Comparison of six-month follow-up results of primary percutaneous coronary intervention guided by optical coherence tomography or coronary angiography.
10.3760/cma.j.cn112148-20190722-00419
- Author:
Peng ZHOU
1
;
Chen LIU
;
Yu TAN
;
Zhao Xue SHENG
;
Jian Nan LI
;
Jin Ying ZHOU
;
Run Zhen CHEN
;
Han Jun ZHAO
;
Li SONG
;
Hong Bing YAN
Author Information
1. Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100037, China.
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Optical coherence tomography;
Percutaneous coronary intervention;
Prognosis
- MeSH:
Coronary Angiography;
Follow-Up Studies;
Humans;
Percutaneous Coronary Intervention;
Tomography, Optical Coherence;
Treatment Outcome
- From:
Chinese Journal of Cardiology
2020;48(3):217-222
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the 6-month follow-up results of primary percutaneous coronary intervention (PPCI) guided by optical coherence tomography (OCT) or coronary angiography (CAG) alone in a larger ST-segment elevation myocardial infarction (STEMI) cohort. Methods: We enrolled 275 STEMI patients undergoing OCT-guided PPCI from March 2017 through December 2018. Two hundred and seventy-five propensity score matched STEMI patients undergoing CAG-guided PPCI served as control group. The 6-month clinical follow-up results were compared between the two groups. The demographic data, complications, coronary angiography and OCT characteristics were evaluated. Results: OCT evaluation showed that there were 151 patients (54.9%) with plaque prolapse and 113 patients (41.1%) with stent malposition. Proximal and/or distal dissection of stents occurred in 38 patients (13.8%), of which 3 patients (1.1%) had both proximal and distal dissection. Of the 38 patients, 2 patients received rescue stent implantation. Results of clinical follow-up at 6 months showed that there was no significant difference in cardiovascular death, repeat myocardial infarction, target vessel revascularization, stroke and hemorrhage endpoint events between OCT-guided PPCI patients and CAG-guided PPCI patients (P=0.682). Conclusion: Clinical events at 6 months are similar between OCT-guided PPCI and CAG-guided PPCI for STEMI patients.
