Revascularization Guidelines Series-IVUS and OCT imaging in PCI

Video Transcription

Video Summary

In this video, the speaker discusses the use of intravascular imaging in percutaneous coronary intervention (PCI). The limitations of angiography are highlighted, and intravascular imaging techniques such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are introduced. The relative advantages of each technique are discussed, with OCT having higher axial resolution but shallower penetration depth compared to IVUS. The speaker then goes on to discuss the findings of various trials and meta-analyses comparing IVUS and OCT to angiography-guided PCI. The evidence suggests that IVUS and OCT can be beneficial for procedural guidance, particularly in complex cases such as left main or complex coronary artery stenting, and for identifying causes of stent failure. The video concludes by emphasizing the usefulness of both IVUS and OCT in improving outcomes after PCI.

Asset Subtitle

Celina Yong, MD, MBA, MSc

Keywords

intravascular imaging

PCI

IVUS

OCT

angiography limitations