Intravascular Imaging-Guided Percutaneous Coronary Intervention Before and After Standardized Optimization Protocols

经皮冠状动脉介入治疗 医学 血管内超声 放射科 心脏病学 重症监护医学 心肌梗塞
作者
Woochan Kwon,David Hong,Ki Hong Choi,Seung Hun Lee,Doosup Shin,Jong‐Young Lee,Seung‐Jae Lee,Sang Yeub Lee,Sang Min Kim,Kyeong Ho Yun,Jae Young Cho,Chan Joon Kim,Hyo–Suk Ahn,Chang Wook Nam,Hyuck–Jun Yoon,Yong Hwan Park,Wang Soo Lee,Taek Kyu Park,Jeong Hoon Yang,Seung‐Hyuk Choi,Hyeon‐Cheol Gwon,Young Bin Song,Joo Yong Hahn,Joo Myung Lee
出处
期刊:Jacc-cardiovascular Interventions [Elsevier BV]
卷期号:17 (2): 292-303 被引量:1
标识
DOI:10.1016/j.jcin.2023.10.062
摘要

Although benefits of intravascular imaging (IVI) in percutaneous coronary intervention (PCI) have been observed in previous studies, it is not known whether changes in contemporary practice, especially with application of standardized optimization protocols, have improved clinical outcomes. The authors sought to investigate whether clinical outcomes of IVI-guided PCI are different before and after the application of standardized optimization protocols in using IVI. 2,972 patients from an institutional registry (2008-2015, before application of standardized optimization protocols, the past group) and 1,639 patients from a recently published trial (2018-2021 after application of standardized optimization protocols, the present group) were divided into 2 groups according to use of IVI. The primary outcome was 3-year target vessel failure (TVF), a composite of cardiac death, target vessel myocardial infarction, or target vessel revascularization. Significant reduction of TVF was observed in the IVI-guided PCI group compared with the angiography-guided PCI group (10.0% vs 6.7%; HR: 0.77; 95% CI: 0.61-0.97; P = 0.027), mainly driven by reduced cardiac death or myocardial infarction in both past and present IVI-guided PCI groups. When comparing past IVI and present IVI groups, TVF was significantly lower in the present IVI group (8.5% vs 5.1%; HR: 0.63; 95% CI: 0.42-0.94; P = 0.025), with the difference being driven by reduced target vessel revascularization in the present IVI group. Consistent results were observed in inverse-probability-weighting adjusted analysis. IVI-guided PCI improved clinical outcomes more than angiography-guided PCI. In addition, application of standardized optimization protocols when using IVI further improved clinical outcomes after PCI. (Intravascular Imaging- Versus Angiography-Guided Percutaneous Coronary Intervention For Complex Coronary Artery Disease [RENOVATE-COMPLEX-PCI]; NCT03381872; and the institutional cardiovascular catheterization database of Samsung Medical Center: Long-Term Outcomes and Prognostic Factors in Patient Undergoing CABG or PCI; NCT03870815)
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
江月渡发布了新的文献求助10
刚刚
1秒前
希望天下0贩的0应助huhuhu采纳,获得10
1秒前
1秒前
yanny完成签到,获得积分10
1秒前
1秒前
Singularity应助hala安胖胖采纳,获得10
2秒前
小废完成签到,获得积分10
2秒前
斯文败类应助顺心火龙果采纳,获得10
2秒前
3秒前
SYLH应助Bin_Liu采纳,获得10
3秒前
4秒前
笨笨中心发布了新的文献求助10
4秒前
ccc发布了新的文献求助10
4秒前
4秒前
小mol仙完成签到,获得积分10
4秒前
老大蒂亚戈应助笨脑腐采纳,获得10
4秒前
5秒前
5秒前
purple完成签到,获得积分10
5秒前
深情安青应助端庄的雁易采纳,获得10
5秒前
上官若男应助超级馒头采纳,获得10
5秒前
szc-2000发布了新的文献求助10
5秒前
6秒前
酷波er应助Mr.Su采纳,获得10
7秒前
123完成签到 ,获得积分10
7秒前
7秒前
于玕发布了新的文献求助10
7秒前
土豆完成签到,获得积分20
7秒前
vivi完成签到,获得积分10
7秒前
8秒前
8秒前
UP发布了新的文献求助10
9秒前
zz完成签到,获得积分20
9秒前
10秒前
江月渡完成签到,获得积分10
10秒前
szc-2000完成签到,获得积分10
10秒前
will发布了新的文献求助10
11秒前
伯赏芷烟完成签到,获得积分10
11秒前
在水一方应助gi采纳,获得10
11秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3970394
求助须知:如何正确求助?哪些是违规求助? 3515139
关于积分的说明 11177107
捐赠科研通 3250335
什么是DOI,文献DOI怎么找? 1795254
邀请新用户注册赠送积分活动 875732
科研通“疑难数据库(出版商)”最低求助积分说明 805054