Chapter 8
Intravascular Ultrasound
Principles, Image Interpretation, and Clinical Applications
Adriano Caixeta,
Akiko Maehara,
Gary S. Mintz,
Adriano Caixeta
Search for more papers by this authorAkiko Maehara
Search for more papers by this authorGary S. Mintz
Search for more papers by this authorAdriano Caixeta,
Akiko Maehara,
Gary S. Mintz,
Adriano Caixeta
Search for more papers by this authorAkiko Maehara
Search for more papers by this authorGary S. Mintz
Search for more papers by this authorBook Editor(s):George D. Dangas MD, MACC, MSCAI, FAHA, FESC,
Carlo Di Mario MD, PhD, FRCP, FACC, FSCAI, FESC,
Holger Thiele MD,
Peter Barlis MBBS, MPH, PHD, FACC, FESC, FRACP,
Tayo Addo MD, Bimmer Claessen MD, Christian Hengstenberg MD, Nicholas Kipshidze MD,
George D. Dangas MD, MACC, MSCAI, FAHA, FESC
Professor of Medicine (Cardiology) & Surgery (Vascular) Professor of Cardiology Adjunct Professor of Internal Medicine
Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, NY, USA
National Kapodistrian University of Athens, Greece
Medical University of Vienna, Austria
Search for more papers by this authorCarlo Di Mario MD, PhD, FRCP, FACC, FSCAI, FESC
Professor of Cardiology Director of the Structural Interventional Cardiology Division Honorary Consultant
University of Florence
University Hospital Careggi, Florence, Italy
Cardiologist Royal Brompton Hospital, London, UK
Search for more papers by this authorHolger Thiele MD
Professor of Cardiology at University of Leipzig
Heart Center Leipzig at University of Leipzig, Leipzig, Germany
Search for more papers by this authorPeter Barlis MBBS, MPH, PHD, FACC, FESC, FRACP
Professor of Cardiology Interventional Cardiologist
University of Melbourne, Melbourne, Victoria, Australia
St Vincent's & Northern Hospitals Victoria, Australia
Search for more papers by this authorFirst published: 06 May 2022
Summary
Intravascular ultrasound (IVUS) has become an increasingly important catheter-based imaging technology providing both practical guidance for percutaneous coronary interventions (PCI) as well as many different clinical and research insights. IVUS supplements angiography by providing a tomographic perspective of lumen geometry and vessel wall structure. Artifacts often appear in images generated by contemporary IVUS devices and can interfere in imaging interpretation and measurements. In standard image acquisition after anticoagulation and intracoronary nitroglycerin administration, the IVUS catheter should be placed distal to the segment of interest, and a continuous pullback to the aorta should be recorded. The ultrasound appearance of normal human arteries in vitro and in vivo has been reported. Coronary angiography depicts the coronary anatomy as a longitudinal silhouette of the lumen. PCI optimization with IVUS after stent implantation has been associated with a reduction in death as well as other hard end points of myocardial infarction and stent thrombosis.
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