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American Heart Association

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Final ID: Mo4096

Efficacy of OCT versus angiography in post-procedural lesions complications after percutaneous coronary intervention with drug-stent implementations: A systematic review and meta-analysis

Abstract Body (Do not enter title and authors here): Background: Although recent studies have suggested the advantages of utilizing optical coherence tomography (OCT) for image guidance during percutaneous coronary intervention (PCI) with drug-eluting stent implantation over conventional angiography, the specific impact on post-procedural lesion complications has remained uncertain. To address this gap, we conducted an updated systematic review and meta-analysis focusing on post-procedural lesion complications associated with OCT-guided versus angiography-guided procedures in lesions undergoing PCI with drug-eluting stent implementation.
Methods: We searched systematically through Pubmed, Embase, and Cochrane for randomized controlled trials(RCTs), which included lesions undergoing PCI and drug-stent deployment guided by OCTversus angiography. Our primary outcome of interest was (1) stent malposition under OCT analysis. We also included the following secondary outcome: (2) dissections under OCT analysis. We excluded studies that did not use OCT imaging to analyze post-procedure lesions. Risk Ratios(RRs) with 95% confidence interval (CI) were pooled across studies using a random effect model.
Results: Five RCTs comprising 3,266 lesions undergoing OCT or Angio PCI-guided and drug stent implementation were included, of whom 1,549(48,34%) underwent OCT. The number of moderate-severe calcified lesions was 370 (11.33%). Our results show a significant association with decreased stent malposition risk in the OCT group, showed a significant decrease in post-procedure risk regarding stent malpositioning ( RR: 0.80; 95% CI: 0.75-0.84; P<0.001; Fig.1) compared to angiography. However, our findings did not detect any difference in dissection undergoing OCT post-procedure analysis (RR: 1.58; 95% CI: 0.31- 8.06; P=0.583; Fig.2)., compared to the angiography group.
Conclusion: In this meta-analysis comparing OCT versus angiography in lesion complications post-procedure undergoing PCI and drug-stent implementation, the OCT group was associated with decreased stent malposition.
  • Katsuyama, Eric  ( Faculty of Medicine of ABC , Sao Paulo , Brazil )
  • Gioli-pereira, Luciana  ( Albert Einstein Israelite Hospital , Sao Paulo , Brazil )
  • Fukunaga, Christian  ( Faculty of Medicine of ABC , Sao Paulo , Brazil )
  • Andrade, Naieli  ( Escola Bahiana de Medicina e Saúde Pública , Salvador , Brazil )
  • Petri Santos Pinheiro, Rafael  ( Universidade Federal do Rio de Janeiro , Rio de Janeiro , Brazil )
  • Prata, Alonzo  ( UFES , Vitoria , Brazil )
  • Scardini, Pedro Gabriel  ( EMESCAM , Vitoria , Brazil )
  • Coan, Ana Carolina  ( Federal University of Espirito Santo , Vitoria , Brazil )
  • Falco Neto, Wilson  ( Faculdade de Medicina de Catanduva , Catanduva , Brazil )
  • Fernandes, Julia  ( Faculdade Israelita de Ciências da Saúde Albert Einstein , Santos , Brazil )
  • Author Disclosures:
    Eric Katsuyama: DO NOT have relevant financial relationships | Luciana Gioli-Pereira: DO NOT have relevant financial relationships | Christian Fukunaga: DO NOT have relevant financial relationships | Naieli Andrade: No Answer | Rafael Petri Santos Pinheiro: DO NOT have relevant financial relationships | Alonzo Prata: DO NOT have relevant financial relationships | Pedro Gabriel Scardini: DO NOT have relevant financial relationships | Ana Carolina Coan: DO NOT have relevant financial relationships | Wilson Falco Neto: DO NOT have relevant financial relationships | Julia Fernandes: DO NOT have relevant financial relationships
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

What's Hot in Percutaneous Coronary Intervention?

Monday, 11/18/2024 , 01:30PM - 02:30PM

Abstract Poster Session

More abstracts from these authors:
Efficacy of TRISCORE in predicting the long-term survival in patients undergoing transcatheter tricuspid valve replacement or surgical tricuspid valve replacement: a systematic review and meta-analysis

Katsuyama Eric, Gioli-pereira Luciana, Fernandes Julia, Fukunaga Christian, Andrade Naieli, Prata Alonzo, Scardini Pedro Gabriel, Falco Neto Wilson, Coan Ana Carolina, Petri Santos Pinheiro Rafael

Apolipoprotein A1 infusion in patients with Acute Myocardial Infarction: A Systematic Review and Meta-analysis of randomized trials

Prata Alonzo, Gioli-pereira Luciana, Fukunaga Christian, Katsuyama Eric, Coan Ana Carolina, Scardini Pedro Gabriel, Petri Santos Pinheiro Rafael, Falco Neto Wilson, Fernandes Julia, Andrade Naieli

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