Table 2. Various IVUS criteria for optimal stent deployment.
MUSIC (BMS) (31) | TULIP (BMS) (32) | RESIST (BMS) (33) | Moussa (BMS) (34) | AVIO (DES) (35) | Modern (DES) |
---|---|---|---|---|---|
1. Complete strut apposition | 1. Complete strut apposition | 1. MSA >80% average reference lumen CSA | 1. MSA >55% average vessel CSA (measured at media/plaque boundary) | 1. MSA >70% of CSA of chosen non-compliant balloon (diameter of the balloon is chosen on the basis of the average media-to-media diameters of the vessel at different points of the stented area) | 1. MSA >5.5 mm2 for non-LMCA; MSA >7 mm2 for distal LMCA and >8 mm2 for proximal LMCA |
2. Symmetrical stent expansion: minimum/maximum lumen diameter ≥0.7 | 2. MLD >80% average reference lumen diameter | 2. MSA >80% average reference lumen CSA | |||
3. Adequate stent expansion | 3. MSA > distal reference lumen CSA | 3. Avoid extensive mal-apposition if possible | |||
● If MSA <9 mm2 then MSA ≥90% average reference lumen area or ≥100% of minimum reference lumen area | 4. Avoid large dissections and extensive tissue prolapse | ||||
● If MSA >9 mm2 then MSA ≥80% average reference lumen area or ≥90% of minimum reference lumen area |
BMS, bare metal stent; DES, drug-eluting stent; MSA, minimum stent area; MLD, minimum lumen diameter; CSA, cross-sectional area; LMCA, left-main coronary artery.