- 期刊
Efficacy of Optical Coherence Tomography-Guided Primary Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome
摘要
Background: Optical coherence tomography (OCT) is currently used as a guide for percutaneous coronary intervention (PCI), however its clinical benefit in comparison with intravascular ultrasound (IVUS) remains unclear in patients with acute coronary syndrome (ACS). Objectives: The purpose of this study was to evaluate the clinical efficacy of OCT-guided PCI in comparison with IVUS-guided PCI in patients with ACS. Methods: The study participants comprised 280 consecutive ACS patients who underwent primary PCI for de novo culprit lesions under OCT or IVUS guidance. Results: Compared with the IVUS-guided group, the OCT-guided group had lower Killip classification (p < 0.001) and lower creatinine level at baseline (0.80 ± 0.37 mg/dl vs. 1.13 ± 1.29 mg/dl, p = 0.004). Fluoroscopy time and total procedure time were significantly shorter in the OCT-guided group than in the IVUS-guided group (32 ± 13 min vs. 41 ± 19 min, p < 0.001, and 98 ± 39 min vs. 127 ± 47 min, p = 0.002, respectively). The major adverse cardiovascular event-free survival curves were similar between the OCT- and IVUS-guided groups after adjusting for clinical background using propensity score (log-rank p = 0.328). Conclusions: After adjusting for clinical background, OCT-guided PCI could provide comparable clinical outcomes to IVUS-guided PCI in patients with ACS. Shorter fluoroscopy time and total procedure time with OCT may reduce patient radiation exposure and also improve hospital workflow.
延伸閱讀
- Kubo, T., Matsuo, Y., Ino, Y., Tanimoto, T., Ishibashi, K., Komukai, K., Kitabata, H., Tanaka, A., Kimura, K., Imanishi, T., & Akasaka, T. (2011). Optical Coherence Tomography Analysis of Attenuated Plaques Detected by Intravascular Ultrasound in Patients with Acute Coronary Syndromes. Cardiology Research and Practice, 2011(), 629-635-087. https://doi.org/10.4061/2011/687515
- KIM, Y. (2022). Health-Related Quality of Life in Patients With Coronary Artery Disease Undergoing Percutaneous Coronary Intervention: A Cross-Sectional Study. The Journal of Nursing Research, 30(1), 1-9. https://doi.org/10.1097/jnr.0000000000000465
- Hsu, J. C., & Chen, K. C. (2009). Real-Time intravascular Ultrasound-Guided Wiring for Percutaneous Coronary intervention of Abrupt-Type Chronic Total Occlusion. Acta Cardiologica Sinica, 25(3), 169-172. https://www.airitilibrary.com/Article/Detail?DocID=10116842-200909-25-3-169-172-a
- Hsiao, J. F., Kyo, E., Chu, C. M., Tsuji, T., Watanabe, S., & Hsu, J. T. (2009). Percutaneous Coronary Intervention for Chronic Total Occlusions: Predictors for Coronary Perforation and Dissection Evaluated with 64-Multislice Computed Tomography. Acta Cardiologica Sinica, 25(4), 201-212. https://www.airitilibrary.com/Article/Detail?DocID=10116842-200912-201002260084-201002260084-201-212
- Li, H. R., Hsu, C. P., Sung, S. H., Shih, C. C., Lin, S. J., Chan, W. L., Wu, C. H., & Lu, T. M. (2017). Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in Patients with Diabetic Nephropathy and Left Main Coronary Artery Disease. Acta Cardiologica Sinica, 33(2), 119-126. https://doi.org/10.6515/ACS20160623A