Comparison between optical coherence tomography-guided and intravascular ultrasound-guided primary percutaneous coronary intervention for ST-segment elevation myocardial infarction.

ABSTRACT:

Objective

To examine the clinical outcomes of optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) in patients presenting with ST-segment elevation myocardial infarction (STEMI).

Methods

We retrospectively investigated 533 consecutive patients who underwent primary PCI for STEMI between June 2016 and December 2020. The primary endpoint was a target lesion failure (TLF; defined as a composite of cardiac death, target vessel myocardial infarction, or target lesion revascularization). Propensity score (PS) matching was performed to allow direct comparison of OCT-guided and intravascular ultrasound (IVUS)-guided PCI.

Results

Patients in the OCT group (n=166) were younger than those in the IVUS group (n=367) and had a significantly higher left

SUBMITTER: Matsuwaki Y 

PROVIDER: S-EPMC10847631 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature