Intravascular Imaging-Guided PCI versus Angiography-Guided PCI: A Comparative Evaluation of Clinical Outcomes and Procedural Optimization

doi:N/A

Bangaldesh Journal of Cardivascular Medicine

2024, Volume 2, Issue 2 : 1-6

Research Article

Intravascular Imaging-Guided PCI versus Angiography-Guided PCI: A Comparative Evaluation of Clinical Outcomes and Procedural Optimization

Michael J. Harrison

Sarah K. Ahmed

David L. Thompson

Department of Interventional Cardiology, Global Heart Institute, Boston, USA

Department of Cardiovascular Medicine, International Cardiac Research Centre, London, UK

Department of Advanced Coronary Interventions, European Institute of Cardiology, Berlin, Germany

Abstract

Percutaneous coronary intervention (PCI) has become a cornerstone in the management of coronary artery disease (CAD). Traditionally, PCI procedures have been guided primarily by coronary angiography; however, angiography provides only a two-dimensional representation of the vessel lumen and may underestimate plaque burden, vessel dimensions, and stent-related complications. Intravascular imaging modalities such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT) offer detailed visualization of coronary anatomy and stent deployment characteristics. Recent evidence suggests that intravascular imaging-guided PCI may improve procedural outcomes and reduce adverse cardiovascular events. This review compares intravascular imaging-guided PCI and angiography-guided PCI, focusing on procedural optimization, clinical outcomes, stent performance, safety, cost-effectiveness, and future implications.

Keywords

PCI

IVUS

OCT

Intravascular Imaging

Coronary Artery Disease

Stent Optimization

Angiography-Guided PCI

Interventional Cardiology

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