Coronary Intravascular Ultrasound (IVUS): Contemporary Applications and Bases for the Future
Lucia Barbieri, Andrea Rognoni, Gioel Gabrio Secco, Ettore Cassetti, Alon Schaffer, Maria Grazia Di Iovine, Maurizio Lazzero, Angelo Sante Bongo, Italo Porto and Alessandro LupiAffiliation:
Department of Clinical and Experimental Medicine, University of Eastern Piedmont, "Maggiore della Carita" Hospital, Novara, Italy.
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Despite the great innovations of non-invasive coronary imaging, coronary angiography still remains the standard of choice for the assessment of coronary artery disease (CAD) even with several limitations. In fact visual assessment of coronary stenosis is convenient and rapid, but often associated with large inter and intra-observer variability, above all in the setting of complex lesions.
Coronary intravascular ultrasound (IVUS) allows accurate tomographic assessment of the coronary lumen and wall. IVUS has several diagnostic applications and is useful to in choosing the most adequate interventional strategy and optimizing its result. The patent review focus on: (1) the role of IVUS to guide therapeutic strategies in complex lesions required percutaneous coronary interventions (PCI), (2) IVUS capacity to interrogate indeterminate coronary lesions, (3) new perspectives for the future of IVUS technology.