Randomized controlled trials (RCTs) have demonstrated that intravascular (IVUS) guidance
improves outcomes after drug-eluting stent (DES) implantation.
1
,
2
However, left main coronary artery (LMCA) lesions were excluded or under-represented
in these trials. With the projected increase in the rates of LMCA percutaneous coronary
intervention (PCI) procedures after the publication of recent DES versus bypass surgery
trials,
3
we sought to perform a meta-analysis examining the effect of IVUS-guidance on individual
outcomes after DES implantation for LMCA lesions.- Valle JA
- Tamez H
- Abbott JD
- Moussa ID
- Messenger JC
- Waldo SW
- Kennedy KF
- Masoudi FA
- Yeh RW
Contemporary use and trends in unprotected left main coronary artery percutaneous
coronary intervention in the United States: an analysis of the National Cardiovascular
Data Registry research to practice initiative.
JAMA Cardiol. 2019; 4: 100-109
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References
- Outcomes With Intravascular Ultrasound-Guided Stent Implantation: A Meta-Analysis of Randomized Trials in the Era of Drug-Eluting Stents.Circ Cardiovasc Interv. 2016; 9: e003700https://doi.org/10.1161/CIRCINTERVENTIONS
- Intravascular ultrasound-guidance is associated with lower cardiovascular mortality and myocardial infarction for drug-eluting stent implantation Insights from an updated meta-analysis of randomized trials.Circ J. 2019; 83: 1410-1413
- Contemporary use and trends in unprotected left main coronary artery percutaneous coronary intervention in the United States: an analysis of the National Cardiovascular Data Registry research to practice initiative.JAMA Cardiol. 2019; 4: 100-109
- Efficacy and safety of aspirin for primary prevention of cardiovascular events: a meta-analysis and trial sequential analysis of randomized controlled trials.Eur Heart J. 2019; 40: 607-617
- Impact of intravascular ultrasound-guided percutaneous coronary intervention on long-term clinical outcomes in patients undergoing complex procedures.JACC Cardiovasc Interv. 2019; 12: 607-620
- Intravascular ultrasound in the evaluation and treatment of left main coronary artery disease: a consensus statement from the European Bifurcation Club.EuroIntervention. 2018; 14: e467-e474
Article Info
Publication History
Published online: August 29, 2019
Received:
July 25,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
