Dynamic coronary roadmap-guided PCI reduces contrast volume and radiation time compared to standard angiography PCI: A meta-analysis.

ABSTRACT:

Background

Dynamic Coronary Roadmap (DCR) is a new PCI method that may reduce contrast dose and contrast-associated acute kidney injury (CA-AKI) risk. This paper evaluates DCR-guided PCI versus standard angiography PCI for contrast usage, procedure time, and CA-AKI risk.

Methods

On May 1, 2024, we searched PubMed, Scopus, Embase, Cochrane Library, and clinicaltrials.gov for clinical trials or observational studies comparing DCR-guided PCI to standard angiography PCI. Outcomes were contrast media usage, radiation time, dose-area product, air kerma, radiation dose, post-PCI eGFR, AKI incidence, and procedure success. We used a random-effects model and analyzed outcomes using standardized mean difference (SMD) and odds ratio (OR).

Results

Out of 1679 screened articles, o

SUBMITTER: Al Hayek M 

PROVIDER: S-EPMC11750551 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature