IVUS must be incorporated into you practice. 72 m with Recent LAD stent. Severe new denovo lesion at Prox stent edge. Stent placed 9 months prior.
Dropped new stent 4.5mm and postdilated old stent to 4.25mm. Post IVUS with excellent expansion and no more malapposition. Looks grossly oversized on post angio.
#accfit #cardiology #basics as a graduating fellow you have to master all intracoronary imaging modalities available at your institution (IVUS OCT) and push your attendings to image more if they are not already.
