scholarly journals Comparison of clinical outcomes between intravascular ultrasound‐guided and angiography‐guided drug‐eluting stent implantation: A meta‐analysis of randomised control trials and systematic review

2019 ◽  
Vol 16 (3) ◽  
pp. 649-658 ◽  
Author(s):  
Yu‐Ying Tan ◽  
Xia‐Xia Man ◽  
Ling‐Yun Liu ◽  
Hui Xu
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
Intravascular Ultrasound ◽  
Stent Implantation ◽  
Meta Analysis ◽  
Drug Eluting Stent ◽  
Ultrasound Guided ◽  
Randomised Control Trials ◽  
Drug Eluting

scholarly journals Comparison of intravascular ultrasound guided versus angiography guided drug eluting stent implantation: a systematic review and meta-analysis

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Yao-Jun Zhang ◽  
Si Pang ◽  
Xiao-Yun Chen ◽  
Christos V. Bourantas ◽  
Dao-Rong Pan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intravascular Ultrasound ◽  
Stent Implantation ◽  
Meta Analysis ◽  
Drug Eluting Stent ◽  
Ultrasound Guided ◽  
Drug Eluting

Outcomes With Intravascular Ultrasound-Guided Drug Eluting Stent Implantation for Unprotected Left Main Coronary Lesions: A Meta-analysis

2019 ◽  
Vol 124 (10) ◽  
pp. 1652-1653 ◽  
Author(s):  
Islam Y. Elgendy ◽  
Mohamed Gad ◽  
Ankur Jain ◽  
Ahmed N. Mahmoud ◽  
Gary S. Mintz
Keyword(s):  
Intravascular Ultrasound ◽  
Stent Implantation ◽  
Meta Analysis ◽  
Drug Eluting Stent ◽  
Ultrasound Guided ◽  
Left Main ◽  
Drug Eluting ◽  
Coronary Lesions

Impact of Intravascular Ultrasound–Guided Optimal Stent Expansion on 3-Year Hard Clinical Outcomes

2021 ◽  
Vol 14 (10) ◽  
Author(s):  
Yong-Joon Lee ◽  
Jun-Jie Zhang ◽  
Gary S. Mintz ◽  
Sung-Jin Hong ◽  
Chul-Min Ahn ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Intravascular Ultrasound ◽  
Stent Implantation ◽  
Hazard Ratio ◽  
Drug Eluting Stent ◽  
Lumen Area ◽  
Ultrasound Guided ◽  
Stent Expansion ◽  
Drug Eluting

Background: Although stent underexpansion on intravascular ultrasound (IVUS) has been a major predictor for adverse outcomes in previous studies, these studies have primarily focused on angiographic restenosis or repeat revascularization with short-term follow-up. This study sought to evaluate the long-term benefit of different criteria for IVUS-defined optimal stent expansion on hard clinical outcomes. Methods: From the pooled data of 2 randomized trials, IVUS-XPL (Impact of Intravascular Ultrasound Guidance on the Outcomes of Xience Prime Stents in Long Lesions) and ULTIMATE (Intravascular Ultrasound Guided Drug Eluting Stents Implantation in All-Comers Coronary Lesions) that compared IVUS- versus angiography-guided drug-eluting stent implantation, a total of 1254 patients with IVUS-guided drug-eluting stent implantation into 1484 long lesions (implanted stent length, ≥28 mm) were included. Different criteria for IVUS-defined optimal stent expansion based on minimum stent area (MSA) as an absolute measure or MSA relative to reference lumen area were applied and validated. The primary end point was composite of cardiac death, target lesion–related myocardial infarction, or stent thrombosis at 3 years. Results: The rate of the primary end point was lower in patients with optimal stent expansion versus those without optimal stent expansion according to 3 IVUS-defined optimal stent expansion criteria: MSA >5.5 mm 2 (0.5% versus 2.2%; hazard ratio, 0.21 [95% CI, 0.06–0.75]; P =0.008), MSA >5.0 mm 2 (0.6% versus 2.6%; hazard ratio, 0.24 [95% CI, 0.09–0.68]; P =0.003), and MSA/distal reference lumen area >90% (0.5% versus 2.4%; hazard ratio, 0.32 [95% CI, 0.12–0.88]; P =0.019). Achieving other relative expansion criteria, MSA/distal reference lumen area >100% or 80% or MSA/average reference lumen area >90% or 80%, was not associated with a reduction in hard clinical events. Conclusions: In patients undergoing IVUS-guided drug-eluting stent implantation for long lesions, achieving optimal stent expansion of MSA >5.5 mm 2 , >5.0 mm 2 , or MSA/distal reference lumen area >90% was associated with improved long-term hard clinical outcomes.

Intravascular ultrasound–guided vs angiography-guided drug-eluting stent implantation in complex coronary lesions: Meta-analysis of randomized trials

2017 ◽  
Vol 185 ◽  
pp. 26-34 ◽  
Author(s):  
Chirag Bavishi ◽  
Partha Sardar ◽  
Saurav Chatterjee ◽  
Abdur Rahman Khan ◽  
Arpit Shah ◽  
...  
Keyword(s):  
Intravascular Ultrasound ◽  
Stent Implantation ◽  
Randomized Trials ◽  
Meta Analysis ◽  
Drug Eluting Stent ◽  
Ultrasound Guided ◽  
Drug Eluting ◽  
Coronary Lesions
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