冠状动脉静脉成像利用的地理和时间变化以及更广泛采用的障碍:系统性审查和聚合分析
Samuel Norman1, Anoop N Koshy2, Anna Wan1
1Department of Cardiology, Royal Melbourne Hospital, Melbourne, Vic, Australia.
Heart, lung & circulation
|September 15, 2025
概括
血管内成像 (IVI) 引导的皮肤冠状动脉干预 (PCI) 的使用在全球范围内较低,但在增加. 在IVI采用的区域差异更多地受到医疗保健系统和成本的影响,而不是临床益处.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随机数据显示,通过血管内成像 (IVI) 引导的皮肤冠状动脉干预 (PCI) 改善了结果.
- 然而,IVI的使用在全球许多国家仍然不常见.
- 本研究研究了IVI使用的地理和时间趋势.
研究的目的:
- 系统地审查和绘制在皮肤冠状动脉干预 (PCI) 中使用血管内成像 (IVI) 的地理和时间趋势.
- 确定影响不同地区和国家的IVI采用率的因素.
主要方法:
- 根据PRISMA框架进行了系统审查.
- 分析了来自省级,国家和国际注册和政府来源的数据.
- 包括报告2014年至2024年间真实世界IVI率的出版物.
主要成果:
- 分析了来自24个国家的36篇出版物,涵盖9,459,897名患者.
- 血管内超声波是主要的IVI方式;光学连贯性断层扫描使用率为<10%.
- 大多数国家报告IVI摄入量较低,但随着时间的推移观察到显著增加,区域差异显著 (亚洲最高:35.4%).
结论:
- 在不同地区和国家的IVI利用中存在显著的差异.
- 虽然整体IVI率较低,但在全球范围内,IVI的采用量正在增加.
- 像医疗保健系统特征,医生偏好和财务考虑等当地因素似乎比临床因素更强烈地推动了IVI率.
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