Enhancing Stent Apposition in ACS: IVUS-Guided Primary PCI Case Study


  • Hamza Ghafoor Ch Pervaiz Elahi Institute of Cardiology, Multan-Pakistan.
  • Tariq Abbass Ch Pervaiz Elahi Institute of Cardiology, Multan-Pakistan.


Acute Coronary Syndrome, Primary Percutaneous Coronary Intervention, Intravascular Ultrasound, Stent Apposition, Myocardial Infarction, Complications.


Introduction: Primary PCI is pivotal in ACS management. IVUS enhances stent apposition and plaque rupture understanding. Challenges encompass patient hemodynamics and complications.

Case Presentation: A case of acute AWMI underwent primary PCI with IVUS guidance. Pre and post stent deployment IVUS was employed without complications.  

Results: IVUS suggested a mid-LAD stent size of 4.5. Post-deployment, 4.5 NC led to under deployment, necessitating 5.0x12mm NC post-dilatation. IVUS improved stent apposition beyond typical 3.5mm diameter.

Conclusion: IVUS-guided primary PCI in AWMI showcases stent optimization's potential benefits. Despite challenges, IVUS aids apposition. Individualized approach improves outcomes.


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How to Cite

Ghafoor , H., & Abbass , T. (2023). Enhancing Stent Apposition in ACS: IVUS-Guided Primary PCI Case Study. Cathalogue, 1(1), 43–49. Retrieved from http://pjcvi.com/index.php/Cathalogue/article/view/55