左主干病变pci中ivus的指导作用：是否必需？精选.pptVIP

造影有局限性 IVUS Predictors of the Events Angiographic Predictors of the Events THANK YOU ! Using IVUS, most LM lesions show either insignificant disease or critical disease Absolute lumen CSA 6.0mm2 (or MLD 3.0mm) – independent of plaque burden - is the suggested criterion for a significant LMCA stenosis Correlates with a LMCA FFR0.75 Murray’s Law (LMCAr3 = LADr3 + LCXr3) Does not depend on finding a disease-free reference segment The best available data indicates that IVUS-guidance during LM DES implantation will reduce 3-year mortality; the final MSA should be 8.5mm2 to minimize TLR. Summary