Impact of the adjunctive use criteria for intravascular ultrasound-guided percutaneous coronary intervention and clinical outcomes
Issued Date
2023-12-01
Resource Type
eISSN
20452322
Scopus ID
2-s2.0-85146302346
Pubmed ID
36639405
Journal Title
Scientific Reports
Volume
13
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Scientific Reports Vol.13 No.1 (2023)
Suggested Citation
Suwannasom P., Chichareon P., Roongsangmanoon W., Thongtanomkul A., Wongpen A., Muenkaew M., Kanoksilp A., Chandavimol M., Kuanprasert S., Thakkinstain A., Srimahachota S., Sansanayudh N. Impact of the adjunctive use criteria for intravascular ultrasound-guided percutaneous coronary intervention and clinical outcomes. Scientific Reports Vol.13 No.1 (2023). doi:10.1038/s41598-022-27250-3 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82126
Title
Impact of the adjunctive use criteria for intravascular ultrasound-guided percutaneous coronary intervention and clinical outcomes
Author's Affiliation
Ramathibodi Hospital
Faculty of Medicine, Chiang Mai University
Faculty of Medicine, Prince of Songkia University
King Chulalongkorn Memorial Hospital
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Faculty of Medicine, Thammasat University
Phramongkutklao College of Medicine
Faculty of Medicine, Srinakharinwirot University
Maharaj Nakorn Si Thammarat Hospital
Central Chest Institute of Thailand
Udonthani Hospital
Faculty of Medicine, Chiang Mai University
Faculty of Medicine, Prince of Songkia University
King Chulalongkorn Memorial Hospital
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Faculty of Medicine, Thammasat University
Phramongkutklao College of Medicine
Faculty of Medicine, Srinakharinwirot University
Maharaj Nakorn Si Thammarat Hospital
Central Chest Institute of Thailand
Udonthani Hospital
Other Contributor(s)
Abstract
The impact of the adherence to the adjunctive use criteria (AUC) for intravascular ultrasound (IVUS) guided percutaneous coronary intervention (PCI) and clinical outcomes in low IVUS volume countries are limited. The current study compared the procedural success and complication rates between used and not used IVUS catheter in the patients who were met (C +) and were not met (C−) the AUC for IVUS-guided PCI. From June 2018 through June 2019, a total of 21,066 patients were included in the Thai PCI registry. Among the study population, 15,966 patients (75.8%) have met the IVUS-AUC. The IVUS-guided PCI rates were 14.5% and 11.3% in the C + and C − groups, respectively. After adjusting for covariables by propensity model, IVUS-guided PCI was identified as an independent predictor of the procedural success rate regardless of whether the AUC were met with the relative risk [RR (95% confidence interval (CI)] of 1.033(1.026–1.040) and 1.012(1.002–1.021) in C + and C− groups, respectively. IVUS-guided PCI increased the procedural complication risks in both groups but were not significant with corresponding RRs of 1.171(0.915–1.426) and 1.693(0.959–2.426). Procedural success was achieved with IVUS-guided PCI regardless of whether the AUC were met. IVUS-guided PCI did not lead to an increase in procedural complications.