Clinical Outcomes Following Intravascular Imaging-Guided Versus Coronary Angiography–Guided Percutaneous Coronary Intervention With Stent Implantation

Buccheri, Sergio; Franchina, Gabriele; Romanò, Sara; Puglisi, S.; Venuti, Giuseppe; D’Arrigo, Paolo; Francaviglia, Bruno; Scalia, Matteo; Condorelli, Antonio; Barbanti, Marco; Capranzano, Piera; Tamburino, Corrado; Capodanno, Davide

doi:10.1016/j.jcin.2017.08.051

Cited by 227 publications

(160 citation statements)

References 43 publications

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“…603,604 In the DES era, meta-analysis of randomized and observational studies also suggests better clinical outcomes with IVUSguided vs. angiography-guided PCI. 605,606 However, the contribution of findings from observational studies must be weighed against the likelihood of considerable residual confounding due to treatment selection bias. Similarly, findings of improved outcome in patients undergoing LM stem PCI with IVUS-guided PCI vs. angiography-guided PCI from a propensity score matched analysis must be interpreted with caution.…”

Section: Devices For Lesion Preparationmentioning

confidence: 99%

2018 ESC/EACTS Guidelines on myocardial revascularization

Neumann¹,

Ahlsson²,

Alfonso³

et al. 2018

European Heart Journal

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Section: Devices For Lesion Preparationmentioning

confidence: 99%

2018 ESC/EACTS Guidelines on myocardial revascularization

Neumann¹,

Ahlsson²,

Alfonso³

et al. 2018

European Heart Journal

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2,078

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“…11 In the present survey, almost half of respondents felt that there is average evidence to support invasive imaging for detection of vulnerable plaques, and considered multimodality imaging most appropriate for this purpose. 17 Moreover, 6 of 10 responded that these techniques may become suitable to detect and potentially treat such lesions in the future, although the proportion of those who consider this approach purely a research tool is not negligible (20%). Region-related differences were also observed in this respect; notably, an almost 2-fold lower proportion of respondents from Japan compared with elsewhere had a critical opinion and a 2-fold higher proportion from Japan saw potential clinical value of serial invasive imaging to assess temporal changes in plaque burden and composition.…”

Section: Advance Publication By-j-stagementioning

confidence: 99%

Current Use of Intracoronary Imaging in Interventional Practice　― Results of a European Association of Percutaneous Cardiovascular Interventions (EAPCI) and Japanese Association of Cardiovascular Interventions and Therapeutics (CVIT) Clinical Practice Survey ―

Koskinas

Nakamura

Räber

et al. 2018

Circ J

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“…35 These two trials are incorporated in an updated network meta-analysis suggesting that the use of intravascular imaging techniques for PCI guidance reduces the risk of cardiovascular death and adverse events. 36 Adjunctive pharmacology…”

Section: Intravascular Ultrasound and Optical Coherence Tomography Tomentioning

confidence: 99%

The year in cardiology 2017: coronary interventions

Kristensen

Mæng

Capodanno

et al. 2018

European Heart Journal

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PreambleThe first balloon coronary angioplasty was performed in Zurich by Andreas Grüntzig in 1977. The patient, a 38-year-old man with severe angina and a tight stenosis on the left anterior descending artery, is still alive, is doing well, and he celebrated the 40-year anniversary of his percutaneous coronary interventions (PCI) in 2017 ( Figure 1). During the last decades, PCI techniques have undergone major improvements with the first real game changer being the introduction of bare metal stents, which made PCI safer and improved longer-term outcomes. Later on, drug-eluting stents (DESs) were introduced, which resulted in a major reduction in restenosis and also-with the newer generation DES-a low rate of stent thrombosis. Further, the introduction of intracoronary pressure measurements for assessment of severity of coronary stenoses [fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR)] and intracoronary imaging [intravascular ultrasound (IVUS) and optical coherence tomography (OCT)] for lesion assessment has refined lesion and procedure assessment. Improved outcomes were also fostered by development of better and safer adjunctive antithrombotic drugs and secondary prevention, optimizing drug-device synergy. Still, 40 years later the research in the coronary interventional field is very intense, and we aim here to summarize major developments in PCI published in 2017. Myocardial revascularization Percutaneous coronary intervention techniqueThe SYNTAX (Synergy between PCI with Taxus and Cardiac Surgery) II study investigated the impact of a contemporary PCI strategy on clinical outcomes of 454 patients with three-vessel disease. 1Characteristics of the SYNTAX II strategy that captures all components of today's 'best of PCI practice' are summarized in Figure 2. Following this approach systematically, the authors demonstrated major adverse cardiac and cerebrovascular events (MACCE) at 1 year to be much improved with respect to a matched historical PCI cohort from the SYNTAX I trial (10.6% vs. 17.4%; P = 0.006). The better result of the contemporary PCI strategy compared with the procedural technique followed at the time of the SYNTAX I trial was driven by a lower risk of myocardial infarction (MI) and revascularization, with a parallel reduction in stent thrombosis. Overall, the SYNTAX II study suggests that the combination of best practice components in PCI technique portends improved patient outcomes beyond what can be achieved by introducing one single new element. Because these results outperform PCI results obtained in the earlier SYNTAX I trial, the hypothesis was generated that a new randomized study of modern best PCI practice in patients with three-vessel disease might show non-inferiority vs. coronary artery bypass grafting (CABG). 1Glimpsing to the future, the feasibility and technical success of robotically-assisted PCI for complex coronary lesions were investigated in 334 procedures from 315 patients included in the Complex Robotically Assisted Percutaneous Coronary Intervention (...

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Clinical Outcomes Following Intravascular Imaging-Guided Versus Coronary Angiography–Guided Percutaneous Coronary Intervention With Stent Implantation

Abstract: Compared with CA, the use of intravascular imaging techniques for PCI guidance reduces the risk of cardiovascular death and adverse events.

Cited by 227 publications

References 43 publications

2018 ESC/EACTS Guidelines on myocardial revascularization

2018 ESC/EACTS Guidelines on myocardial revascularization

Current Use of Intracoronary Imaging in Interventional Practice　― Results of a European Association of Percutaneous Cardiovascular Interventions (EAPCI) and Japanese Association of Cardiovascular Interventions and Therapeutics (CVIT) Clinical Practice Survey ―

The year in cardiology 2017: coronary interventions

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Clinical Outcomes Following Intravascular Imaging-Guided Versus Coronary Angiography–Guided Percutaneous Coronary Intervention With Stent Implantation

Abstract: Compared with CA, the use of intravascular imaging techniques for PCI guidance reduces the risk of cardiovascular death and adverse events.

Cited by 227 publications

References 43 publications

2018 ESC/EACTS Guidelines on myocardial revascularization

2018 ESC/EACTS Guidelines on myocardial revascularization

Current Use of Intracoronary Imaging in Interventional Practice ― Results of a European Association of Percutaneous Cardiovascular Interventions (EAPCI) and Japanese Association of Cardiovascular Interventions and Therapeutics (CVIT) Clinical Practice Survey ―

The year in cardiology 2017: coronary interventions

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Product

Resources

About

Current Use of Intracoronary Imaging in Interventional Practice　― Results of a European Association of Percutaneous Cardiovascular Interventions (EAPCI) and Japanese Association of Cardiovascular Interventions and Therapeutics (CVIT) Clinical Practice Survey ―