Optical Coherence Tomography-Guided Coronary Intervention in Patients With Complex Lesions
OCT-guided PCI of complex coronary lesions is superior to angiography-guided PCI for CV outcomes at 1 year, with a 5% vs. 7% major adverse cardiac events rate. The trial compared OCT-guided (n = 803) vs. angiography-guided (n = 801) PCI in 1,604 patients, using everolimus-eluting stents. OCT guidance led to greater contrast use and longer procedure times but reduced ischemia-driven target lesion revascularization.
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OCT-guided PCI of complex coronary lesions is superior to angiography-guided PCI for CV outcomes at 1 year, with a 5% vs. 7% major adverse cardiac events rate. The trial compared OCT-guided (n = 803) vs. angiography-guided (n = 801) PCI in 1,604 patients, using everolimus-eluting stents. OCT guidance led to greater contrast use and longer procedure times but reduced ischemia-driven target lesion revascularization.