Mintz Gary S, Bourantas Christos V, Chamié Daniel
Cardiovascular Research Foundation, New York, New York.
Department, of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.
J Soc Cardiovasc Angiogr Interv. 2022 Aug 5;1(6):100413. doi: 10.1016/j.jscai.2022.100413. eCollection 2022 Nov-Dec.
As of this writing, there have been approximately 24 randomized controlled trial publications, 32 meta-analyses, and 85 registries comparing intravascular ultrasound (IVUS) or optical coherence tomography (OCT) versus angiography-guided drug-eluting stent implantation (or IVUS versus OCT guidance). Although in specific clinical scenarios IVUS or OCT may be preferred, in most drug-eluting stent implantation procedures, either intravascular ultrasound or OCT can be used safely, efficiently, effectively, and interchangeably and will improve patient outcomes compared with stent implantation procedures performed just with angiography guidance.
在撰写本文时，已有约24篇随机对照试验出版物、32篇荟萃分析以及85个登记处比较了血管内超声（IVUS）或光学相干断层扫描（OCT）与血管造影引导下药物洗脱支架植入术（或IVUS与OCT引导）。尽管在特定临床场景中可能更倾向于使用IVUS或OCT，但在大多数药物洗脱支架植入手术中，血管内超声或OCT均可安全、高效、有效地使用且可互换使用，与仅在血管造影引导下进行的支架植入手术相比，这将改善患者预后。
