Mintz Gary S
Cardiovascular Research Foundation, 1700 Broadway, 9th floor, New York, NY, 10019, USA.
Cardiovasc Interv Ther. 2020 Jan;35(1):37-43. doi: 10.1007/s12928-019-00616-7. Epub 2019 Sep 4.
Individual studies IVUS vs angiography-guided DES implantation studies, whether randomized clinical trials or registries are underpowered, to show a reduction in mortality, especially at 1 year of follow-up. However, either meta-analyses or the few studies with long-term (> 5 year) follow-up showed that IVUS guidance reduced mortality and improved patient survival, even with second-generation DES.
关于血管内超声(IVUS)与血管造影引导下药物洗脱支架(DES)植入术的个体研究,无论是随机临床试验还是注册研究,其样本量都不足以显示死亡率的降低,尤其是在1年随访时。然而,荟萃分析或少数长期(>5年)随访研究表明,即使使用第二代DES,IVUS引导也能降低死亡率并改善患者生存率。