The Effect of Intravascular Imaging-Guided Percutaneous Coronary Intervention on Coronary Artery Perforation.

ABSTRACT:

Background

Intravascular imaging (IVI) complements coronary angiography and may help prevent coronary artery perforation (CAP) during percutaneous coronary intervention (PCI).

Objectives

The authors evaluated whether IVI-guided PCI is associated with a lower risk of PCI-related CAP in a real-world cohort.

Methods

This observational study analyzed consecutive PCI procedures from January 2006 to October 2023. The procedures were divided into 4 groups according to the year performed: 2006 to 2010 (P1), 2011 to 2015 (P2), 2016 to 2020 (P3), and 2021 to 2023 (P4). We evaluated the trend of IVI-guided PCI and the incidence of CAP. A mixed effects logistic model was employed to assess their relationship.

Results

CAP occurred in 368 (1.6%) of 22,368 PCIs. IVI-guided PC

SUBMITTER: Sawayama Y 

PROVIDER: S-EPMC11775771 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature