Intravascular Imaging-Guided Versus Angiography-Guided Percutaneous Coronary Intervention in Patients with Non-ST-Segment Elevation Myocardial Infarction in the United States: Results from Big Data Analysis.

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Development and Disease Pub Date : 2025-04-17 DOI:10.3390/jcdd12040161

Chayakrit Krittanawong, Song Peng Ang, Neil Sagar Maitra, Zhen Wang, Mahboob Alam, Hani Jneid, Samin Sharma

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引用次数: 0

Abstract

Non-ST-segment elevation myocardial infarction (NSTEMI) can be managed by ischemia guide strategies or early invasive strategies. Here, we present the findings of an updated contemporary analysis regarding the use of intracoronary imaging (ICI)-guided PCI versus angiography-guided PCI and in-hospital mortality in patients with NSTEMI in the United States using the NIS database from 2016 to 2021. ICI use increased by nearly threefold between 2016 and 2021, without a significant difference in in-hospital mortality, though interestingly, mortality rates compared with angiography guidance were similar and relatively low. In this study, the use of ICI was associated with lower adjusted odds of in-hospital mortality, cardiogenic shock, and cardiac arrest, but with a longer length of stay and cost of hospitalization.

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美国非st段抬高型心肌梗死患者血管内成像与血管造影引导下经皮冠状动脉介入治疗：来自大数据分析的结果

非st段抬高型心肌梗死（NSTEMI）可以通过缺血引导策略或早期侵入策略进行治疗。在这里，我们展示了一项最新的当代分析结果，该分析使用了NIS数据库，分析了2016年至2021年美国NSTEMI患者冠状动脉内成像（ICI）引导下的PCI与血管造影引导下的PCI的使用以及住院死亡率。2016年至2021年期间，ICI的使用增加了近三倍，住院死亡率没有显着差异，但有趣的是，与血管造影指导相比，死亡率相似且相对较低。在本研究中，ICI的使用与较低的住院死亡率、心源性休克和心脏骤停的调整几率相关，但与较长的住院时间和住院费用相关。

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

Journal of Cardiovascular Development and Disease CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

12.50%

发文量

381