Imaging catheters should be part of most coronary stent procedures and probably all complex cases, advocates say. Several new studies strengthen their case.
, both of which prespecified the Xience everolimus-eluting stent for the procedures, were published in theCovering the Spectrum
And"for the first time" in IVI studies,"we demonstrated reductions in all-myocardial-infarction and all-cause death, the latter by 25%," Gregg Stone, MD, Icahn School of Medicine at Mount Sinai, New York City, said in presenting the meta-analysis. Stone is also the ILUMIEN-4 study chairperson. The 20 studies in the meta-analysis encompassed an array of patients and lesions both complex and noncomplex, Stone observed, including bifurcation lesions, chronic total occlusions, left-main coronary stenoses, and MI culprit lesions.
Such imaging, said Ali,"lets you identify tissue protrusions, malappositions, dissections, and untreated reference-segment disease" that may potentially trigger thrombosis. That makes a strong argument for giving IVI guidance a more common, perhaps even routine role in PCI procedures."I think the study results are quite clear," said Deepak L. Bhatt, MD, MPH, as session co-moderator following the OCTOBER presentation.
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