Intravascular ultrasound-guided drug-eluting stent implantation
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- 作者：Tadayuki Kadohira ; Yoshio Kobayashi
- 关键词：Intravascular ultrasound ; Percutaneous coronary intervention ; Drug ; eluting stent ; Stent thrombosis ; Restenosis
- 刊名：Cardiovascular Intervention and Therapeutics
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：32
- 期：1
- 页码：1-11
- 全文大小：
- 刊物主题：Cardiology; Interventional Radiology;
- 出版者：Springer Japan
- ISSN：1868-4297
- 卷排序：32
文摘
Intravascular ultrasound (IVUS) is a reliable imaging tool to guide percutaneous coronary intervention. There has been increasing evidence supporting the clinical utility of IVUS-guided drug-eluting stent (DES) implantation, including randomized trials, observational studies, and meta-analyses of both. IVUS provides cross-sectional views of the coronary artery wall, and allows us to assess stenosis severity, identify plaque morphology, optimize stent implantation, and understand mechanism of stent failure. IVUS guidance can increase DES efficacy and decrease clinical events. In this review article, we summarize available evidence on IVUS-guided DES implantation.