Intravascular ultrasound–guided or angiography-Guided complex High-Risk PCI (Registro nro. 22775)
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| 000 -Cabecera | |
|---|---|
| Campo de control interno | 03102nam a2200265 4500 |
| 001 - Número de control | |
| control field | ESSALUD |
| 005 - Fecha y hora de la última transacción | |
| Campo de control | 20260805113310.0 |
| 007 - Tipo material - Descripcion fisica - info general | |
| Tipo material - Descripcion fisica - info general | ta |
| 008 - Elementos de Longitud Fija - Información General | |
| Elementos de Longitud Fija - Información | t pe ||||| |||| 00| 0 spa d |
| 040 ## - Origen de la Catalogación | |
| Origen de la Catalogación | BMG |
| 041 ## - Idioma | |
| Idioma | eng |
| 100 ## - Autor | |
| Autor | Diletti, Roberto |
| Rol del Autor | Autor |
| 9 (RLIN) | 46845 |
| 245 ## - Titulo | |
| Titulo | Intravascular ultrasound–guided or angiography-Guided complex High-Risk PCI |
| 300 ## - Páginas | |
| Paginación | páginas: 2200-2211 |
| 520 ## - Resumen | |
| Resumen | Background: Intravascular ultrasound (IVUS) guidance during percutaneous coronary intervention (PCI) has been associated with increased stent optimization and reduced adverse events among patients with complex coronary-artery lesions, but adoption of this strategy in Western countries remains low. Although practice guidelines recommend intracoronary imaging for anatomically complex lesions, evidence from current European practice is limited. Methods: In this investigator-initiated, international, open-label, randomized, controlled trial, we assigned patients undergoing complex PCI to either IVUS-guided PCI, performed with the use of prespecified stent-optimization criteria, or angiography-guided PCI. The primary end point was target-vessel failure, defined as a composite of death from cardiac causes, target-vessel myocardial infarction, or clinically indicated target-vessel revascularization. Results: Of the 2020 patients who underwent randomization, 1010 in the IVUS-guided PCI group and 1009 in the angiography-guided PCI group were included in the primary analysis. The mean age of the patients was 69 years, 79.4% were men, and 27.4% presented with an acute coronary syndrome. The mean procedure duration was 88.8 minutes with IVUS-guided PCI and 66.2 minutes with angiography-guided PCI. Dilation with balloon angioplasty after stent implantation was performed in 91.3% of the IVUS-guided PCI procedures and in 84.5% of the angiography-guided PCI procedures. At a median follow-up of 19.0 months (interquartile range, 15.2 to 23.4), target-vessel failure had occurred in 140 patients (13.9%) in the IVUS-guided PCI group and in 112 patients (11.1%) in the angiography-guided PCI group (hazard ratio, 1.25; 95% confidence interval, 0.97 to 1.60; P=0.08). Procedural complications occurred in 11.3% of the IVUS-guided PCI procedures and in 10.2% of the angiography-guided PCI procedures. The frequency of adverse events appeared to be similar in the two groups. Conclusions: Among patients undergoing complex high-risk PCI, a strategy of routine IVUS-guided PCI performed with the use of prespecified stent-optimization criteria was not associated with a lower risk of target-vessel failure than angiography-guided PCI alone. |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | CARDIOLOGIA |
| 9 (RLIN) | 11301 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | ENFERMEDAD CORONARIA |
| 9 (RLIN) | 14895 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | INFARTO DE MIOCARDIO |
| 9 (RLIN) | 13202 |
| 700 ## - Autor Personal | |
| Autor Personal | Daemen, Joost |
| 9 (RLIN) | 53647 |
| 700 ## - Autor Personal | |
| Autor Personal | Faurie, Benjamin |
| 9 (RLIN) | 53932 |
| 700 ## - Autor Personal | |
| Autor Personal | Barbierato, Marco |
| 9 (RLIN) | 53649 |
| 700 ## - Autor Personal | |
| Autor Personal | Tchétché, Didier |
| 9 (RLIN) | 53933 |
| 773 0# - Revista (Relacion con el numero) | |
| Host Biblionumber | 22717 |
| Host Itemnumber | 22641 |
| Ciudad, Editorial | Massachusetts NEJM Group |
| Codigo barras item/ejemplar | NEJM008 |
| Titulo de la Revista | The New England Journal of Medicine |
| Número de control de registro | ESSALUD |
| ISSN | 0028-4793 |
| 942 ## - Elementos de Koha | |
| Tipo de Documento | Artículos |
| Fecha procesamiento | 2026-08-03 |
| Catalogador | SQB |
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