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July 21, 2025Frontiers in Cardiovascular MedicineOpen Access

Comparison of intravascular imaging, physiological assessment and angiography for coronary revascularization in acute coronary syndrome: a systematic review and network meta-analysis

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Authors

XLXuan-Yan LiuBYBin-Hua YeXWXian-Dan Wu

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Overview

Network meta-analysis shows that intravascular imaging reduces major adverse cardiovascular events in acute coronary syndrome patients, implying a shift in PCI techniques.

Key Points

  • Intravascular imaging and physiological assessment are more effective in reducing major adverse cardiovascular events after PCI compared to angiography.
  • IVUS and FFR-guided PCI show lower risk ratios (RR: 0.62) for MACE versus traditional angiography techniques.
  • The analysis included 28 randomized control trials involving over 18,000 patients to evaluate PCI outcomes.
  • Significant reductions in all-cause mortality were observed with QFR-guided PCI compared to angiography, highlighting its potential benefits.

Cite This Study

Liu et al. (2025) studied this question.

synapsesocial.com/papers/689a060ee6551bb0af8cd205https://doi.org/10.3389/fcvm.2025.1604050
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of percutaneous coronary intervention with different guidance modalities in patients with coronary artery lesions: a network meta-analysis and systematic review2025 · 1 citations
  2. 2Comparing Fractional Flow Reserve Versus Intravascular Ultrasound for Percutaneous Coronary Intervention Guidance: A Systematic Review and Meta-Analysis2025
  3. 3Comparison of prognosis between intravascular ultrasound-guided and angiography-guided percutaneous coronary intervention in patients with acute coronary syndrome2025
  4. 4The impact of intravascular imaging on percutaneous coronary intervention outcomes in acute myocardial infarction: a systematic review and meta-analysis2025
  5. 5Evaluating IVUS-guided PCI in acute myocardial infarction: a comparative meta-analysis with angiography guidance2025 · 6 citations