Demonstrated results for intravascular imaging
Class IA
The ESC recommends IVUS-guided PCI for the best clinical outcomes11
Intravascular imaging is now a Class IA recommendation from the ESC and should be considered when performing PCI on anatomically complex lesions, in particular left main stem, true bifurcations and long lesions.
74%
of the time, IVUS use resulted in a change in PCI strategy1
In ADAPT-DES, the largest study of IVUS use to date, IVUS guidance was associated with a reduction in stent thrombosis, myocardial infarction, and major adverse cardiac events within 1 year after DES implantation.1
46%
reduction in TVF at 1 year when IVUS was used2
Among patients with complex coronary-artery lesions, intravascular imaging-guided PCI led to a lower risk of a composite of death from cardiac causes, target-vessel-related myocardial infarction, or clinically driven target-vessel revascularization than angiography-guided PCI.2
45%
lower risk of cardiac death associated with IVUS3
Compared with angiography guidance, intravascular imaging guidance of coronary stent implantation with OCT or intravascular ultrasound enhances both the safety and effectiveness of PCI, reducing the risks of death, myocardial infarction, repeat revascularisation, and stent thrombosis.3