Document Detail

Role of intravascular ultrasound in unprotected left main percutaneous coronary intervention.
MedLine Citation:
PMID:  17187459     Owner:  NLM     Status:  MEDLINE    
Percutaneous coronary intervention (PCI) to the unprotected left main stem offers an attractive alternative to bypass grafting, but is associated with a significant clinical risk and therefore demands special consideration. Successful left main PCI is dependent upon the morphology of the lesion and the technical quality of the procedure. For these reasons, intravascular ultrasound (IVUS) has been the most popular adjunct to coronary angiography during left main PCI. However, trials of IVUS in left main PCI have produced inconclusive results, and most data predate the use of drug-eluting stents. Despite this, IVUS offers practical benefits in both case selection, and in guiding angioplasty and stenting. Here, we review the arguments for the present and future role of IVUS in left main PCI.
Paul Das; Ian Meredith
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert review of cardiovascular therapy     Volume:  5     ISSN:  1744-8344     ISO Abbreviation:  Expert Rev Cardiovasc Ther     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-25     Completed Date:  2007-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101182328     Medline TA:  Expert Rev Cardiovasc Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  81-9     Citation Subset:  IM    
Monash Medical Center, Clayton, Melbourne 3168, Victoria, Australia.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Angiography
Coronary Disease / physiopathology,  therapy*,  ultrasonography*
Coronary Stenosis / physiopathology,  therapy*,  ultrasonography*
Fractional Flow Reserve, Myocardial
Treatment Outcome
Ultrasonography, Interventional* / methods

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