Why the study?
Data were limited regarding usage patterns and clinical outcomes of intravascular modality-guided compared to angiography-guided PCI in acute myocardial infarction.
Does intravascular modality-guided PCI reduce composite clinical endpoints compared to angiography-guided PCI in patients with acute myocardial infarction?
Population
11,731 patients who underwent PCI from the Korea AMI Registry-National Institute of Health database
Comparison
Intravascular modality guidance vs angiography guidance
Design
Registry-based propensity-score-matched observational cohort study
Authors
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Intravascular guidance was associated with lower POCE in AMI; hypothesis-generating and requires randomized confirmation.
Does intravascular modality-guided PCI reduce composite clinical endpoints compared to angiography-guided PCI in patients with acute myocardial infarction?
Intravascular modality-guided PCI (using IVUS, OCT, or FFR) is associated with significantly lower rates of composite clinical endpoints and mortality compared to angiography-guided PCI in patients with acute myocardial infarction.
Kim et al. (2019) studied this question.
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