Comparison of Intravascular Imaging-, Physiology-, or Angiography-Guided Approaches for Percutaneous Coronary Intervention: A Systematic Review and Network Meta-Analysis - PubMed
4 hours ago
- #Network Meta-Analysis
- #Percutaneous Coronary Intervention
- #Intravascular Imaging
- Intravascular imaging-guided PCI (IVUS, OCT/OFDI) shows superior outcomes compared to angiography-guided PCI.
- Physiology-guided PCI using fractional flow reserve (FFR) also reduces MACE risk compared to angiography guidance.
- IVUS-guided PCI is more effective than instantaneous wave-free ratio-guided PCI.
- Benefits of IVUS guidance apply to both acute and non-acute coronary syndrome patients.
- Among physiology-based methods, only FFR demonstrated clear advantage over angiography.
- Angiography-guided PCI remains common despite recommendations favoring imaging or physiology guidance.