IVUS or Angiography Guidance for Percutaneous Coronary Intervention in Complex Coronary Bifurcation Lesions: The DKCRUSH VIII Randomized Clinical Trial - PubMed
8 hours ago
- #DK Crush Technique
- #IVUS-guided PCI
- #Coronary Bifurcation Lesions
- IVUS-guided PCI resulted in a significantly lower rate of target vessel failure at 1 year (6.1%) compared to angiography-guided PCI (14.7%) for complex bifurcation lesions, with a hazard ratio of 0.40.
- The study was a multicenter, randomized trial in China involving 555 patients assigned to either IVUS-guided or angiography-guided PCI, with the DK crush technique used in 96.8% of cases.
- Reductions in target vessel myocardial infarction and target vessel revascularization drove the primary endpoint benefit, indicating that IVUS guidance improves outcomes through achieving optimization targets rather than just the use of IVUS.