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Clinical indications for intravascular ultrasound imaging

Bourantas, Christos V.; Naka, Katerina K.; Garg, Scot; Thackray, Simon; Papadopoulos, Dimitris; Alamgir, Farqad M.; Hoye, Angela; Michalis, Lampros K.


Christos V. Bourantas

Katerina K. Naka

Scot Garg

Simon Thackray

Dimitris Papadopoulos

Farqad M. Alamgir

Angela Hoye

Lampros K. Michalis


Intravascular ultrasound (IVUS) is a catheter-based imaging modality, which provides high resolution cross-sectional images of the coronary arteries. Unlike angiography, which displays only the opacified luminal silhouette, IVUS permits imaging of both the lumen and vessel wall and allows characterization of the type of the plaque. Although IVUS provides accurate quantitative and qualitative information regarding the lumen and outer vessel wall, it is not routinely used during coronary angiography or in angioplasty procedures because the risk to benefit ratio (additional expense, procedural time, certain degree of risk, and complication versus improvement in the outcome) does not justify routine utilization. Nevertheless, there are situations where IVUS is extremely useful tool both for diagnosis and management so the aim of this review is to summarize the indications for IVUS imaging in the contemporary clinical practice.


Bourantas, C. V., Naka, K. K., Garg, S., Thackray, S., Papadopoulos, D., Alamgir, F. M., …Michalis, L. K. (2010). Clinical indications for intravascular ultrasound imaging. Echocardiography, 27(10), 1282-1290.

Journal Article Type Article
Acceptance Date Nov 24, 2010
Online Publication Date Nov 24, 2010
Publication Date 2010-11
Journal Echocardiography (Mount Kisco, N.Y.)
Print ISSN 0742-2822
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 27
Issue 10
Pages 1282-1290
Keywords Intravascular ultrasound; Coronary artery disease; Percutaneous coronary interventions
Public URL
PMID 21092059