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

Document Type : Original Article

Authors

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

Ain Shams Medical Journal
Volume 70, 10, 11 & 12
Issue 10, 11 & 12 (October, November & December)
July 2019
Pages 657-667

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