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The role of precise imaging with intravascular ultrasound in coronary and peripheral interventions

Authors Shammas NW, Radaideh Q, Shammas WJ, Daher GE, Rachwan RJ, Radaideh Y

Received 2 April 2019

Accepted for publication 20 July 2019

Published 7 August 2019 Volume 2019:15 Pages 283—290

DOI https://doi.org/10.2147/VHRM.S210928

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Pietro Scicchitano


Nicolas W Shammas, Qais Radaideh, W John Shammas, Ghassan E Daher, Rayan Jo Rachwan, Yazan Radaideh

Midwest Cardiovascular Research Foundation, Davenport, IA, USA

Abstract: Angiography remains a widely utilized imaging modality during vascular procedures. Angiography, however, has its limitations by underestimating the true vessel size, plaque morphology, presence of calcium and thrombus, plaque vulnerability, true lesion length, stent expansion and apposition, residual narrowing post intervention and the presence or absence of dissections. Intravascular ultrasound (IVUS) has emerged as an important adjunctive modality to angiography. IVUS offers precise imaging of the vessel size, plaque morphology and the presence of dissections and guides interventional procedures including stent sizing, assessing residual narrowing and stent apposition and expansion. IVUS-guided treatment has shown to yield superior outcomes when compared to angiography-only guided therapy. The cost-effectiveness of the routine use of IVUS during vascular procedures needs to be further studied.

Keywords: intravascular ultrasound, vessel size, peripheral artery disease, coronary artery disease, dissections, thrombus, stent apposition, plaque morphology
 

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