IVUS Guidance Elevates Coronary Outcomes

Intravascular ultrasound (IVUS) is a core tenet of the SYNTAX II methodology for state-of-the-art PCI. The study’s five-year outcomes, along with several other highly-regarded trials, demonstrate that IVUS visualization optimizes long-term outcomes by enabling more comprehensive procedure planning, execution, and assessment.


  • Minimum lumen area in the stented segment more than 5.00mm2 or 90% of the minimal lumen area at the distal reference segments
  • Plaque burden 5mm proximal or distal to the stent edge <50%
  • No edge dissection involving the media with length more than 3mm
The study found that utilizing IVUS to asses this criteria leads to superior outcomes versus utilizing angiography alone.
  • Statistically higher MACE rates when stent deformation occurred 
  • Stent deformation at 3 years: 28% MACE 
  • No stent deformation at 3 years: 13% MACE
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