Intravascular Imaging Guidance for Percutaneous Coronary Intervention: Balancing Clinical Outcomes and Cost-Effectiveness
Massoud A. Leesar, Mehmet Cilingiroglu · 2026
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Description
Massoud A. Leesar and Mehmet Cilingiroglu weigh the clinical gains and costs of imaging-guided coronary stenting. Their 2026 editorial addresses percutaneous coronary intervention, where plain angiography poorly shows vessel size, calcium, and stent expansion. Intravascular ultrasound and optical coherence tomography look inside the vessel before and after stenting.
Imaging before stenting reveals reference size, lesion shape, and calcium, while imaging after stenting catches underexpansion, missed segments, and edge tears at the strut level. Large trials show imaging-guided stenting improves optimization and lowers target vessel failure, heart attack, and stent clotting, prompting guideline support. The editorial balances those gains against device and time costs, urging selective, value-aware use rather than imaging for every case.
Catalog record
| CREATOR | Massoud A. Leesar, Mehmet Cilingiroglu |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 5 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |