State of the art: Role of intravascular imaging in the evolution of percutaneous coronary intervention - A 30-year review

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Abstract

It has been 40 years since percutaneous coronary intervention (PCI) was introduced into the clinical setting. Over these years significant advances in device technology and the invention of new therapeutic strategies have broadened its applications in the clinical arena, rendering this treatment the first-line therapy for patients with obstructive coronary artery disease. The evolution of PCI would not have been possible without intravascular imaging which provided unique insights about coronary artery pathology, enabled evaluation of vessel wall response following PCI and allowed meticulous evaluation of the advantages and limitations of emerging devices. This review article appraises the role of intravascular imaging in the evolution of PCI, summarises the findings of invasive imaging studies that examined the efficacy of new therapies and endovascular devices, presents the evidence that supports its use in current clinical practice and discusses its future potential in PCI.

Original languageEnglish
Pages (from-to)644-653
Number of pages10
JournalEuroIntervention
Volume13
Issue number6
DOIs
Publication statusPublished - Aug 2017
Externally publishedYes

Keywords

  • Intravascular ultrasound
  • Optical coherence tomography
  • Percutaneous coronary intervention

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