Quintana Brandon, Ibrahim Akram
Philadelphia College of Osteopathic Medicine Philadelphia, PA.
Southeastern Cardiology Associates Columbus, GA.
US Cardiol. 2020 Aug 6;14:e07. doi: 10.15420/usc.2020.12. eCollection 2020.
Complex percutaneous coronary interventions (PCIs) are increasing in frequency due to the rapid advances in interventional cardiology. This has had a favorable impact on patients with extensive coronary artery disease and multiple comorbidities with regard to symptomatic relief and mortality. With this increase, cardiologists must develop a standardized way to approach complex PCI in an era in which angiographic guidance alone yields suboptimal results. Intravascular ultrasound (IVUS) has been shown to improve outcomes with better preprocedural planning, improved stent placement, and larger stent diameters. Considering the supportive data, the use of IVUS is crucial in all cases of complex PCI.
由于介入心脏病学的迅速发展，复杂经皮冠状动脉介入治疗（PCI）的频率正在增加。这对于患有广泛冠状动脉疾病和多种合并症的患者在症状缓解和死亡率方面产生了有利影响。随着这种增加，心脏病专家必须在仅靠血管造影引导产生次优结果的时代，开发一种标准化的方法来处理复杂PCI。血管内超声（IVUS）已被证明可通过更好的术前规划、改善支架置入和更大的支架直径来改善治疗结果。考虑到支持数据，IVUS在所有复杂PCI病例中的使用至关重要。
