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Intravascular Ultrasound in Patients with Challenging In‐Stent Restenosis: Importance of Precise Stent Visualization

Intravascular Ultrasound in Patients with Challenging In‐Stent Restenosis: Importance of Precise... Intravascular ultrasound (IVUS) is widely used to optimize stent (ST) implantation. However, its value to guide therapy in challenging cases of in‐stent restenosis (ISR) is not well established. We present 3 patients with complex ISR where IVUS interrogation was useful: (a) to readily identify the ST “entry door,” (b) to accurately detect ST malapposition, (c) to measure the extent of ST protrusion out from its deployed position, and (d) to guide and optimize therapy. Thus, due to its unique ability to visualize the complete structure of the underlying ST, IVUS constitutes a superb diagnostic tool in patients with ISR, especially in challenging anatomic settings. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiology Wiley

Intravascular Ultrasound in Patients with Challenging In‐Stent Restenosis: Importance of Precise Stent Visualization

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References (28)

Publisher
Wiley
Copyright
Copyright © 2006 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0896-4327
eISSN
1540-8183
DOI
10.1111/j.1540-8183.2006.00123.x
pmid
16650244
Publisher site
See Article on Publisher Site

Abstract

Intravascular ultrasound (IVUS) is widely used to optimize stent (ST) implantation. However, its value to guide therapy in challenging cases of in‐stent restenosis (ISR) is not well established. We present 3 patients with complex ISR where IVUS interrogation was useful: (a) to readily identify the ST “entry door,” (b) to accurately detect ST malapposition, (c) to measure the extent of ST protrusion out from its deployed position, and (d) to guide and optimize therapy. Thus, due to its unique ability to visualize the complete structure of the underlying ST, IVUS constitutes a superb diagnostic tool in patients with ISR, especially in challenging anatomic settings.

Journal

Journal of Interventional CardiologyWiley

Published: Apr 1, 2006

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