9. Imaging-guided PCI

Ultra sound-guided vs angiography guided DES for long lesions

IVUS-XPL 5 years
Objective
to report the 5 year clinical outcomes of IVUS-guided compared to angiography-guided PCI with an everolimus-eluting stent in patients with long lesions
Study
multicentre randomised trial
Population
patients with typical chest pain or evidence of myocardial ischemia and long coronary lesion (≥28 mm length)
Endpoints
MACE as cardiac death, TL-MI, ischemia-driven TL-revascularisation at 5 years
Conclusion
IVUS-guided DES implantation is associated with significant lower MACE rate at 5 years as compared to angiography-guided DES implantation
Hong et al. J Am Coll Cardiol Intv. 2020;13:62-71
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The Official Journal of EuroPCR and the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

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2023 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2024)
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