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在PCI后优化过程中IVUS和OCT对医生决策的影响

Sukhdeep Bhogal¹, Hayder Hashim¹, Ilan Merdler¹

¹Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.

Cardiovascular revascularization medicine : including molecular interventions

|July 2, 2023

概括

血管内成像 (IVI) 使用血管内超声波 (IVUS) 或光学连贯性断层扫描 (OCT) 同样影响医生在皮肤穿刺冠状动脉干预 (PCI) 后的决定. 总体而言,IVI指导了PCI后33.3%的医生管理决策.

科学领域:

心脏病学心脏病学
医疗成像医学成像
干预心脏病学干预心脏病学

背景情况:

20多年来,血管内成像 (IVI) 已成为一种补充诊断工具.
之前的研究表明,在皮肤冠状动脉干预 (PCI) 后,IVI在多达27%的病例中影响了医生的决策.
没有研究直接比较了血管内超声波 (IVUS) 和光学连贯性断层扫描 (OCT) 在塑造PCI后决策.

研究的目的:

为了比较IVUS与OCT在PCI后优化过程中对医生决策的影响.
为了确定一个成像模式是否比另一个更能影响医生的反应.

主要方法:

在第三级护理中心在PCI期间进行的IVI研究的回顾性分析.
选择IVUS和OCT病例,由单个经验丰富的操作员执行.
主要终点:PCI后优化期间医生反应率,比较IVUS和OCT.

主要成果:

142名患者接受了IVUS,146人接受了PCI后的OCT.
医生反应率相似:IVUS的35.2%与OCT的31.5%相比 (p=0.505).
支架扩张不足是干预的最常见原因 (26.1%的IVUS与19.2%的OCT相比).
总体而言,IVI在33.3%的病例中影响了医生的决定.

结论:

这项研究是首次将IVUS和OCT对PCI后优化对医生决策的影响进行比较.
医生反应率在IVUS和OCT之间是可比的.
在PCI IVI后,无论如何,大约三分之一的病例改变了管理.

关键词:

在ACS/NSTEMI中使用.血管内超声波血管内超声波光学连贯性断层扫描技术.皮肤穿透冠状动脉干预 (PCI)

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