Iskandar, M., Abdel Kader, K., Kamal, D., El Kashlan, Y., Khashaba, A., Okasha, N. (2019). IVUS GUIDED VERSUS MULTI-SLICE CT CORONARY ANGIOGRAPHY PLANNED PERCUTANEOUS CORONARY INTERVENTION COMPARED TO THE CONVENTIONAL CORONARY ANGIOGRAPHY GUIDED INTERVENTION.. test, 70(10, 11 & 12), 657-667. doi: 10.21608/asmj.2019.101275
Mina Iskandar; Khaled Abdel Kader; Diaa Kamal; Yasser El Kashlan; Ahmed Khashaba; Nireen Okasha. "IVUS GUIDED VERSUS MULTI-SLICE CT CORONARY ANGIOGRAPHY PLANNED PERCUTANEOUS CORONARY INTERVENTION COMPARED TO THE CONVENTIONAL CORONARY ANGIOGRAPHY GUIDED INTERVENTION.". test, 70, 10, 11 & 12, 2019, 657-667. doi: 10.21608/asmj.2019.101275
Iskandar, M., Abdel Kader, K., Kamal, D., El Kashlan, Y., Khashaba, A., Okasha, N. (2019). 'IVUS GUIDED VERSUS MULTI-SLICE CT CORONARY ANGIOGRAPHY PLANNED PERCUTANEOUS CORONARY INTERVENTION COMPARED TO THE CONVENTIONAL CORONARY ANGIOGRAPHY GUIDED INTERVENTION.', test, 70(10, 11 & 12), pp. 657-667. doi: 10.21608/asmj.2019.101275
Iskandar, M., Abdel Kader, K., Kamal, D., El Kashlan, Y., Khashaba, A., Okasha, N. IVUS GUIDED VERSUS MULTI-SLICE CT CORONARY ANGIOGRAPHY PLANNED PERCUTANEOUS CORONARY INTERVENTION COMPARED TO THE CONVENTIONAL CORONARY ANGIOGRAPHY GUIDED INTERVENTION.. test, 2019; 70(10, 11 & 12): 657-667. doi: 10.21608/asmj.2019.101275

IVUS GUIDED VERSUS MULTI-SLICE CT CORONARY ANGIOGRAPHY PLANNED PERCUTANEOUS CORONARY INTERVENTION COMPARED TO THE CONVENTIONAL CORONARY ANGIOGRAPHY GUIDED INTERVENTION.

Ain Shams Medical Journal
Article 9, Volume 70, 10, 11 & 12, July 2019, Pages 657-667    PDF (255.21 K)
Document Type: Original Article
DOI: 10.21608/asmj.2019.101275
Authors
Mina Iskandar; Khaled Abdel Kader; Diaa Kamal; Yasser El Kashlan; Ahmed Khashaba; Nireen Okasha
Department of Cardiology, Ain Shams University, Cairo, Egypt.
Abstract
Background: Intra-vascular ultrasound (IVUS) and coronary computed tomography angiography (CCTA) are tools to guide
percutaneous coronary intervention (PCI). Aim of the work: This study aimed at comparing procedural outcome and MACCEs of IVUS, CCTA and angiography, guided PCI. Patients and methods: Prospective, single centered study. 90
patients undergoing elective PCI distributed to 3 groups. Group A: IVUS guided PCI, group B: CCTA planned PCI and group C: angiography guided PCI. Procedural details and MACCEs were compared. Results: Most of the patients in this study were males (84.4%). Group B used significant amount of contrast, 50 - 380 ml (161.67 ± 71.97, P = 0.042). Also group B had significant longer stents, 12 - 48mm (23.76 ± 7.47, P = 0.008). Group A had significant number of
patients who needed post-stenting balloon dilatation, 28 patients (93.34%), P=0.009.Most of the patients had satisfactory results withTIMI 3 flow (94.37%). No MACCEs were detected during the hospital stay. At 30 days follow-up, no significant difference found between the 3 groups. Conclusion: IVUS assed accurately the need of post-stenting balloon dilatation. CCTA is associated with larger amount of contrast use, longer lesion detection and subsequent longer stents deployed in
comparison to IVUS and angiography alone.
Keywords
IVUS; CCTA; angiography; guided; contrast; post; stenting; lesion length; procedural outcome
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