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Current Cardiology Reports

Intravascular Coronary Imaging Update: Advances, Clinical Applications, and Future Directions

Published in:
Authors
Sergio Waxman
Umair Bajwa
Minh Tran
Published in
Current Cardiology Reports | Issue 1/2025

Abstract

Purpose of the review

We sought to review the various intracoronary imaging modalities (intravascular ultrasound, optical coherence tomography, and near-infrared spectroscopy) and the latest evidence supporting their use in clinical practice.

Recent findings

There is an increasing body of evidence that demonstrates that imaging-guided strategies are superior to angiography alone to improve outcomes of percutaneous coronary intervention (PCI). An intriguing and promising application is use of these devices to identify and treat high-risk or vulnerable plaques. The application of these modalities in special clinical scenarios is also reviewed.

Summary

Intravascular imaging provides information beyond the angiogram that can be used to improve patient outcomes during PCI. The emerging evidence has been incorporated into the most recent practice Guideline recommendations. Future research is underway to establish the benefit of intravascular imaging for detection and treatment of vulnerable plaques.
Title
Intravascular Coronary Imaging Update: Advances, Clinical Applications, and Future Directions
Authors
Sergio Waxman
Umair Bajwa
Minh Tran
Publication date
01-12-2025
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 1/2025
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02243-6
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This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
Learn more Link opens in a new window
Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME