Impact and trends of intravascular imaging in diagnostic coronary angiography and percutaneous coronary intervention in inpatients in the United States

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Nathaniel R SmilowitzJames N Slater

Abstract

Intravascular imaging with intravascular ultrasound (IVUS) and optical coherence tomography (OCT) is an important adjunct to invasive coronary angiography. The primary objective was to examine the frequency of intravascular coronary imaging, trends in imaging use, and outcomes of patients undergoing angiography and/or percutaneous coronary intervention (PCI) in the United States. Adult patients ≥18 years of age undergoing in-hospital cardiac catheterization from January 2004 to December 2014 were identified from the National Inpatient Sample (NIS). International Classification of Diseases, Ninth Revision (ICD-9) diagnosis and procedure codes were used to identify IVUS and OCT use during diagnostic angiography and PCI. Among 3,211,872 hospitalizations with coronary angiography, intracoronary imaging was performed in 88,775 cases (4.8% of PCI and 1.0% of diagnostic procedures), with IVUS in 98.9% and OCT in 1.1% of cases. Among patients undergoing PCI, the rate of intravascular coronary imaging increased from 2.1% in 2004-2005 to 6.6% in 2013-2014 (P < 0.001 for trend). Use of intravascular coronary imaging was associated with lower in-hospital mortality in patients undergoing PCI (adjusted OR 0.77; 95% CI 0.71-0.83). There was m...Continue Reading

References

Mar 17, 2012·Journal of the American College of Cardiology·Guillermo J TearneyUNKNOWN International Working Group for Intravascular Optical Coherence Tomography (IWG-IVOCT)
Feb 18, 2014·Journal of the American College of Cardiology·Gary S Mintz
Nov 5, 2014·JAMA : the Journal of the American Medical Association·Thomas M MaddoxJohn S Rumsfeld
Nov 12, 2015·JAMA : the Journal of the American Medical Association·Sung-Jin HongUNKNOWN IVUS-XPL Investigators

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Citations

Feb 6, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Evan ShlofmitzNauman Khalid
Mar 5, 2019·Current Treatment Options in Cardiovascular Medicine·David W Allen, Prashant Kaul
Mar 9, 2019·Minerva cardioangiologica·Evan ShlofmitzHector M Garcia-Garcia
Nov 15, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Saraschandra VallabhajosyulaGregory W Barsness
Feb 14, 2020·Cardiovascular Intervention and Therapeutics·Takayoshi YamashitaUNKNOWN Kumamoto Intervention Conference Study (KICS) Investigators
Jun 17, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Judit Karacsonyi, Emmanouil S Brilakis
Jun 23, 2020·Journal of Interventional Cardiology·Udit ThakurAdam J Brown
Nov 26, 2020·Circulation. Cardiovascular Interventions·Evan ShlofmitzAllen Jeremias
Dec 3, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mohamad LazkaniPhilip Dattilo
Mar 21, 2021·International Journal of Cardiology·Takeshi NishiYasuhiro Honda
Aug 21, 2020·JACC. Cardiovascular Interventions·Amgad MentiasSaket Girotra
Nov 23, 2020·JACC. Cardiovascular Imaging·John A Ambrose, Kassra Poosti
Aug 10, 2021·The Canadian Journal of Cardiology·Michael G Nanna, W Schuyler Jones
Oct 10, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Michael MegalyEmmanouil S Brilakis
Feb 3, 2022·Current Atherosclerosis Reports·Karlis TrusinskisAndrejs Erglis

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