUS is an established intracoronary imaging technique that can be used in patients with AMI. It allows assessment of the plaque nature, stent selection and optmisation. An increasing body of evidence shows that IVUS-guided PCI is correlated with reduction in number of major adverse cardiovascular events (MACE), stent thrombosis and with less contrast use. Studies show, that IVUS can be used in patient with STEMI, as it is presented in this report. Conclusion: This case illustrates IVUS-guided PCI performed on the patient with STEMI. It shows that it is crucial to consider using this technique in every patient with AMI, as it provides beneficial outcome of the treatment. It is particularly important in patients with complicated anatomy of the blood vessels and in patients with contraindications to the considerable contrast use.

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“…In such patients, high-speed rotablation, orbital atherectomy or lithotripsy might be electively utilized to ensure successful PCI result [ 30 , 53 , 54 , 55 ]. Precise stent sizing and meticulous post dilatation ensuring adequate stent expansion and strut apposition, thereby decreasing the risk of complications [ 3 , 4 , 5 , 51 ]. In case of PCI failure, the critical role of OCT and IVUS has been well documented in the identification of the mechanisms underlying stent thrombosis and restenosis, thus facilitating their appropriate management [ 3 , 8 , 10 ].…”

Section: Direct Comparisonmentioning

confidence: 99%

“…Precise stent sizing and meticulous post dilatation ensuring adequate stent expansion and strut apposition, thereby decreasing the risk of complications [ 3 , 4 , 5 , 51 ].…”

Section: Direct Comparisonmentioning

confidence: 99%

“…Intravascular imaging provides interventionalists with invaluable help in multiple ways by informing on the necessity of lesion preparation and stent sizing, guiding stent expansion, identifying acute complications or assessing late stent failure [ 1 ]. Both IVUS and OCT are recognized to contribute to positive clinical outcomes when used complementarily to CAG in coronary artery disease assessment and guiding PCI [ 2 , 3 , 4 , 5 ]. Moreover, a retrospective cohort study from the National Inpatient Sample (2004–2014) showed that both modalities are used more frequently, with a 22-fold increase in IVUS and 118-fold increase in OCT in a 10-year time period [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparative Appraisal of Intravascular Ultrasound and Optical Coherence Tomography in Invasive Coronary Imaging: 2022 Update

Baruś

Modrzewski

Gumiężna

et al. 2022

JCM

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Although coronary angiography has been well established as a standard modality for percutaneous coronary intervention guidance, recent developments in intravascular imaging techniques, such as intravascular ultrasound and optical coherence tomography, have become increasingly adopted, enabling direct detailed lesion visualization, including lesions beyond the scope of assessment using exclusively angiography. Intravascular imaging modalities have been reported to potentially improve both short- and long-term percutaneous intervention outcomes. This review aims to provide a comparative summary of recent advancements in research regarding the clinical applications and outcomes of intravascular ultrasound and optical coherence tomography.

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Clinical use of intracoronary imaging modalities in Poland. Expert opinion of the Association of Cardiovascular Interventions of the Polish Cardiac Society

Cited by 8 publications

References 0 publications

Intravascular Lithotripsy as a Novel Treatment Method for Calcified Unprotected Left Main Diseases—Comparison to Rotational Atherectomy—Short-Term Outcomes

Intravascular Lithotripsy as a Novel Treatment Method for Calcified Unprotected Left Main Diseases—Comparison to Rotational Atherectomy—Short-Term Outcomes

Imaging in patients with ST-segment elevation myocardial infarction - a case report

Comparative Appraisal of Intravascular Ultrasound and Optical Coherence Tomography in Invasive Coronary Imaging: 2022 Update

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