We have now 2 major randomized trials proving the value of IVUS in reducing target vessel failure, mainly target vessel MI and target vessel revascularization: ULTIMATE trial, which used IVUS, and the more recently published COMPLEX-RENOVATE PCI trial, which allowed both IVUS or OCT (NEJM 2023). Additional note regarding stent sizing: ***PRE-STENT sizing: Stent is typically sized according to the distal REFERENCE LUMEN (eg, 100% of the distal reference lumen). EEM area can be used, but only at the REFERENCE site, not the LESION site. DO NOT use EEM at the LESION site. The proximal and distal references are defined as segments with 100% the smallest reference lumen [usually distal] or >90% the average proximal+distal reference lumens). This is what was used in the original MUSIC trial and in the landmark ULTIMATE and IVUS-XPL trials, including for post-stent optimization. Stent is considered underexpanded if 80% of the average reference lumens. Absolute values for stent expansion were also allowed as an alternative in both trials: non-left main stent minimal area >5.5 mm2, left main stent >7 mm2 (distally) or 8 mm2 (proximally). The 2 trials consider the stent properly expanded if you meet either the relative or absolute values, not necessarily both, but I believe the relative value is more relevant. Regarding edge dissection, in order to be considered significant and to warrant further therapy both trials mandated that the dissection extends deep to the media, and to be additionally either longer than > 3 mm or arc >60 degrees. A shallow dissection at the intima level did not warrant further stenting regardless of length. Regarding edge disease, ULTIMATE recommended that stent edges have

thanks a lot for simplifying and make it easily understandable for an undergraduate like me ❤️

please keep those videos they are golden!! greetings from cardiology, germany

Fantastic job, Dr. Hanna. Please post more, if able. This is an excellent learning resource.

Thank you Dr Hanna Very useful illustrations and great teaching as usual Please continue to teach us

Thank you very much , the best lecture ever . 🙏🏻🙏🏻🙏🏻

Awesome Job , Deeply Thanks Dr Hanna

Excellent Academic teaching videos. Thanks sir

Very nice demonstration of IVUS.

Thank you very much for sharing this fruitful lecture

Great. Thanks you a lot. Best wishes from Poland.

the best lecture ever .

thanks for the lecture!

Thank you Sir

Excellent presentation

Thank you so much.

Its a great lecture ❤

IVUS-ACS trial another major RCT showcase improved clinical outcomes of IVUS guided PCI compared to Angio guided in ACS patients

Best lecturer 😍

Hands down one of the best IVUS lectures online.

thank you!

Excellent, can you do another Talk about OCT?

Great talk like aleays

Thanks so much for this lecture. Have you got experience on liver transplant arteries? I'm looking to improve our service on that.

Great video! Thank you!

Very nice

Thanks

I love this. I love this. How can i be certified to do this procedure?

You should write a book on interventional cardiology..

Hello, where can I get this presentation? Thanks a lot for this comprehensive presentation

Thanks a lot for this great lecture! I have one question regarding lumen size estimation for the purposes of establishing the stent diameter You make the case that one should Never use the EEL-EEL measurement to determine stent size, however there is an aboundance of sources claming the superiority of stent diameter estimation by IVUS vs OCT strictly because of the ability to estimate the lumen diameter by EEL-EEL measurement at the level of the reference segments, which is considered the "true vessel lumen" - and then downsizing the stent by 0.5 from there. What's your comment on this topic?

how to download the IVUS dataset? I tried many time but not yet...Thanks