Clinical Outcomes after Intravascular Ultrasound Assessment of Coronary Intermediate Lesions-Juniper Publishers
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Purpose: Coronary angiography has limitations in the assessment of intermediate coronary lesions (ICL). Intravascular ultrasound (IVUS) can evaluate more accurately the severity of a lesion to guide the therapeutic strategy. This study sought to evaluate long-term clinical outcomes after IVUS-guided coronary revascularization of ICL lesions in patients from the Western Mediterranean region of coastal North Africa (Maghreb) in whom IVUS severity criteria have not been validated. Methods: We conducted a prospective monocentric study including 113 patients with angiographic ICL evaluated by IVUS. Minimal lumen area (MLA) cut-offs value to perform revascularization were 6 mm² for the left main coronary artery (LMCA) and 4 mm² for non- LMCA lesions. The primary outcome was defined as a composite of major adverse cardiac events (MACE) including death, myocardial infarction (MI...