{"id":8522,"date":"2025-09-05T19:42:29","date_gmt":"2025-09-05T16:42:29","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=8522"},"modified":"2025-09-05T19:42:29","modified_gmt":"2025-09-05T16:42:29","slug":"beyond-angiography-comparing-3dstent-and-ivus-for-stent-optimization-seeing-is-believing-3dstent-technology-in-the-cath-lab","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/beyond-angiography-comparing-3dstent-and-ivus-for-stent-optimization-seeing-is-believing-3dstent-technology-in-the-cath-lab\/","title":{"rendered":"Beyond Angiography: Comparing 3DStent and IVUS for Stent Optimization. Seeing is Believing: 3DStent Technology in the Cath Lab."},"content":{"rendered":"<div>Beyond Angiography: Comparing 3DStent and IVUS for Stent Optimization. Seeing is Believing: 3DStent Technology in the Cath Lab.<\/div>\n<div><\/div>\n<div>Original source:<\/div>\n<div>Presented at SCAI 2025 Scientific Sessions.<\/div>\n<div><\/div>\n<div><span> 1. Background<\/span><\/div>\n<div><span> \u2022 Traditional angiography has remained relatively unchanged for decades.<\/span><\/div>\n<div><span> \u2022 A new tool, 3DStent (GE HealthCare for aaaplatform), uses cone beam CT + motion compensation to create interactive 3D reconstructions of stents during PCI.<\/span><\/div>\n<div><span> 2. Clinical Utility<\/span><\/div>\n<div><span> \u2022 Enables real-time stent visualization without extra catheters.<\/span><\/div>\n<div><span> \u2022 Helps assess stent expansion and detect underexpansion or malapposition before finishing PCI.<\/span><\/div>\n<div><span> \u2022 Saves time compared with IVUS\/OCT, which add procedural steps and cost.<\/span><\/div>\n<div><span> 3. Adoption &amp; Experience<\/span><\/div>\n<div><span> \u2022 Dr. Shailendra Singh (Pennsylvania): Early adopter, &gt;1,500 PCIs annually.<\/span><\/div>\n<div><span> \u2022 Reported added confidence and efficiency, no significant increase in procedure time.<\/span><\/div>\n<div><span> 4. Accuracy vs. IVUS<\/span><\/div>\n<div><span> \u2022 Dr. Carey Kimmelstiel (Tufts Medical Center) compared 3DStent with IVUS in 30 patients.<\/span><\/div>\n<div><span> \u2022 Focused on Minimal Stent Area (MSA)\u2014a key predictor of long-term outcomes.<\/span><\/div>\n<div><span> \u2022 Results: High correlation between 3DStent and IVUS; minimal interobserver variability.<\/span><\/div>\n<div><span> 5. Clinical Case Example<\/span><\/div>\n<div><span> \u2022 73-year-old woman with stent failure suspicion.<\/span><\/div>\n<div><span> \u2022 3DStent revealed severe calcification with stent underexpansion.<\/span><\/div>\n<div><span> \u2022 Treatment shifted from new stent\/atherectomy to intravascular lithotripsy + drug-coated balloon \u2192 MSA improved from 4.2 mm\u00b2 \u2192 8.4 mm\u00b2.<\/span><\/div>\n<div><span> \u2022 Patient improved significantly.<\/span><\/div>\n<div><span> 6. Advantages<\/span><\/div>\n<div><span> \u2022 Comparable accuracy to IVUS.<\/span><\/div>\n<div><span> \u2022 Faster workflow (3D spin &lt;1 minute).<\/span><\/div>\n<div><span> \u2022 Data can be stored in EHR and shown to patients.<\/span><\/div>\n<div><span> \u2022 \u201cNo downside\u201d\u2014adds assurance at end of PCI, confirming success.<\/span><\/div>\n<div><span> 7. Future Outlook<\/span><\/div>\n<div><span> \u2022 Potential beyond coronary interventions.<\/span><\/div>\n<div><span> \u2022 Represents a meaningful leap forward in intraprocedural imaging, enhancing precision and outcomes in interventional cardiology.<\/span><\/div>\n<div><\/div>\n<div><\/div>\n<div><a href=\"https:\/\/www.jscai.org\/article\/S2772-9303(25)01102-0\/fulltext\">https:\/\/www.jscai.org\/article\/S2772-9303(25)01102-0\/fulltext<\/a><\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Beyond Angiography: Comparing 3DStent and IVUS for Stent Optimization. Seeing is Believing: 3DStent Technology in the Cath Lab. Original source: Presented at SCAI 2025 Scientific Sessions. 1. Background \u2022 Traditional angiography has remained relatively unchanged for decades. \u2022 A new tool, 3DStent (GE HealthCare for aaaplatform), uses cone beam CT + motion compensation to create [&hellip;]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8522","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=8522"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8522\/revisions"}],"predecessor-version":[{"id":8523,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8522\/revisions\/8523"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=8522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=8522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=8522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}