TY  - BOOK
AU  - Case, Brian C
AU  - Forrestal, Brian J
AU  - Garcia-Garcia, Hector M
AU  - Mintz, Gary S
AU  - Shlofmitz, Evan
AU  - Waksman, Ron
AU  - Yerasi, Charan
TI  - Intravascular ultrasound guidance in the evaluation and treatment of left main coronary artery disease
SN  - 0167-5273
PY  - 2020///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N2  - Percutaneous coronary intervention (PCI) of left main coronary artery (LMCA) disease has become an acceptable revascularization strategy. Evaluating the extent and characteristics of obstructive disease of the LMCA by angiography is challenging and limited in its accuracy. In contrast, intravascular ultrasound (IVUS) provides accurate imaging of the coronary lumen as well as quantitative measurements and quantitative assessment of the vessel wall components. IVUS for LMCA PCI should be performed before, during, and after intervention; IVUS enhances every step in the procedure and is associated with a mortality advantage in comparison with angiographic guidance alone. In this review, we provide an update on LMCA PCI and the role of IVUS for lesion assessment and stent optimization. In addition, the latest clinical evidence of the benefits of IVUS-guided LMCA PCI as compared to angiography is reviewed. Copyright (c) 2020. Published by Elsevier B.V
UR  - https://dx.doi.org/10.1016/j.ijcard.2020.10.008
ER  -