“By using IVUS to assess post-PCI results we were able to optimize the procedure in 80% of the cases. By adding either additional stents, in 30% of the cases, or doing additional optimization of the previously implanted stent in 1/3 patients” – Dr. Joost Daeman
In the trial there was only one periprocedural complication which was a minor dissection that was resolved with an additional stent. Dr. Joost and his colleagues concluded that post-PCI optimization is a safe maneuver/procedure when directed by IVUS.
Design: Prospective, single center, randomized controlled trial
Objective: to evaluate if FR guided PCi optimization detected by HD-IVUS in patients with post-PCI FFR < .90 will improve clinical outcome
Primary endpoint: target vessel failure at 1 year
Current status: 82% inclusion