3-Year Outcomes of the ULTIMATE Trial Comparing Intravascular Ultrasound Versus Angiography-Guided Drug-Eluting Stent Implantation

Gao, Xiaofei; Ge, Zhen; Kong, Xiangquan; Kan, Jing; Han, Lei; Lu, Shey‐Shi; Tian, Nai‐Liang; Lin, Song; Lu, Kun; Wang, Xiaoyan; Li, Qihua; Liu, Zhizhong; Chen, Yan; Xu, Qian; Wang, Juan; Chai, Dayang; Chen, Chong-Hao; Pan, Tao; Ye, Fei; Zhang, Junjie; Chen, Shao‐Liang; Investigators, Ultimate

doi:10.1016/j.jcin.2020.10.001

Cited by 175 publications

(146 citation statements)

References 21 publications

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“…Evidence suggesting a clinical benefit for using IVUS for PCI guidance has been shown in several registries 94 , randomised trials 4,95 , and meta-analyses 96,97 . In randomised trials, IVUS guidance is associated with a reduction in major adverse cardiac events, and in meta-analyses, with reduced cardiovascular mortality, MI, and stent thrombosis compared with angiography guidance 7 .…”

Section: Oct Versus Ivus Versus Angiography In Registries and Randomised Trialsmentioning

confidence: 99%

Intracoronary optical coherence tomography: state of the art and future directions

Ali¹,

Galougahi²,

Mintz³

et al. 2021

EuroIntervention

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Optical coherence tomography (OCT) has been increasingly utilised to guide percutaneous coronary intervention (PCI). Despite the diagnostic utility of OCT, facilitated by its high resolution, the impact of intracoronary OCT on clinical practice has thus far been limited. Difficulty in transitioning from intravascular ultrasound (IVUS), complex image interpretation, lack of a standardised algorithm for PCI guidance, and paucity of data from prospective clinical trials have contributed to the modest adoption. Herein, we provide a comprehensive up-do-date overview on the utility of OCT in coronary artery disease, including technical details, device set-up, simplified OCT image interpretation, recognition of the imaging artefacts, and an algorithmic approach for using OCT in PCI guidance. We discuss the utility of OCT in acute coronary syndromes, provide a summary of the clinical trial data, list the work in progress, and discuss the future directions. KEYWORDS• ACS/NSTE-ACS • intravascular ultrasound • optical coherence tomography EuroIntervention 2021;17:e105-e123 e 106 Abbreviations ACS acute coronary syndromes BOOM bifurcation and ostial optical coherence tomography mapping DES drug-eluting stents IVUS intravascular ultrasound MI myocardial infarction MINOCA myocardial infarction with non-obstructive coronary arteries MLA minimal lumen area MLD MAX morphology, length, diameter, medial dissection, apposition, expansion MSA minimal stent area NSTEACS non-ST-segment elevation acute coronary syndromes NURD non-uniform rotational distortion OCT optical coherence tomography OFR optical flow ratio PCI percutaneous coronary intervention STEMI ST-segment elevation myocardial infarction TCFA thin-cap fibroatheroma

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Section: Oct Versus Ivus Versus Angiography In Registries and Randomised Trialsmentioning

confidence: 99%

Intracoronary optical coherence tomography: state of the art and future directions

Ali¹,

Galougahi²,

Mintz³

et al. 2021

EuroIntervention

View full text Add to dashboard Cite

show abstract

“…IVUS during ULMCA PCI is safe and associates with substantial reductions in MACE in the long-term follow up, including repeated revascularization and even death. 15 In conclusion, Grion et al 9 demonstrated very good inhospital results of IVUS-guided complex ULMCA PCI in our environment. Knowing and publicizing our in-hospital results is DOI: https://doi.org/10.36660/abc.20210236…”

mentioning

confidence: 56%

Intervenção Percutânea da Artéria Coronária Principal Esquerda. Por que os Dados do Mundo Real são tão Importantes?

Vaz¹

2021

Arquivos Brasileiros De Cardiologia

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“…Jun-Jie Zhang, MD, PhD, of Nanjing First Hospital, China, presented the 3-year results of the ULTIMATE trial at TCT Connect 2020, which showed a sustained advantage for IVUS that was first reported with the 1-year results, which Zhang presented at TCT 2018 [ 3 ]. The 3-year study results were also simultaneously published online in JACC: Cardiovascular Interventions [ 4 ].…”

Section: Imagingmentioning

confidence: 99%

Review of Imaging and Physiology Late Breaking Trials From the TCT Connect 2020 Virtual Meeting

Medranda

Case

Wermers

et al. 2021

Cardiovascular Revascularization Medicine

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3-Year Outcomes of the ULTIMATE Trial Comparing Intravascular Ultrasound Versus Angiography-Guided Drug-Eluting Stent Implantation

Cited by 175 publications

References 21 publications

Intracoronary optical coherence tomography: state of the art and future directions

Intracoronary optical coherence tomography: state of the art and future directions

Intervenção Percutânea da Artéria Coronária Principal Esquerda. Por que os Dados do Mundo Real são tão Importantes?

Review of Imaging and Physiology Late Breaking Trials From the TCT Connect 2020 Virtual Meeting

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