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Frequency and prognostic impact of intravascular imaging-guided urgent percutaneous coronary intervention in patients with acute myocardial infarction: results from J-MINUET
- Source :
- Heart and Vessels. 34:564-571
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Previous studies have demonstrated that use of intravascular ultrasound (IVUS) during percutaneous coronary intervention (PCI) was associated with lower incidence of death, myocardial infarction, and target vessel revascularization. Recently, optical coherence tomography (OCT) has emerged as an alternative intravascular imaging device with better resolution. The aim of this study was to investigate frequency and prognostic impact of IVUS or OCT-guided PCI during urgent revascularization for acute myocardial infarction diagnosed by the universal definition. A total of 2788 patients who underwent urgent PCI were selected from a multicenter, Japanese registry of acute myocardial infarction diagnosed by universal definition (J-MINUET). Frequency, clinical characteristics and prognostic impact of the IVUS-, or OCT- guided PCI were investigated. Clinical endpoint was in-hospital death. Angiography-, IVUS-, and OCT-guided urgent PCI were performed in 689 (24.7%), 1947 (69.8%), and 152 (5.5%) patients. In-hospital death in each group was 10.4%, 5.1%, and 3.3%, respectively (P
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Myocardial Infarction
030204 cardiovascular system & hematology
Coronary Angiography
Revascularization
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Japan
Internal medicine
Intravascular ultrasound
medicine
Clinical endpoint
Humans
Registries
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Ultrasonography, Interventional
Aged
medicine.diagnostic_test
business.industry
Percutaneous coronary intervention
Drug-Eluting Stents
Middle Aged
Vascular surgery
medicine.disease
Survival Rate
Treatment Outcome
surgical procedures, operative
Surgery, Computer-Assisted
Angiography
Conventional PCI
cardiovascular system
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 16152573 and 09108327
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Heart and Vessels
- Accession number :
- edsair.doi.dedup.....7a88ac4d343df6f667d050136135de69