Minimized contrast use with intravascular ultrasound-guidance percutaneous coronary intervention. One-year follow-up of the MOZART randomized study

Mariani, José; Fazzio, Fernando Roberto de; Bernardi, Fernando Luis Melo; Falcão, Breno de Alencar Araripe; Bezerra, Cristiano Guedes; Filho, Antônio Esteves; Soares, Paulo Rogério; Zalc, Silvio; Filho, Roberto Kalil; Neto, Pedro Alves Lemos

doi:10.1016/j.rbciev.2015.08.011

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Intracoronary Imaging Versus Angiography1

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2022

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“…In patients with CKD, as previously discussed, IVUS has an advantage over OCT due to lower utilization of contrast. In a small RCT of 83 patients who were deemed high risk for contrast-induced AKI, IVUS guidance was associated with a reduction in intra-procedural contrast volume [ 83 ]. These initial findings have led to direction evaluation of IVUS guidance for zero or ultra-low contrast utilization with PCI in patients with advanced CKD with high procedural success observed [ 84 ].…”

Section: Intracoronary Imaging Versus Angiographymentioning

confidence: 99%

Imaging in Percutaneous Coronary Intervention

Satish¹,

Roumeliotis²,

Power³

et al. 2022

Rev. Cardiovasc. Med.

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Intracoronary imaging (ICI) use during percutaneous coronary intervention (PCI) has been shown to effectively improve cardiovascular outcomes, particularly for high-risk subgroups. However, data from randomized controlled trials are limited and the overall utilization rate of ICI remains variable between different countries and centers. Potential benefits of ICI include identification of appropriate lesions for PCI, improved characterization of lesions, and optimization of stent placement. Currently available modalities of ICI include intravascular ultrasound, optical coherence tomography and near infrared spectroscopy. Within this review, we summarize the contemporary evidence surrounding ICI and discuss its application in clinical practice.

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Section: Intracoronary Imaging Versus Angiographymentioning

confidence: 99%