Matches in SemOpenAlex for { <https://semopenalex.org/work/W4384661197> ?p ?o ?g. }
- W4384661197 abstract "Prior trials have demonstrated that intravascular imaging (IVI)-guided percutaneous coronary intervention (PCI) results in less frequent target lesion revascularization and major adverse cardiovascular events (MACEs) compared with standard angiographic guidance. The uptake and associated outcomes of IVI-guided PCI in contemporary clinical practice in the USA remain unclear. Accordingly, temporal trends and comparative outcomes of IVI-guided PCI relative to PCI with angiographic guidance alone were examined in a broad, unselected population of Medicare beneficiaries.Retrospective cohort study of Medicare beneficiary data from 1 January 2013, through 31 December 2019 to evaluate temporal trends and comparative outcomes of IVI-guided PCI as compared with PCI with angiography guidance alone in both the inpatient and outpatient settings. The primary outcomes were 1 year mortality and MACE, defined as the composite of death, myocardial infarction (MI), repeat PCI, or coronary artery bypass graft surgery. Secondary outcomes were MI or repeat PCI at 1 year. Multivariable Cox regression was used to estimate the adjusted association between IVI guidance and outcomes. Falsification endpoints (hospitalized pneumonia and hip fracture) were used to assess for potential unmeasured confounding. The study population included 1 189 470 patients undergoing PCI (38.0% female, 89.8% White, 65.1% with MI). Overall, IVI was used in 10.5% of the PCIs, increasing from 9.5% in 2013% to 15.4% in 2019. Operator IVI use was variable, with the median operator use of IVI 3.92% (interquartile range 0.36%-12.82%). IVI use during PCI was associated with lower adjusted rates of 1 year mortality [adjusted hazard ratio (aHR) 0.96, 95% confidence interval (CI) 0.94-0.98], MI (aHR 0.97, 95% CI 0.95-0.99), repeat PCI (aHR 0.74, 95% CI 0.73-0.75), and MACE (aHR 0.85, 95% CI 0.84-0.86). There was no association with the falsification endpoint of hospitalized pneumonia (aHR 1.02, 95% CI 0.99-1.04) or hip fracture (aHR 1.02, 95% CI 0.94-1.10).Among Medicare beneficiaries undergoing PCI, use of IVI has increased over the previous decade but remains relatively infrequent. IVI-guided PCI was associated with lower risk-adjusted mortality, acute MI, repeat PCI, and MACE." @default.
- W4384661197 created "2023-07-20" @default.
- W4384661197 creator A5000128658 @default.
- W4384661197 creator A5006919751 @default.
- W4384661197 creator A5018963320 @default.
- W4384661197 creator A5024220356 @default.
- W4384661197 creator A5054703789 @default.
- W4384661197 creator A5089120659 @default.
- W4384661197 creator A5091110843 @default.
- W4384661197 date "2023-07-19" @default.
- W4384661197 modified "2023-10-14" @default.
- W4384661197 title "Intravascular imaging during percutaneous coronary intervention: temporal trends and clinical outcomes in the USA" @default.
- W4384661197 cites W101552665 @default.
- W4384661197 cites W1970957287 @default.
- W4384661197 cites W1971326326 @default.
- W4384661197 cites W1989190276 @default.
- W4384661197 cites W1999779488 @default.
- W4384661197 cites W2039146023 @default.
- W4384661197 cites W2049491523 @default.
- W4384661197 cites W2053975254 @default.
- W4384661197 cites W2071550996 @default.
- W4384661197 cites W2105347888 @default.
- W4384661197 cites W2107667309 @default.
- W4384661197 cites W2115824015 @default.
- W4384661197 cites W2126684805 @default.
- W4384661197 cites W2142912667 @default.
- W4384661197 cites W2146050890 @default.
- W4384661197 cites W2174803828 @default.
- W4384661197 cites W2298408170 @default.
- W4384661197 cites W2316415691 @default.
- W4384661197 cites W2768815054 @default.
- W4384661197 cites W2769988420 @default.
- W4384661197 cites W2800160347 @default.
- W4384661197 cites W2883961005 @default.
- W4384661197 cites W2916912835 @default.
- W4384661197 cites W2962841337 @default.
- W4384661197 cites W3007385377 @default.
- W4384661197 cites W3047671552 @default.
- W4384661197 cites W3049029098 @default.
- W4384661197 cites W3082472855 @default.
- W4384661197 cites W3093064810 @default.
- W4384661197 cites W3161716537 @default.
- W4384661197 cites W3163176945 @default.
- W4384661197 cites W4200006570 @default.
- W4384661197 cites W4200339741 @default.
- W4384661197 cites W4200601666 @default.
- W4384661197 cites W4236531408 @default.
- W4384661197 doi "https://doi.org/10.1093/eurheartj/ehad430" @default.
- W4384661197 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37464975" @default.
- W4384661197 hasPublicationYear "2023" @default.
- W4384661197 type Work @default.
- W4384661197 citedByCount "1" @default.
- W4384661197 countsByYear W43846611972023 @default.
- W4384661197 crossrefType "journal-article" @default.
- W4384661197 hasAuthorship W4384661197A5000128658 @default.
- W4384661197 hasAuthorship W4384661197A5006919751 @default.
- W4384661197 hasAuthorship W4384661197A5018963320 @default.
- W4384661197 hasAuthorship W4384661197A5024220356 @default.
- W4384661197 hasAuthorship W4384661197A5054703789 @default.
- W4384661197 hasAuthorship W4384661197A5089120659 @default.
- W4384661197 hasAuthorship W4384661197A5091110843 @default.
- W4384661197 hasConcept C119060515 @default.
- W4384661197 hasConcept C126322002 @default.
- W4384661197 hasConcept C141071460 @default.
- W4384661197 hasConcept C164705383 @default.
- W4384661197 hasConcept C167135981 @default.
- W4384661197 hasConcept C207103383 @default.
- W4384661197 hasConcept C2779464278 @default.
- W4384661197 hasConcept C2780400711 @default.
- W4384661197 hasConcept C2780739214 @default.
- W4384661197 hasConcept C2908647359 @default.
- W4384661197 hasConcept C44249647 @default.
- W4384661197 hasConcept C45393284 @default.
- W4384661197 hasConcept C500558357 @default.
- W4384661197 hasConcept C71924100 @default.
- W4384661197 hasConcept C99454951 @default.
- W4384661197 hasConceptScore W4384661197C119060515 @default.
- W4384661197 hasConceptScore W4384661197C126322002 @default.
- W4384661197 hasConceptScore W4384661197C141071460 @default.
- W4384661197 hasConceptScore W4384661197C164705383 @default.
- W4384661197 hasConceptScore W4384661197C167135981 @default.
- W4384661197 hasConceptScore W4384661197C207103383 @default.
- W4384661197 hasConceptScore W4384661197C2779464278 @default.
- W4384661197 hasConceptScore W4384661197C2780400711 @default.
- W4384661197 hasConceptScore W4384661197C2780739214 @default.
- W4384661197 hasConceptScore W4384661197C2908647359 @default.
- W4384661197 hasConceptScore W4384661197C44249647 @default.
- W4384661197 hasConceptScore W4384661197C45393284 @default.
- W4384661197 hasConceptScore W4384661197C500558357 @default.
- W4384661197 hasConceptScore W4384661197C71924100 @default.
- W4384661197 hasConceptScore W4384661197C99454951 @default.
- W4384661197 hasFunder F4320307766 @default.
- W4384661197 hasFunder F4320337338 @default.
- W4384661197 hasLocation W43846611971 @default.
- W4384661197 hasLocation W43846611972 @default.
- W4384661197 hasOpenAccess W4384661197 @default.
- W4384661197 hasPrimaryLocation W43846611971 @default.
- W4384661197 hasRelatedWork W2030705936 @default.
- W4384661197 hasRelatedWork W2163807027 @default.
- W4384661197 hasRelatedWork W2324456060 @default.