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 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Future cardiology 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

{"title":"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.","authors":"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","doi":"10.2217/fca-2023-0124","DOIUrl":null,"url":null,"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.","PeriodicalId":12589,"journal":{"name":"Future cardiology","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Future cardiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2217/fca-2023-0124","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

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.

查看原文本刊更多论文

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。

求助全文

约1分钟内获得全文求助全文

来源期刊

Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.80

自引率

5.90%

发文量

期刊介绍： Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.