IVUS-Guided Everolimus-Eluting Stent Placement for Long Coronary Lesions

Despite strikingly low adverse event rates with drug-eluting stent placement, intravascular ultrasound–guided stent implantation yielded modest benefits over angiography-guided implantation.

Intravascular ultrasound (IVUS) is valuable in assessing the pathology of vascular lesions, and for complex coronary lesions, IVUS may contribute to better procedural and clinical outcomes. However, for lesions treated with drug-eluting stents (DES), randomized data demonstrating the clinical usefulness of IVUS are limited. In a Korean multicenter nonblinded trial supported by the DES manufacturer, 1400 patients with long coronary lesions (mean age, 64; 31% women) were randomized to conventional angiography-guided or IVUS-guided stent implantation (mean stented length, 39.3 mm).

During the procedure, use of adjunct poststent balloon dilation was more common in the IVUS group than in the angiography group (76% vs. 57%; P<0.001), resulting in …

Reviewing Author

Beat J. Meyer, MD

Disclosures

Leadership positions in professional societiesBern Heart Foundation (President); International Academy of Medicine, Bern, Switzerland (Director)

Beat J. Meyer, MD

Disclosures

Leadership positions in professional societiesBern Heart Foundation (President); International Academy of Medicine, Bern, Switzerland (Director)

IVUS-Guided Everolimus-Eluting Stent Placement for Long Coronary Lesions

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Reviewing Author