Imaging in Coronary Interventions

Coronary angiography has historically served as the gold standard for diagnosis of coronary artery disease and guidance of percutaneous coronary intervention (PCI), but the evolution of PCI would not have been possible without intravascular imaging which provides unique insights about coronary artery pathology.

Over the last 30 years IVUS and, more recently, optical coherence tomography (OCT) have been extensively used to examine the extent and severity of coronary artery disease (CAD), guide PCI in complex lesions, and assess the performance of emerging devices introduced to treat CAD. In this section, you will find a selection of resources showing the use of imaging in real-life scenarios.

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ILUMIEN IV: OPTIMAL PCI - Optical Coherence Tomography Guided Coronary Stent Implantation Compared with Angiography: A Multicenter Randomized Trial in Percutaneous Coronary Intervention

29 Aug 2023

Claudio Laudani and Daniele Giacoppo report the main results of the ILUMIEN IV trial presented by Ziad Ali, from the St. Francis Hospital, Roslyn, and Clinical Trials Center, Cardiovascular Research Foundation, New York, in a Hot Line session at the European Society of Cardiology congress 2023...

Claudio Laudani

Author

Claudio Laudani
Daniele Giacoppo

Author

Daniele Giacoppo
ILUMIEN IV: OCT versus angiography

Multivessel disease PCI guided by physiology and intracoronary imaging - LIVE case

19 May 2023 – From EuroPCR 2023

A 68-year-old non-diabetic male patient presented with recent exertional chest pain and good LV function. Baseline angiography revealed severe stenosis of the proximal RCA, mid-stenosis of the proximal and mid-CX, and mid-stenosis of the proximal and mid-LAD.

Physiology revealed significant stenosis of proximal CX and proximal LAD.

IVUS...

Multivessel disease PCI guided by physiology and intracoronary imaging - LIVE case

Intracoronary imaging in left main - Part 1

18 May 2023 – From EuroPCR 2023

Explore the world of intracoronary imaging in left main interventions in this session: discover a fascinating case report on overcoming left main stent pop-up, delve into the application of OCT-guided nano crush technique for left main bifurcation lesions, uncover the management of stent failure involving the...

Intracoronary imaging in left main - Part 1

Diagnosis and procedural strategies for severely calcified lesions

18 May 2023 – From EuroPCR 2023

Dealing with severely calcified lesions? Explore the insights from two cases showcased in this session, and leverage Flavio Ribichini's algorithm for angiographic calcified lesions, as well as Yoshinobu Onuma's algorithm for calcified lesions with adjunctive imaging modalities, to enhance your management strategies!

Diagnosis and procedural strategies for severely calcified lesions

Stent failure management - Contemporary management options - Part 2

18 May 2023 – From EuroPCR 2023

In this session, explore the evolving causes of restenosis in contemporary practice and understand how to tailor in-stent restenosis treatment based on its underlying mechanism. Discover why imaging is crucial for selecting the appropriate treatment in cases of in-stent restenosis, and learn that drug-coated balloons are...

Stent failure management - Contemporary management options - Part 2

Coronary CT reading

18 May 2023 – From EuroPCR 2023

Watch this session to master reading and interpreting standard coronary CT angiography images, to learn how to determine lesion location, quantify stenosis, and to characterize plaques from CT imaging, while gaining the skills to differentiate between image artifacts and true coronary stenosis or plaques.

Coronary CT reading

Calcified distal left main stenosis - LIVE case

18 May 2023 – From EuroPCR 2023

Watch the case of a 62-year-old non-diabetic male patient with history of stroke and peripheral artery disease, normal ECG and left ventricular function, referred for CT scan and angiography. He presented with calcified distal LM stenosis and calcified proximal LAD stenosis.

Provisional left main stenting was performed,...

Calcified distal left main stenosis - LIVE case

3DStent: a new era in stent enhancement

18 May 2023 – From EuroPCR 2023

Thanks to this session, get an overview of the concept of stent under-expansion, learn more about current tools to evaluate stent expansion, and follow the 3D stent symposium based on the presentation of different clinical cases.

3DStent: a new era in

Breaking the calcium ceiling in bifurcation stenoses with contemporary PCI

18 May 2023 – From EuroPCR 2023

Watch the case of a 73-year-old man, active smoker, with HTN, dyslipidaemia and a history of severe polyvascular disease, who presented with CCS III angina in the last two months, and find out in this session how he was treated LIVE.

Breaking the calcium

Meaningful innovations in interventional cardiology

18 May 2023 – From EuroPCR 2023

In this session, watch the case of a 56-year-old man with HTN, DM, stable CAD, PFO and previous ischaemic stroke, who presented with severely calcified CTO lesion on proximal LAD and significant mid-RCA lesion, and find out how he was treated LIVE... among others!

Meaningful innovations