Does Intravascular Imaging Improve Outcomes in Complex PCI?

Accumulating evidence suggests the answer is yes.

Historically, guidance for percutaneous coronary intervention (PCI) has relied on two-dimensional images from coronary angiography; however, three-dimensional imaging using either intravascular ultrasound (IVUS) or optical coherence tomography (OCT) provides substantial additional information (e.g., luminal dimensions, lesion morphology). Although several randomized trials have demonstrated improved PCI outcomes with IVUS guidance, it is unclear whether these findings extend to other forms of imaging, and current U.S. and European guidelines recommend use of intravascular imaging in selected patients only.

To further inform this debate, investigators conducted the industry-funded RENOVATE-COMPLEX-PCI trial (NCT03381872), randomizing 1639 pat…

Reviewing Author

David J. Cohen, MD, MSc

Disclosures

Consultant/Advisory BoardMedtronic; Edwards Lifesciences; Abbott Vascular; Boston Scientific; St. Francis Hospital

Speaker’s BureauBoston Scientific; ZOLL Medical

Grant/Research SupportEdwards Lifesciences; Abbott Vascular; Boston Scientific; Corvia Medical; National Heart, Lung, and Blood Institute; Phillips, Inc.; St. Paul’s Hospital; V-Wave, Inc; ZOLL Medical; CathWorks, ANCORA

Editorial BoardsJACC; American Heart Journal; EuroIntervention; JSCAI; Structural Heart Journal

Leadership Positions in Professional SocietiesSociety of Thoracic Surgeons/American College of Cardiology TVT Registry (Co-Chair, Risk Model Development Committee); Cardiovascular Research Foundation (Co-Director, TCT Annual Meeting; Co-Director, New York Valves Annual Meeting)