Impact of preintervention intravascular ultrasound imaging on transcatheter treatment strategies in coronary artery disease

Mintz, Gary S.; Pichard, Augusto D.; Kovach, Julie A.; Kent, Kenneth M.; Satler, Lowell F.; Javier, Saturnino P.; Popma, Jeffrey J.; Leon, Martin B.

doi:10.1016/0002-9149(94)90670-x

Cited by 141 publications

(43 citation statements)

References 30 publications

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“…The use of preintervention ICUS imaging has led to changes in therapy in a high percentage of cases. 22 In the present study, assessment of plaque burden by ICUS again demonstrated the feasibility of safely using a bigger balloon in diseased vessels to achieve a better result without increasing complications or dissections. The acute angiographic advantage in the ICUS patients (0.18 mm) is slightly lower than that reported in the CLOUT trial.…”

Section: Discussionsupporting

confidence: 62%

Ultrasound-Guided Strategy for Provisional Stenting With Focal Balloon Combination Catheter

et al. 2000

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Background-Intracoronary ultrasound (ICUS) has provided insights into vascular pathology and interventional therapy.The Strategy for ICUS-Guided PTCA and Stenting (SIPS) trial tested the hypothesis that routine ICUS guidance of coronary interventions improves outcome. Methods and Results-A single-center consecutive-patient randomized design (with 6-month angiographic and 2-year clinical follow-up) was used. Consecutive patients (no chronic total occlusions or emergency procedures) were randomized to ICUS-guided provisional stenting or standard angiographic guidance. Quantitative angiographic minimal lumen diameter (MLD), angiographic restenosis, clinically driven target lesion revascularization, and major adverse cardiac events (MACEs) were evaluated.

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Section: Discussionsupporting

confidence: 62%

Ultrasound-Guided Strategy for Provisional Stenting With Focal Balloon Combination Catheter

et al. 2000

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“…2, 3, s, 11-14 IVUS is also used as a guide for interventional strategies such as balloon angioplasty, directed or rotational atherectomy, and stent deployment. [15][16][17][18][19] Because these interventions respond differently to various tissue components, 15 understanding the mechanical properties of the plaque may be useful in choosing an interventional strategy. Biomechanical properties of atherosclerotic plaque are determined by the composition of the tissue and its spatial distribution in the plaque.…”

mentioning

confidence: 99%

Are soft echoes really soft? Intravascular ultrasound assessment of mechanical properties in human atherosclerotic tissue

Hiro¹,

Leung²,

Guzman³

et al. 1997

American Heart Journal

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“…IVUS was first used as a clinical tool for the guidance of angioplasty (122), and although it briefly gained substantial clinical utility, its value has declined with the advent of drug-eluting stents and low restenosis rates (123,124) (124).…”

Section: Ivus-defined Atherosclerosis and Clinical Outcomementioning

confidence: 99%

Thematic review series: Patient-Oriented Research. Imaging atherosclerosis: state of the art

Crouse

2006

Journal of Lipid Research

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The ability to image obstructive arterial disease brought about a revolution in clinical cardiovascular care; the development of newer technologies that image arterial wall thicknesses, areas, volumes, and composition allows valid imaging of atherosclerosis for the first time. Development of noninvasive imaging of atherosclerosis has further led to a quantum shift in research in the field by enabling the study of asymptomatic populations and thus allowing investigators to focus on preclinical disease without the many biases associated with the study of symptomatic patients. These noninvasive investigations have broad implications for clinical care as well. Coronary angiography, computed tomographic (CT) imaging of coronary calcium, intravascular ultrasound, multidetector CT angiography, B mode ultrasound of the carotid arteries, and MRI of the carotid arteries all have unique strengths and weaknesses for imaging atherosclerosis. Certain of these techniques are extremely useful as outcome variables for clinical trials, and others are uniquely useful as predictors of the risk of cardiovascular disease. All are informative in one way or another with regard to the role of plaque remodeling and composition in disease causation. CT and MRI technology are advancing very rapidly, and research and clinical uses of these imaging modalities promise to further advance our understanding of atherosclerosis and its prevention.-Crouse, J. R., III. Imaging atherosclerosis: state of the art.

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Impact of preintervention intravascular ultrasound imaging on transcatheter treatment strategies in coronary artery disease

Cited by 141 publications

References 30 publications

Ultrasound-Guided Strategy for Provisional Stenting With Focal Balloon Combination Catheter

Ultrasound-Guided Strategy for Provisional Stenting With Focal Balloon Combination Catheter

Are soft echoes really soft? Intravascular ultrasound assessment of mechanical properties in human atherosclerotic tissue

Thematic review series: Patient-Oriented Research. Imaging atherosclerosis: state of the art

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