Discover the impact of intravascular ultrasound (IVUS) on clinically driven target lesion revascularization when combined with Directional Atherectomy, as opposed to using Directional Atherectomy alone. The one-year follow-up results reveal a reduction of 2.8 instances of target lesion revascularization when IVUS is employed in directional atherectomy procedures, compared to relying solely on angiography. This highlights the contribution of IVUS/intracoronary imaging in improving outcomes and minimizing the need for subsequent revascularization procedures in this context.