IntravascularUltrasound Use in Peripheral Arterial and Deep Venous Interventions: Multidisciplinary Expert Opinion From SCAI/AVF/AVLS/SIR/SVM/SVS www.jscai.orgChecking if the site connection is securewww.jscai.org needs to review the security of your connection before proceeding.Ray ID: 846503a779f26402Performance & security by Cloudflare
Intravascularultrasound guided coronary stent insertion 1 Public Summary Document Application No. 1354.1 – IntravascularUltrasound (IVUS) Guided Coronary Stent Insertion Applicant: Boston Scientific Pty Ltd Date of MSAC consideration: 31 March – 1 April 2022 1. Purpose of application An application requesting Medicare Benefits Schedule (MBS) listing of intravascularultrasound (IVUS the creation of a new Medicare Benefits Schedule (MBS) item for intravascularultrasound (IVUS) guided coronary stent insertion as an adjunct to invasive coronary angiogram for patients undergoing percutaneous coronary intervention (PCI) in patients with complex anatomical characteristics (lesions associated with the left main coronary artery or other lesion locations with lesion length ≥28 mm). MSAC
IVUS (Intravascularultrasound) to guide percutaneous coronary intervention (PCI) for people with cardiovascular conditions AAAReports & Guidance > IVUS (Intravascularultrasound)IVUS (Intravascularultrasound)Register an interest in this topicTOPIC STATUS Complete IVUS (Intravascularultrasound) to guide percutaneous coronary intervention (PCI) for people with cardiovascular conditionsSummary Health Technology Wales researchers searched for evidence on the clinical and cost effectiveness of IVUS (Intravascularultrasound) to guide percutaneous coronary intervention (PCI) for people with cardiovascular conditions.Topic Exploration ReportTER462 05.2023TERView PDFHealth Technology Wales PartnersAdjust contrastQuick LinksReports & GuidanceSuggest a topicNews and EventsHTW Annual
Angiography-derived fractional flow reserve versus intravascularultrasound to guide percutaneous coronary intervention in patients with coronary artery disease (FLAVOUR II): a multicentre, randomised, non-inferiority trial. Revascularisation decisions based on angiography-derived fractional flow reserve (FFR) or optimisation of stent implantation with intravascularultrasound yield superior clinical outcomes compared with percutaneous coronary intervention (PCI) guided by angiography alone. However, the differences in outcomes when a single approach is used for both purposes remain unclear. We aimed to assess the non-inferiority of angiography-derived FFR versus intravascularultrasound guidance in terms of clinical outcomes at 12 months in patients with angiographically significant
Experimental validation and clinical feasibility of 3D reconstruction of coronary artery bifurcation stents using intravascularultrasound. The structural morphology of coronary stents and the local hemodynamic environment following stent deployment in coronary arteries are crucial determinants of procedural success and subsequent clinical outcomes. High-resolution intracoronary imaging has the potential to facilitate geometrically accurate three-dimensional (3D) reconstruction of coronary stents. This work presents an innovative algorithm for the 3D reconstruction of coronary artery stents, leveraging intravascularultrasound (IVUS) and angiography. The accuracy and reproducibility of our method were tested in stented patient-specific silicone models, with micro-computed tomography serving
Intravascularultrasound-guided versus angiography-guided percutaneous coronary intervention in acute coronary syndromes (IVUS-ACS): a two-stage, multicentre, randomised trial. Intravascularultrasound-guided percutaneous coronary intervention has been shown to result in superior clinical outcomes compared with angiography-guided percutaneous coronary intervention. However, insufficient data are available concerning the advantages of intravascularultrasound guidance for patients with an acute coronary syndrome. This trial aimed to investigate whether the use of intravascularultrasound guidance, as compared with angiography guidance, improves the outcomes of percutaneous coronary intervention with contemporary drug-eluting stents in patients presenting with an acute coronary syndrome
Fractional flow reserve- and intravascularultrasound-guided strategies for intermediate coronary stenosis and low lesion complexity in patients with or without diabetes: a post hoc analysis of the randomised FLAVOUR trial. A recent randomised trial demonstrated fractional flow reserve (FFR) guidance for percutaneous coronary intervention (PCI) was non-inferior to intravascularultrasound (IVUS
IntravascularUltrasound-Guided vs Angiography-Guided Drug-Coated Balloon Angioplasty in Patients With Complex Femoropopliteal Artery Disease. Intravascularultrasound (IVUS) guidance has been shown to yield favorable outcomes for endovascular treatment of femoropopliteal artery (FPA) disease with drug-coated balloon (DCB) angioplasty. However, the specific benefits of IVUS for treatment ; P = 0.44) or occurrence secondary endpoints between the IVUS-guidance and angiography-guidance groups for patients with noncomplex FPA. In endovascular treatment of FPA using DCB, IVUS guidance was significantly associated with improved 12-month clinical outcomes, particularly in patients with complex FPA lesions.(IntravascularUltrasound-Guided Drug-Coated Balloon Angioplasty for Femoropopliteal
IntravascularUltrasound Predictors of 12-month Patency Loss Following Drug-Coated Balloon Angioplasty for the Femoropopliteal Artery. Intravascularultrasound (IVUS) has been shown to improve outcomes of drug-coated balloon (DCB) angioplasty for treatment of femoropopliteal artery (FPA) disease. However, the optimal IVUS criteria for achieving improved outcomes of DCB angioplasty for FPA
Continuous extracorporeal femoral perfusion model for intravascularultrasound, computed tomography and digital subtraction angiography. We developed a novel human cadaveric perfusion model with continuous extracorporeal femoral perfusion suitable for performing intra-individual comparison studies, training of interventional procedures and preclinical testing of endovascular devices. Objective of this study was to introduce the techniques and evaluate the feasibility for realistic computed tomography angiography (CTA), digital subtraction angiography (DSA) including vascular interventions, and intravascularultrasound (IVUS). The establishment of the extracorporeal perfusion was attempted using one formalin-fixed and five fresh-frozen human cadavers. In all specimens, the common femoral
Prognostic Implications of Quantitative Flow Ratio and Plaque Characteristics in IntravascularUltrasound-Guided Treatment Strategy. Quantitative flow ratio (QFR) is a method for evaluating fractional flow reserve without the use of an invasive coronary pressure wire or pharmacological hyperemic agent. The aim of this study was to investigate the prognostic implications of QFR and plaque characteristics in patients who underwent intravascularultrasound (IVUS)-guided treatment for intermediate lesions. Among the IVUS-guided strategy group in the FLAVOUR (Fractional Flow Reserve and IntravascularUltrasound for Clinical Outcomes in Patients with Intermediate Stenosis) trial, vessels suitable for QFR analysis were included in this study. High-risk features were defined as low QFR (≤0.90
Effect of ticagrelor versus clopidogrel after implantation of drug-eluting stents guided by either intravascularultrasound or angiography in patients with acute coronary syndrome-propensity score matching analysis. The effect of different dual antiplatelet therapies on thrombotic events on the background of intravascularultrasound (IVUS) guidance is unclear. We investigated whether ticagrelor
Enhancing the Prediction of Cardiac Allograft Vasculopathy Using IntravascularUltrasound and Machine Learning: A Proof of Concept. Cardiac allograft vasculopathy (CAV) is the leading cause of late graft dysfunction in heart transplantation. Building on previous unsupervised learning models, we sought to identify CAV clusters using serial maximal intimal thickness and baseline clinical risk
Deep Learning-Based Lumen and Vessel Segmentation of IntravascularUltrasound Images in Coronary Artery Disease. Intravascularultrasound (IVUS) evaluation of coronary artery morphology is based on the lumen and vessel segmentation. This study aimed to develop an automatic segmentation algorithm and validate the performances for measuring quantitative IVUS parameters. A total of 1,063 patients
Role of intravascularultrasound for the technical assessment of endovascular reconstruction of the aortic bifurcation. to evaluate the role of intravascularultrasound (IVUS) for the technical assessment of kissing stents (KS) and covered endovascular reconstruction of the aortic bifurcation (CERAB) in the treatment of aortoiliac obstructive disease involving the aortic bifurcation. We
Acute Kidney Injury After Percutaneous Coronary Intervention Guided by IntravascularUltrasound. Purpose We investigated the impact of intravascularultrasound guidance on reducing the incidence of contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention (PCI). Methods Ninety-nine patients were enrolled in this prospective cohort who were not randomly assigned to angiography-guided percutaneous coronary intervention or intravascularultrasound-guided percutaneous coronary intervention. The patients were hospitalized at the Vietnam National Heart Institute - Bach Mai Hospital between 2019 and 2020. Acute kidney injury incidence during hospitalization was the primary endpoint. Results A total of 99 patients were divided into two groups
Quantitative Coronary Angiography vs IntravascularUltrasonography to Guide Drug-Eluting Stent Implantation: A Randomized Clinical Trial. Although intravascularultrasonography (IVUS) guidance promotes favorable outcomes after percutaneous coronary intervention (PCI), many catheterization laboratories worldwide lack access. To investigate whether systematic implementation of quantitative
IntravascularUltrasound vs Angiography-Guided Drug-Coated Balloon Angioplasty: The ULTIMATE Ⅲ Trial. Drug-coated balloon (DCB) angioplasty seems a safe and effective option for specific de novo coronary lesions. However, the beneficial effect of intravascularultrasound (IVUS)-guided DCB angioplasty in de novo lesions remains uncertain. This study aimed to assess the benefits of IVUS guidance -guided DCB angioplasty is associated with a lower LLL in patients with a de novo coronary lesion compared with angiography guidance. (IntravascularUltrasound Versus Angiography Guided Drug-Coated Balloon [ULTIMATE-III]; NCT04255043).
Optical frequency domain imaging-guided versus intravascularultrasound-guided percutaneous coronary intervention for acute coronary syndromes: the OPINION ACS randomised trial. The clinical benefits of optical frequency domain imaging (OFDI)-guided percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) remain unclear. We sought to compare intravascularultrasound (IVUS