Autor: |
Jayakumar Sreenivasan, Rohin K. Reddy, Yasser Jamil, Aaqib Malik, Daniel Chamie, James P. Howard, Michael G. Nanna, Gary S. Mintz, Akiko Maehara, Ziad A. Ali, Jeffrey W. Moses, Shao‐Liang Chen, Alaide Chieffo, Antonio Colombo, Martin B. Leon, Alexandra J. Lansky, Yousif Ahmad |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
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Zdroj: |
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 13, Iss 2 (2024) |
Druh dokumentu: |
article |
ISSN: |
2047-9980 |
DOI: |
10.1161/JAHA.123.031111 |
Popis: |
Background Despite the initial evidence supporting the utility of intravascular imaging to guide percutaneous coronary intervention (PCI), adoption remains low. Recent new trial data have become available. An updated study‐level meta‐analysis comparing intravascular imaging to angiography to guide PCI was performed. This study aimed to evaluate the clinical outcomes of intravascular imaging–guided PCI compared with angiography‐guided PCI. Methods and Results A random‐effects meta‐analysis was performed on the basis of the intention‐to‐treat principle. The primary outcomes were major adverse cardiac events, cardiac death, and all‐cause death. Mixed‐effects meta‐regression was performed to investigate the impact of complex PCI on the primary outcomes. A total of 16 trials with 7814 patients were included. The weighted mean follow‐up duration was 28.8 months. Intravascular imaging led to a lower risk of major adverse cardiac events (relative risk [RR], 0.67 [95% CI, 0.55–0.82]; P |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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