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Why I prefer IVUS in bifurcation guidance

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Why I prefer IVUS in bifurcation guidance

European Bifurcation Club 2014, EBC 2014 – Bordeaux, France

LIVE BIFURCATION STENTING GUIDANCE: OCT, IVUS, FFR & ANGIO

Why I prefer IVUS in bifurcation guidance

Author: Masahiro Yamawaki, MD, PhD, Saiseikai Yokohama City Eastern Hospital, Japan

SUMMARY

  1. The mechanism of luminal widening by FKI was stretching vessel wall.
  2. FKI corrected carina/plaque-shift in about 30%. Plaque shift dominantly occurred(50%)
  3. The vessel anatomy assessed by IVUS before intervention /FKI was predictable for plaque/ carina shift, and associated with residual SB ostium stenosis despite FKI.

CONCLUSION

Why I prefer IVUS in bifurcation guidance”

Because we can check optimal result after stenting by IVUS.

In addition, IVUS before- and during PCI helps us to ….

  1. know precise anatomy, and predict SB compromise as well as luminal widening after FKI.
  2. make decision of final strategy of bifurcation-PCI
  3. make our procedure logical and predictable !

 

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