Predictors of Left Main Coronary Artery Stent Dimensions: An Excel Trial Intravascular Ultrasound Substudy

Fujino, Akiko; Maehara, Akiko; Mintz, Gary S.; Banning, Adrian; Merkely, Béla; Imre, Ungi; Boven, Ad J. van; Prabhakar, Manu; Zhang, Zixuan; Kappetein, Arie Pieter; Sabik, Joseph F.; Serruys, Patrick W.; Stone, Gregg W.

doi:10.1016/s0735-1097(18)31992-2

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 In the EXCEL IVUS substudy, female sex was associated with a smaller vessel size and MSA. 16 Of note, while we found the use of IVUS was lower in females, in EXCEL, IVUS use was lower in males. 1 Lastly, while previous studies have reported sex differences in guideline-directed medical therapy, EXCEL reported no difference including dual antiplatelet therapy at 3 years.…”

Section: Discussionmentioning

confidence: 52%

Sex-Specific Clinical Outcomes After Treatment of Left Main Coronary Artery Disease. A NOBLE Substudy

McEntegart

Holm

Lindsay

et al. 2022

Journal of the Society for Cardiovascular Angiography & Int

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 52%

Sex-Specific Clinical Outcomes After Treatment of Left Main Coronary Artery Disease. A NOBLE Substudy

McEntegart

Holm

Lindsay

et al. 2022

Journal of the Society for Cardiovascular Angiography & Int

View full text Add to dashboard Cite

“…In the EXCEL IVUS sub-study multivariable linear regression denoted only smaller vessel area (p < 0.01) and greater calcium angle (p < 0.01) were associated with smaller Minimal Stent Area (MSA). Female sex and ostial or body LM lesions correlated with a smaller pre-PCI LM vessel area (both p < 0.01) (44). Importantly, an IVUS sub-study of the NOBLE trial demonstrated that in a Western population, the IVUS-MSA criteria of 8/7/6/5 mm 2 for LM, polygon of confluence (45).…”

Section: Evidence Supporting the Use Of Intracoronary Imagingmentioning

confidence: 96%

Optimising PCI by Intracoronary Image-guidance

Alasnag

Ahmed

Al-Bawardy

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Evidence to support the use of intracoronary imaging (ICI) in guiding percutaneous coronary intervention (PCI) is growing, with observational and randomized controlled trials demonstrating a benefit in acute procedural and clinical outcomes. ICI provides an opportunity to guide PCI, detailing the nature of the coronary disease, potentially influencing lesion preparation and stent selection. Following stent deployment, ICI offers a detailed assessment of lesion coverage, associated vessel trauma and stent expansion. Consensus statements have emphasized the role of ICI and detailed the parameters of stent optimization. However, intracoronary imaging is not adopted widely yet. Significant global differences in the uptake of ICI have been reported, with the vast majority of PCI being angiographically-guided. The three major barriers to the implementation of ICI include, in order of impact, prohibitive cost, prolongation of procedure time and local regulatory issues for use. However, it is our belief that a lack of education and the associated challenges of ICI interpretation provide the greatest barrier to adoption. We hope that this review of the role of ICI in PCI optimization will provide a platform for PCI operators to gain confidence in the utilization of ICI to enhance outcomes for their patients.

show abstract

Predictors of Left Main Coronary Artery Stent Dimensions: An Excel Trial Intravascular Ultrasound Substudy

Cited by 2 publications

References 0 publications

Sex-Specific Clinical Outcomes After Treatment of Left Main Coronary Artery Disease. A NOBLE Substudy

Sex-Specific Clinical Outcomes After Treatment of Left Main Coronary Artery Disease. A NOBLE Substudy

Optimising PCI by Intracoronary Image-guidance

Contact Info

Product

Resources

About