Evidence map›Paper›PMID 37736205›Full record

ArticleAsiaIntervention2023

Impact of real-time optical coherence tomography and angiographic coregistration on the percutaneous coronary intervention strategy.

Rony Mathew Kadavil, Jabir Abdullakutty, Tejas Patel, Sivakumar Rathnavel, Balbir Singh, Nagendra Singh Chouhan, Fazila Tun Nesa Malik, Shirish Hiremath, Sengottuvelu Gunasekaran, Samuel Mathew Kalarickal and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in AsiaIntervention, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 2 countries.

Rony Mathew KadavilLisie Heart Institute, Lisie Hospital, Ernakulum, India.
Jabir AbdullakuttyLisie Heart Institute, Lisie Hospital, Ernakulum, India.
Tejas PatelAPEX Heart Institute, Ahmedabad, India.
Sivakumar RathnavelDepartment of Cardiology, Meenakshi Mission Hospital and Research Centre, Madurai, India.
Balbir SinghDepartment of Interventional Cardiology, Medanta-Heart Institute, New Delhi, India.
Nagendra Singh Chouhan
Fazila Tun Nesa MalikDepartment of Cardiology, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh.
Shirish HiremathDepartment of Cardiology, Ruby Hall Clinic, Pune, India.
Sengottuvelu GunasekaranDepartment of Cardiology, Apollo Hospitals, Chennai, India.
Samuel Mathew KalarickalDepartment of Cardiology, Lilavati Hospital & Research Centre, Mumbai, India.
Viveka KumarDepartment of Cardiology, Max Super Speciality Hospital, Saket, India.
Vijayakumar SubbanIndian Cardiology Research Foundation Core Lab, Chennai, India.
Lourdes Hospital · INMedanta The Medicity · INApex Heart Institute · INApollo Hospitals · INIndia Diabetes Research Foundation · INLilavati Hospital & Research Centre · INMax Super Speciality Hospital · INMeenakshi Mission Hospital and Research Centre · INNational Heart Foundation Hospital & Research Institute · BDRuby Hall Clinic · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of optical coherence tomography (OCT) with angiographic coregistration (ACR) during percutaneous coronary intervention (PCI) for procedural decision-making is evolving; however, large-scale data in real-world practice are lacking. Aims: Our study aims to evaluate the real-time impact of OCT-ACR on clinician decision-making during PCI. Methods: Patients with angiographic diameter stenosis >70% in at least one native coronary artery were enrolled in the study. The pre- and post-PCI procedural strategies were prospectively assessed after angiography, OCT, and ACR. Results: A total of 500 patients were enrolled in the study between November 2018 and March 2020. Among these, data related to 472 patients with 483 lesions were considered for analysis. Preprocedural OCT resulted in a change in PCI strategy in 80% of lesions: lesion preparation (25%), stent length (53%), stent diameter (36%), and device landing zone (61%). ACR additionally impacted the treatment strategy in 34% of lesions. Postprocedural OCT demonstrated underexpansion (15%), malapposition (14%), and tissue/thrombus prolapse (7%), thereby requiring further interventions in 30% of lesions. No further change in strategy was observed with subsequent postprocedural ACR. Angiographic and procedural success was achieved in 100% of patients, and the overall incidence of major adverse cardiovascular events at 1 year was 0.85%. Conclusions: The outcomes reflect the real-time impact of OCT-ACR on the overall procedural strategy in patients undergoing PCI. ACR had a significant impact on the treatment strategy and was associated with better clinical outcomes at 1 year after index PCI. OCT-ACR has become a practical tool for improving outcomes in patients with complex lesions.

Identifiers

PMID37736205
PMCPMC10507610
OpenAlexW4386874333

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.