2019 94(7):905-914.Intravascular imaging-guided percutaneous coronary intervention (PCI) is associated with lower in-hospital mortality, myocardial infarction (MI), and target-lesion revascularization when compared with conventional angiography-guided PCI, ). Etiologies, trends, and predictors of readmission in ST-elevation myocardial infarction patients undergoing multivessel percutaneous coronary intervention. Angiography-alone versus angiography plus optical coherence tomography to guide decision-making during percutaneous coronary intervention: the Centro per la Lotta contro l'Infarto-optimisation of percutaneous coronary intervention (CLI-OPCI) study. Prati F, Di Vito L, Biondi-Zoccai G, et al. Meta-analysis and systematic review of intravascular ultrasound versus angiography-guided drug eluting stent implantation in left main coronary disease in 4592 patients. Intravascular ultrasound for guidance and optimization of percutaneous coronary intervention. Mahtta D, Elgendy AY, Elgendy IY, Mahmoud AN, Tobis JM, Mojadidi MK. Agency for Healthcare Research and Quality, Rockville, MD. Healthcare Cost and Utilization Project (HCUP). In addition, resource utilization was higher in the intra-coronary imaging arm of the study.Ĭomplex PCI imaging intravascular ultrasound optical coherence tomography percutaneous coronary intervention stenting technique. The results of this study did not confer benefit with regards to 30-day hospital readmission rates when utilizing intracoronary imaging versus angiography-alone in percutaneous coronary intervention, but did suggest there may be an association between the use of intracoronary imaging and improved in-hospital mortality. The strongest predictor of in-hospital mortality in both univariate and multivariate analysis was having an existing coagulopathy. 001), associated with larger median total hospital costs ($32,123 USD vs. The median length of stay was longer in the imaging-guided arm (3 vs. However, in-hospital mortality carried a statistically significant reduction with use of imaging-guided PCI (1.72% vs 2.24%, p =. There were no differences in 30-day readmissions between both groups (~10.8% in both arms, p =. We identified in total 188,368 index admissions, with 12,379 patients in the "imaging-guided" group and 175,989 in the "angiography-alone" group. Secondary endpoints were length of stay, cost of care, predictors of 30-day readmission and in-hospital mortality in PCI related hospitalizations. Primary endpoints were 30-day readmissions and in-hospital mortality. Study population was further subcategorized into 2 PCI arms: intravascular imaging (''imaging'' group) and fluoroscopy guided (''angiography'' group). Patients who underwent PCI were identified using appropriate ICD-10 codes. The study was derived from the Healthcare Cost and Utilization Project's National Readmission Database (NRD) of 2016, sponsored by the Agency for Healthcare Research and Quality. This study was performed to assess the impact of in-hospital mortality and 30-day readmission with intracoronary imaging as an adjunct to baseline coronary angiography. Percutaneous coronary intervention (PCI) is well established for the treatment of obstructive coronary artery disease.
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