SCAI Bifurcation Club - A Case-Based Discussion-IVUS, OCT- and CT-Guided Bifurcation PCI, Dr. Antonio Colombo

IVUS, OCT- and CT-Guided Bifurcation PCI, Dr. Antonio Colombo

Video Transcription

Video Summary

The presentation highlighted the significance of imaging-guided bifurcation stenting over traditional angiography methods, especially in complex cases like left-main and bifurcations involving two stents. The speaker emphasized using imaging tools like IVUS and OCT to ensure optimal stent expansion and placement, thus minimizing complications such as restenosis and thrombosis. Modern advancements like intravascular lithotripsy and high-pressure balloons have enhanced imaging guidance efficacy, improving patient outcomes. The talk referenced several studies supporting the advantages of imaging guidance, including the DK CRASH-7 from China and trials comparing OCT versus IVUS, indicating comparable impacts on patient outcomes. It was noted that even subtle procedural elements, like handling dissections post-procedure, can benefit from precise imaging to guide interventions. The overarching message was the crucial role of achieving optimal stent luminal area over mere apposition for long-term procedural success.

Keywords

imaging-guided stenting

IVUS

OCT

restenosis

intravascular lithotripsy

DK CRASH-7