Long-term clinical outcomes of intravascular imaging-guided percutaneous coronary intervention versus angiography-guided percutaneous coronary intervention in complex coronary lesions: a systematic review and meta-analysis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-16 DOI:10.2217/fca-2023-0124

Danish Ali Ashraf, Usman Ahmed, Z. Z. Khan, Fiza Mushtaq, Shehar Bano, Ali Raza Khan, Saad Azam, Abdullah Haroon, Salman Ahmed Malik, Raza Aslam, Jai Kumar, Farva Zaib Khan, Amna Faheem, Sarwan Kumar, Saad Hassan

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引用次数: 0

Abstract

Background: In this study, we aim to discuss the long-term clinical outcomes of intravascular ultrasound imaging-guided percutaneous intervention (IVUS-PCI) versus angiography-guided percutaneous coronary intervention (PCI) in complex coronary lesions over a mean period of 2 years. Methods: A systematic search and meta-analysis were conducted to assess the efficacy of using intravascular ultrasound or optical coherence tomography guidance in coronary artery stenting compared to angiography. Results: A total of 11 randomized controlled trials with 6740 patients were included. For the primary outcome, a pooled analysis (3.2 vs 5.6%). For secondary outcomes, the risk was significantly low in image-guided percutaneous intervention compared with angiography. Conclusion: Intravascular imaging-guided PCI is significantly more effective than angiography-guided PCI in reducing the risk of target lesion revascularization, target vessel revascularization, cardiac death, major adverse cardiovascular events and stent thrombosis.

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血管内成像引导的经皮冠状动脉介入治疗与血管造影引导的经皮冠状动脉介入治疗在复杂冠状动脉病变中的长期临床疗效对比：系统回顾和荟萃分析。

研究背景本研究旨在探讨血管内超声成像引导下经皮介入治疗（IVUS-PCI）与血管造影引导下经皮冠状动脉介入治疗（PCI）在复杂冠状动脉病变中平均 2 年的长期临床疗效。方法：进行系统检索和荟萃分析，评估在冠状动脉支架植入术中使用血管内超声或光学相干断层扫描引导与血管造影术引导的疗效比较。结果：共纳入了 11 项随机对照试验，共 6740 名患者。对主要结果进行了汇总分析（3.2% 对 5.6%）。在次要结果方面，图像引导经皮介入治疗的风险明显低于血管造影。结论：在降低靶病变血运重建、靶血管血运重建、心源性死亡、主要不良心血管事件和支架血栓形成的风险方面，血管内成像引导的PCI明显比血管造影引导的PCI更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.