ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016
Understanding the economic impact of intravascular ultrasound (IVUS).
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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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.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The mid-term effect of intravascular ultrasound on endovascular interventions for lower extremity peripheral arterial disease: A systematic review and meta-analysis.Journal of vascular surgery · 2024Pooled it
- Role of Intravascular Ultrasound in Pulmonary Embolism Patients Undergoing Mechanical Thrombectomy: A Systematic Review.Tomography (Ann Arbor, Mich.) · 2023Pooled it
- Intravascular Ultrasound Imaging-Guided Versus Coronary Angiography-Guided Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2020Pooled it
- Intracoronary imaging in percutaneous coronary intervention: why, when, how and which from large, randomized trials.Nature reviews. Cardiology · 2026Review
- Economic Evaluations of Intravascular Imaging Guidance for Percutaneous Coronary Interventions: A Scoping Review.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Review
- Functional Materials for ICE and IVUS Piezoelectric Transducers: A Review.Sensors (Basel, Switzerland) · 2026Review
- The UK Intracoronary Imaging Survey: Evaluation of Perceptions, Barriers, Education and Training.Interventional cardiology (London, England) · 2026Article
- Intravascular Ultrasound Guidance During Peripheral Vascular Interventions: Long-term Clinical Outcomes and Costs From the Japanese Perspective.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2025Observational
- CVIT 2025 clinical expert consensus document on intravascular ultrasound.Cardiovascular intervention and therapeutics · 2025Review
- Microcosting analysis of percutaneous coronary intervention with and without intracoronary imaging in an Irish tertiary referral centre.Open heart · 2025Article
- The use of intravascular ultrasound during percutaneous coronary intervention does not reduce all cause in-hospital mortality but doubles the cost, with higher utilization in privately insured patients.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024Article
- Innovations in Intracoronary Imaging: Present Clinical Practices and Future Outlooks.Journal of clinical medicine · 2024Review
- Intravascular Imaging-Guided Versus Coronary Angiography-Guided Complex PCI: A Meta-analysis of Randomized Controlled Trials.Cardiology and therapy · 2024Article
- Role of intravascular ultrasound and optical coherence tomography in intracoronary imaging for coronary artery disease: a systematic review.Journal of geriatric cardiology : JGC · 2024Article
- CVIT 2023 clinical expert consensus document on intravascular ultrasound.Cardiovascular intervention and therapeutics · 2024Review
- Intravascular imaging during percutaneous coronary intervention: temporal trends and clinical outcomes in the USA.European heart journal · 2023Article
- Accuracy of IVUS-Based Machine Learning Segmentation Assessment of Coronary Artery Dimensions and Balloon Sizing.JACC. Advances · 2023Article
- Intracoronary Imaging: Current Practice and Future Perspectives.Reviews in cardiovascular medicine · 2023Review
- Optical coherence tomography in coronary atherosclerosis assessment and intervention.Nature reviews. Cardiology · 2022Review
- Imaging in Percutaneous Coronary Intervention.Reviews in cardiovascular medicine · 2022Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo examine the cost-effectiveness of intravascular ultrasound (IVUS) use during percutaneous coronary intervention (PCI) with drug-eluting stents (DES) in treating coronary artery disease (CAD). METHODS AND
resultsA Markov model was constructed with a lifetime horizon to compare costs and health outcomes between IVUS-guided PCI and PCI guided solely by angiography from an Italian healthcare payer perspective. The population examined included CAD patients undergoing PCI with DES. From a healthcare payer perspective, the resulting incremental cost-effectiveness ratio (ICER) per quality-adjusted life-year was negative in the base-case scenario (i.e., IVUS benefit assumed to persist beyond the first year). When IVUS benefit was assumed to be limited to the first year, the ICER increased to €9,624. This conclusion remained consistent even when scenarios varied regarding the duration of the device's effect. Furthermore, benefits of using IVUS were greater for patients with acute coronary syndrome, renal insufficiency, and diabetes.
conclusionsUsing IVUS with angiography is a dominant strategy in Italy, and results demonstrate that it is desirable to target those at a greater risk of restenosis (i.e., patients with diabetes, chronic kidney disease, and acute coronary syndrome), who tend to benefit more from accurate stent implantation. Further information is necessary regarding the long-term benefits of IVUS, however sensitivity analysis presented in this research demonstrates a strong argument supporting the cost-effectiveness of IVUS.
Indexed as
Identifiers
25669755What OpenQuestion holds
Registered trials
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 OpenQuestion graph.