Improving PCI Outcomes Using Postprocedural Physiology and Intravascular Imaging

Laurens J.C. van Zandvoort, Ziad Ali, Morton Kern, Nicolas M. van Mieghem, Gary S. Mintz, Joost Daemen*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

Although clinical outcomes after percutaneous coronary intervention (PCI) are improving, the long-term risk for target vessel failure remains concerning. Although the application of intravascular imaging and physiological indexes significantly improves outcomes, their routine use in practice remains limited. Nevertheless, merely using these modalities is not enough, and to truly improve patient outcomes, optimal intravascular dimensions with minimal vascular injury should be targeted. When assessing post-PCI results using either type of physiological or imaging technology, a broad spectrum of stent- and vessel-related anomalies can be expected. As not all of these issues warrant treatment, a profound knowledge of what to expect and how to recognize and when to treat these intraluminal problems is needed. Additionally, promising new modalities such as angiography-derived coronary physiology and hybrid imaging catheters are becoming available. The authors provide an overview of the currently available tools and techniques to define suboptimal PCI and when to apply these technologies to improve outcomes.

Original languageEnglish
Pages (from-to)2415-2430
Number of pages16
JournalJACC: Cardiovascular Interventions
Volume14
Issue number22
DOIs
Publication statusPublished - 22 Nov 2021

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