Study | Coronary vessel treated | IVUS Criteria for Optimal Stent Placement | |||
---|---|---|---|---|---|
Minimal lumen size as a % of reference segment lumen size | Absence of Dissection | Complete apposition of stent against vessel wall | Others | ||
RCTs | |||||
Gaster 2001 & 2003 (28;29) | Native | ≥90% of average of proximal & distal reference lumen CSA =100% of smaller reference vessel lumen CSA | ν | Lumen CSA @ proximal stent entrance>90% of the proximal reference lumen CSA | |
Opticus (21) | Native | MUSIC Criteria:In-stent MLA≥ 90% of average reference LA or 100% LA of reference segment with the lowest LA. In-stent LA of proximal stent entrance > 90% of proximal reference LA. If in-stent LA> 9 mm2, in-stent MLA>80% of average reference LA or >90% of LA of the reference segment with the lowest LA |
ν | Symmetric stent expansion defined by LDmin/LDmax≥ 0.7 | |
SIPS (24;25) | Native | No stents: MLA>65% mean reference area Stenting: MUSIC criteria (see OPITCUS) |
ν | ||
RESIST (22;23) | Native | Intrastent CSA ≥ 80% of mean reference lumen CSA | |||
TULIP (26) | MLD>80% of mean reference MLD In-stent MLA≥distal reference LA |
ν | |||
AVID (12) | Native & SVG | <10% residual stenosis | ν | ν | |
Non-randomized | |||||
Agostoni 2005 (33) | LMCA | Stent Lumen CSA>80% of average reference CSA by visual estimation | ν | Full lesion coverage. | |
Park 2001 (32) | LMCA | Lumen CSA of target lesions >90% of distal reference lumen CSA | ν | Full lesion coverage |
IVUS = Intravascular ultrasound
MLD = Minimal lumen diameter
CSA = Cross sectional area LA = luminal
area MLA = Minimal lumen area
SVG = Saphenous vein graft
LMCA = Left main coronary artery