Intravascular imaging for left main stem assessment: An update on the most recent clinical data.
Bernardo CorteseDavide PirainoDomitilla GentileHorea-Laurentiu OneaLeontin LazarPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2022)
Left main (LM) stem has different structural and anatomical characteristics compared to all of the other segments of the coronary tree, thus its management through percutaneous coronary intervention (PCI) is a challenge and is associated with worse clinical outcome and higher need for revascularization as compared to other lesion settings. Intravascular imaging, by means of intravascular ultrasound (IVUS) or optical coherence tomography (OCT), is an important tool for LM PCI guidance, aiming at improving the immediate performance and the long term outcome of this procedure. Following current guidelines and recent scientific findings, IVUS becomes important to firstly assess, and finally evaluate the result of LM stenting, according to the experience and preferences of the operator. The role of OCT still remains to be defined, but recent data is shedding light also on this imaging technique. The aim of this review is to highlight the latest scientific advancements regarding intravascular imaging in LM coronary artery disease.
Keyphrases
- coronary artery disease
- percutaneous coronary intervention
- high resolution
- coronary artery
- optical coherence tomography
- antiplatelet therapy
- coronary artery bypass grafting
- st segment elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- st elevation myocardial infarction
- heart failure
- cardiovascular events
- diabetic retinopathy
- magnetic resonance imaging
- atrial fibrillation
- cardiovascular disease
- electronic health record
- computed tomography
- type diabetes
- big data
- fluorescence imaging
- decision making
- aortic valve
- left ventricular
- data analysis
- coronary artery bypass