Intravascular Imaging and 12-Month Mortality After Unprotected Left Main Stem PCI
| Autor: | Peter Ludman, Adrian P. Banning, Alex Sirker, Nick Curzen, Mamas A. Mamas, Tim Kinnaird, Keith G. Oldroyd, Mark A. de Belder, Sean Gallagher, Richard Anderson, Thomas E. Johnson, Samuel Copt |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
British cardiovascular intervention society
Database medicine.diagnostic_test business.industry medicine.medical_treatment Percutaneous coronary intervention 030204 cardiovascular system & hematology computer.software_genre Logistic regression law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Propensity score matching Conventional PCI Intravascular ultrasound medicine 030212 general & internal medicine Cardiology and Cardiovascular Medicine business computer Intravascular imaging |
| Zdroj: | JACC: Cardiovascular Interventions. 13:346-357 |
| ISSN: | 1936-8798 |
| DOI: | 10.1016/j.jcin.2019.10.007 |
| Popis: | Objectives The authors used the British Cardiovascular Intervention Society (BCIS) national percutaneous coronary intervention (PCI) database to explore temporal changes in the use of intravascular imaging for unprotected left main stem PCI (uLMS PCI), defined the associates of imaging use, and correlate clinical outcomes including survival with imaging use. Background Limited registry data support the use of intravascular imaging during uLMS PCI to improve outcomes. Methods Data were analyzed from 11,264 uLMS PCI procedures performed in England and Wales between 2007 and 2014. Multivariate logistic regression was used to identify associates of imaging use. Propensity matching created 5,056 pairs of subjects with and without imaging and logistic regression was performed to quantify the association between imaging and outcomes. Multivariate logistic regression to identify the independent predictors of 12-month mortality was performed. Results Imaging use increased from 30.2% in 2007 to 50.2% in 2014 (p for trend Conclusions The observed lower mortality with use of intravascular imaging to guide uLMS PCI justifies the undertaking of a large-scale randomized trial. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|