Association Between Intracoronary Imaging During PCI and Clinical Outcomes in a Real-World US Medicare Population.

ABSTRACT:

Background

Use of intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during percutaneous coronary intervention (PCI) is endorsed by society guidelines, but US data on real-world outcomes are lacking.

Methods

Medicare claims data were identified for inpatient PCIs performed October 2015 to March 2020, with IVUS/OCT captured by ICD-10-PCS codes. Three-way propensity score matching (angio vs IVUS vs OCT) on baseline and procedural characteristics was performed. Major adverse cardiovascular events (MACE), a composite of death, myocardial infarction (MI), or repeat revascularization, was evaluated through 3 years, with a 30-day blanking window after index PCI to exclude staged procedures.

Results

Of the 502,821 PCI procedures, 463,201 (92%) were guided b

SUBMITTER: Bergmark BA 

PROVIDER: S-EPMC11307420 | biostudies-literature | 2023 Mar-Apr

REPOSITORIES: biostudies-literature