Intravascular ultrasound-guided optimized stent deployment Immediate and 6 months clinical and angiographic results from the Multicenter Ultrasound Stenting in Coronaries Study (MUSIC Study)

Jaegere, Peter de; Mudra, Harald; Figulla, Hans R.; Almagor, Yaron; Doucet, Serge; Penn, I; Colombo, Antonio; Hamm, Christian W.; Bartorelli, Antonio L.; Rothman, Martin T.; Nobuyoshi, Masakiyo; Yamaguchi, Tsuyoshi; Voudris, Vassilis; DiMario, Carlo; Makovski, S.; Hausmann, Dirk; Rowe, Stephen A.; Rabinovich, S. A.; Sunamura, Madoka; Es, Gerrit Anne van

doi:10.1053/euhj.1998.1012

Cited by 436 publications

(278 citation statements)

References 32 publications

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“…Earlier data do not support the routine use of IVUS (8,9,10,11,12), although we obtained results in favour of a decrease in TVR without a significant difference. Documentary data indicate that the differences are related to acquisition in cases involving small and long lesions, such as lesions on venous grafts for which appropriate angiographically obtained data on the lesion type and length (13).…”

Section: Discussioncontrasting

confidence: 99%

“…The use of high pressure during stent implementation directly derived from IVUS studies significantly reduced the need for repeat interventions, and it was proved to be a safe and efficient method. Previous studies proved that angiographically guided procedures are not inferior to IVUS-guided procedures regarding repeat revascularization, myocardium infarcts and mortality, although MLD and the residual stenosis percentage were better with IVUS-guided procedures (8,9,10).…”

Section: Introductionmentioning

confidence: 93%

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Efficacy And Safety Of IVUS-Guided Percutaneous Coronary Interventions

Popović

Tasic

Grubisa

2015

Serbian Journal of Experimental and Clinical Research

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 93%

Efficacy And Safety Of IVUS-Guided Percutaneous Coronary Interventions

Popović

Tasic

Grubisa

2015

Serbian Journal of Experimental and Clinical Research

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“…[7][8][9][10] Because lumen and stent dimensions can be accurately determined by intravascular ultrasound (IVUS), guidance of stenting by IVUS has been proposed as a method to reduce restenosis rates. 11 However, randomized studies investigating this strategy have yielded inconsistent results. [12][13][14][15][16][17] We hypothesized that the potential advantages of IVUS guidance would be most apparent in complex lesions, such as long stenoses.…”

mentioning

confidence: 99%

Intravascular Ultrasound Guidance Improves Angiographic and Clinical Outcome of Stent Implantation for Long Coronary Artery Stenoses

Oemrawsingh

Mintz²,

Schalij³

et al. 2003

Circulation

259

145

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Background-Long coronary lesions treated with stents have a poor outcome. This study compared the 6-month outcome of stent implantation for long lesions in patients randomized to intravascular ultrasound (IVUS; nϭ73) or angiographic guidance (nϭ71). Methods and Results-Stenoses Ͼ20 mm in length and a reference diameter that permitted a stent diameter Ն3 mm were eligible. Primary end points were 6-month minimal lumen diameter (MLD) and the combined end point of death, myocardial infarction, and target-lesion revascularization (TLR). Baseline clinical and angiographic data were comparable in both groups. At 6 months, MLD in the IVUS group (1.82Ϯ0.53 mm) was larger than in the angiography group (1.51Ϯ0.71 mm; Pϭ0.042). TLR and combined end-point rates at 6 months were 4% (nϭ3) and 6% (nϭ4) in the IVUS group and 14% (nϭ10) and 20% (nϭ14) in the angiography group, respectively (Pϭ0.037 for TLR and Pϭ0.01 for combined events). Restenosis (Ͼ50% diameter stenosis) was found in 23% of the IVUS group and 45% of the angiography group (Pϭ0.008). At 12 months, TLR and the combined end point occurred in 10% (nϭ7) and 12% (nϭ9) of the IVUS group and 23% (nϭ17) and 27% (nϭ19)

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“…MDCT data were acquired using the Somaton Volume Zoom TM multidetector (Siemens AG TM , Erlhagen, Germany), equipped with a VA 40 protocol 15,16 . Images were acquired at 500 ms rotation time.…”

Section: Methodsmentioning

confidence: 99%

Avaliação tardia de endopróteses coronarianas com sirolimus: comparação da tomografia computadorizada por múltiplos detectores com a angiografia quantitativa e o ultra-som intracoronariano

Pinto¹,

Sousa²,

Ishikama³

et al. 2006

Arq. Bras. Cardiol.

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objective: To assess the performance of multidetector computed tomography in determining late clinical outcomes of patients undergoing sirolimus-eluting stent implantation.Methods: Thirty patients, successfully submitted to sirolimus-eluting stent implantation for more than six months, were selected to participate in the study. All underwent invasive angiography and intravascular ultrasound following CT angiography using iodinated contrast medium at a dose of 1.5 ml/kg. Results:Mean proximal reference diameter was 3.01 ± 0.31 mm by tomography and 3.14 ± 0.31 mm by angiography (p = 0.04). When the left circumflex artery was excluded from the analysis, the difference between both examinations was no longer significant (tomography = 3.01 ± 0.32 mm; angiography = 3.10 ± 0.30 mm, p = 0.65). Mean distal reference diameter was 2.86 ± 0.30 mm by tomography and 2.92 ± 0.32 by angiography (p = 0.25). Mean in-stent minimal lumen diameter was 2.85 ± 0.25 mm by tomography and 2.85 ± 0.29 mm by angiography (p = 0.27). Mean minimal in-stent crosssectional area was 7.19 ± 1.47 mm 2 by tomography and 6.90 ± 1.52 mm 2 by intravascular ultrasound (p = 0.36), but there was only a weak correlation between these measurements (r = 0.33). Conclusion:Computed tomography allows the qualitative assessment of sirolimus-eluting stents, accurate estimate of proximal and distal reference diameters of the target vessel, and in-stent minimal lumen diameter. Its correlation with measurements performed using intravascular ultrasound, however, is less strong. key words: Coronary failure, computed tomography, quantitative angiography, intravascular ultrasound.

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Intravascular ultrasound-guided optimized stent deployment Immediate and 6 months clinical and angiographic results from the Multicenter Ultrasound Stenting in Coronaries Study (MUSIC Study)

Cited by 436 publications

References 32 publications

Efficacy And Safety Of IVUS-Guided Percutaneous Coronary Interventions

Efficacy And Safety Of IVUS-Guided Percutaneous Coronary Interventions

Intravascular Ultrasound Guidance Improves Angiographic and Clinical Outcome of Stent Implantation for Long Coronary Artery Stenoses

Avaliação tardia de endopróteses coronarianas com sirolimus: comparação da tomografia computadorizada por múltiplos detectores com a angiografia quantitativa e o ultra-som intracoronariano

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