IVUS Bests Angiography to Guide PCI in ACS

Acute Coronary Syndrome News

IVUS Bests Angiography to Guide PCI in ACS
ACS - Acute Coronary SyndromeAcute Coronary Syndrome (ACS)Cardiovascular Imaging
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In acute coronary syndrome, intravascular ultrasound-guidance of PCI improved clinical outcomes safely and more effectively than angiography alone in the IVUS-ACS trial.

"Our study included all different kinds of complex lesions," Shao-Liang Chen, MD, of the Nanjing Medical University and Nanjing First Hospital, Nanjing, China, told attendees at theon April 8. The primary endpoint was the one-year composite of target vessel failure , including cardiac death, target vessel"We found that the TVF endpoint was 7.3% in the angiography-guided group compared to only 4.

The primary endpoint was TVF, a composite of cardiac death, TVMI, or clinically driven TVR, at 1 year after randomization. A primary endpoint event occurred in 70 patients in the IVUS group and 128 in the angiography group , largely driven by reductions in TVMI or TVR. "It is reassuring to see that there was no difference in effect sizes when stratified by types of ACS," said Gupta, who was not involved in the study. However, given that the study protocol was amended to allow for enrollment up to 30 days prior to ACS presentation,"it would be informative to know what proportion of patients were not included at the time of the index ACS," she said.

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ACS - Acute Coronary Syndrome Acute Coronary Syndrome (ACS) Cardiovascular Imaging Cardiac Imaging CV Imaging Angiography Arteriography Interventional Cardiology Devices And/Or Drugs Interventional Cardiology Device Interventional Cardiology Drug Stent Drug-Eluting Stent Intravascular Ultrasound Thromboembolism Percutaneous Coronary Intervention PCI

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