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Intra-Coronary Imaging Modalities

  • Coronary Artery Disease (D Feldman, Section Editor)
  • Published:
Current Treatment Options in Cardiovascular Medicine Aims and scope Submit manuscript

Opinion statement

The use of intracoronary imaging modalities has seen a significant increase over the past decade, as both imaging quality and delivery systems have improved. Generally accepted best practice indications for using intracoronary imaging include assessment of lesion characteristics prior to stent placement, optimization of stent placement with respect to appropriate sizing, adequate apposition, and expansion and exclusion of edge dissection. Intracoronary imaging plays a particular role in the setting of contemporary left main and bifurcation stenting. Stent interrogation using intracoronary imaging to exclude mechanical causes in the management of in-stent thrombosis has also become conventional. Current clinical guideline recommendations, however, have lagged behind contemporary practice patterns and the use of intravascular ultrasound only carries a class IIa recommendation in the appropriate clinical setting. We discuss the currently available intracoronary imaging modalities and their applications, including intravascular ultrasound (IVUS) and optical coherence tomography (OCT), and review the data supporting their use.

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Conflict of Interest

Dr. Paul M. Johnson, Dr. Jigar Patel, and Dr. Michael Yeung each declare no potential conflicts of interest relevant to this article.

Dr. Prashant Kaul received honoraria and travel/accommodations expenses covered for reimbursed from Volcano Corp (unrelated to intra-coronary imaging).

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Department of Medicine, Division of Cardiology, University of North Carolina, 6037 Burnett-Womack Building, 160 Dental Circle, CB 7075, Chapel Hill, NC, 27599-7075, USA

    Paul M. Johnson MD, Jigar Patel MD, Michael Yeung MD & Prashant Kaul MD, FACC, FSCAI

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  1. Paul M. Johnson MD
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  2. Jigar Patel MD
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Johnson, P.M., Patel, J., Yeung, M. et al. Intra-Coronary Imaging Modalities. Curr Treat Options Cardio Med 16, 304 (2014). https://doi.org/10.1007/s11936-014-0304-7

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