Real-world use of intravascular ultrasound in Japan: a report from contemporary multicenter PCI registry

• Published in: Heart and vessels 2019-11, Vol.34 (11), p.1728-1739
• Main Authors: Kuno, Toshiki, Numasawa, Yohei, Sawano, Mitsuaki, Abe, Takayuki, Ueda, Ikuko, Kodaira, Masaki, Suzuki, Masahiro, Noma, Shigetaka, Nakamura, Iwao, Negishi, Koji, Ishikawa, Shiro, Fukuda, Keiichi, Kohsaka, Shun
• Format: Article
• Language: English
• Subjects: Aged; Angioplasty; Balloon treatment; Biomedical Engineering and Bioengineering; Cardiac Surgery; Cardiology; Complications; Confidence intervals; Coronary Artery Disease - diagnosis; Coronary Artery Disease - surgery; Coronary Vessels - diagnostic imaging; Coronary Vessels - surgery; Dissection; Female; Follow-Up Studies; Humans; Implants; Japan; Lumens; Male; Matching; Medicine; Medicine & Public Health; Middle Aged; Original Article; Percutaneous Coronary Intervention - methods; Prospective Studies; Registries; Regression analysis; Risk management; Risk reduction; Statistical analysis; Stents; Subgroups; Surgery, Computer-Assisted - methods; Surgical implants; Ultrasonic imaging; Ultrasonography, Interventional - methods; Ultrasound; Vascular Surgery
• ISSN: 0910-8327; 1615-2573
• DOI: 10.1007/s00380-019-01427-9

Clinical trial data suggest that intravascular ultrasound (IVUS) may improve clinical outcomes after PCI. The aim of this study was to investigate the safety of IVUS in its broader use for percutaneous coronary intervention (PCI). A total of 11,570 consecutive patients undergoing PCI between 2008 and 2014 in Japan were analyzed. Associations between IVUS use, PCI-related complications were assessed with logistic regression and propensity score matching analyses. Subgroup analysis was performed in elective PCI patients. IVUS was used in 84.8% of patients ( N  = 9814; IVUS group); its use was almost universal in elective PCIs (90.8 vs. 81.7% in urgent/emergent PCIs, P