Intracoronary ultrasound-guided CABG in patients with angiographically noncritical lesions

Carotid intima-media thickness by B-mode ultrasound as surrogate of coronary atherosclerosis: correlation with quantitative coronary angiography and coronary intravascular ultrasound findings

“…In our analysis, IVUS was considered the gold standard because of studies showing that (i) this technique is more sensitive than angiography in detecting early atherosclerosis, 27,[51][52][53] (ii) it more accurately measures lumen diameter than angiography, 54 and (iii) it may be helpful in assessment and treatment guidance for angiographically indeterminate coronary artery disease. 27,[55][56][57][58][59] In addition, studies in patients with angiographically ambiguous CAD found an IVUS variable (the MLD) to be a good predictor of cardiac events. 58,60 In patients with normal/intermediate coronary atherosclerosis (Groups A and B pooled together) coronary-%DS max showed the lowest power to discriminate IVUS (+) from IVUS (2) patients (area under the ROC curve = 0.730).…”

Angiographically uncertain left main coronary artery narrowings: correlation with multidetector computed tomography and intravascular ultrasound

“…Intravascular ultrasound (IVUS) confers the ability to examine accurately the coronary artery architecture, atherosclerotic plaque composition and changes in vessel dimensions as a result of the atherosclerotic process [13]. Hence, IVUS is the preferred method to assess the severity of angiographically borderline LMCA lesions [13][14][15][16][17][18]. Lately, contrast enhanced multidetector computed tomography (MDCT) has demonstrated to be a feasible, safe and non-invasive modality to assess coronary artery atherosclerotic plaque composition and morphology [19][20][21][22], coronary artery remodeling [23,24] and coronary artery geometric dimensions [25][26][27][28].…”

Intravascular ultrasound-guided treatment for angiographically indeterminate left main coronary artery disease

“…This technique, which allows accurate assessment of lumen size, plaque area, and intimal composition, has demonstrated excellent results for the analysis of coronary artery disease (9 -12). Several studies have demonstrated that it is more sensitive than angiography in detecting early atherosclerosis, and shown that it may be helpful for evaluation and treatment guidance of LMCA lesions that are angiographically indeterminate (13)(14)(15)(16)(17)(18)(19). Rationale for using MLA as the criterion for decisionmaking.…”

“…Observations at our institution and others have shown that IVUS may be helpful in assessment and treatment guidance for angiographically indeterminate LMCA disease (13)(14)(15)(16)(17)(18)(19).…”