Evidence map›Paper›PMID 31129872›Full record

ArticleHeart and vessels2019

Real-world use of intravascular ultrasound in Japan: a report from contemporary multicenter PCI registry.

Toshiki Kuno, Yohei Numasawa, Mitsuaki Sawano, Takayuki Abe, Ikuko Ueda, Masaki Kodaira, Masahiro Suzuki, Shigetaka Noma, Iwao Nakamura, Koji Negishi and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Cost-Utility Analysis of Different Treatment Modalities in Patients Undergoing Percutaneous Coronary Intervention: Thai PCI Registry.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  10. Review
  11. Factors Contributing to Low Utilization of Intracoronary Imaging in Clinical Practice: A White Paper.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Review
  12. Application and Outcomes of Coronary Atherectomy in Acute Coronary Syndrome: A Report From the J-PCI Registry.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  13. Article
  14. Article
  15. Intracoronary Imaging: Blind to Color and Sex but Not Income or Insurance.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

13 authors at 9 institutions in 2 countries.

Toshiki KunoDepartment of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan. Toshiki.Kuno@mountsinai.org.ORCID http://orcid.org/0000-0002-2487-8366
Yohei NumasawaDepartment of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan.
Mitsuaki SawanoDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Takayuki AbeDepartment of Preventive Medicine and Public Health, Biostatistics At Center for Clinical Research, Keio University School of Medicine, Tokyo, Japan.
Ikuko UedaKeio University Hospital Clinical and Translational Research Center, Tokyo, Japan.
Masaki KodairaDepartment of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan.
Masahiro SuzukiDepartment of Cardiology, National Hospital Organization Saitama Hospital, Wako, Japan.
Shigetaka NomaDepartment of Cardiology, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan.
Iwao NakamuraDepartment of Cardiology, Hino City Hospital, Hino, Japan.
Koji NegishiDepartment of Cardiology, Yokohama Municipal Citizens' Hospital, Yokohama, Japan.
Shiro IshikawaDepartment of Cardiology, Saitama City Hospital, Saitama, Japan.
Keiichi FukudaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Shun KohsakaDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Keio University · JPAshikaga Red Cross Hospital · JPKeio University Hospital · JPMount Sinai Beth Israel · USNagano Municipal Hospital · JPNational Hospital Organization · JPSaiseikai Utsunomiya hospital · JPSaitama Municipal Hospital · JPYokohama Municipal Citizen's Hospital · JP

Funding

Kakenhi 16H05215Kakenhi 16KK0186Kakenhi 25460777Kakenhi No. 25460630
6 · The paper itself

Abstract

Clinical trial data suggest that intravascular ultrasound (IVUS) may improve clinical outcomes after PCI. The aim of this study was to investigate the safety of IVUS in its broader use for percutaneous coronary intervention (PCI). A total of 11,570 consecutive patients undergoing PCI between 2008 and 2014 in Japan were analyzed. Associations between IVUS use, PCI-related complications were assessed with logistic regression and propensity score matching analyses. Subgroup analysis was performed in elective PCI patients. IVUS was used in 84.8% of patients (N = 9814; IVUS group); its use was almost universal in elective PCIs (90.8 vs. 81.7% in urgent/emergent PCIs, P < 0.001). The non-IVUS group were older (68.7 ± 11.4 vs. 67.9 ± 10.8 years, P = 0.004), with more comorbid conditions. The non-IVUS group had smaller stent lumens (2.97 ± 0.42 mm vs. 3.09 ± 0.45 mm, P < 0.001) and a higher proportion of plain old balloon angioplasty. After matching, a lower rate of flow-impairing coronary dissections was observed in the IVUS group, although this was limited only to elective PCIs, not among urgent/emergent PCIs (non-IVUS vs. IVUS; 2.7% vs. 1.0%, P = 0.018, 0.7% vs. 1.2%, P = 0.32, respectively). With a multivariate logistic regression analysis, IVUS use remained an independent predictor to reduce risk of flow impairing severe coronary dissection among elective PCIs (odds ratio 0.38, 95% confidence interval 0.22-0.66: P = 0.001). In this Japanese PCI registry, IVUS was used extensively during the study period, particularly in elective cases. Using IVUS was associated with a lower event rate of flow-impairing coronary dissections that was limited to elective PCIs, not among urgent/emergent PCIs, without increasing PCI-related complications.

Indexed as

RegistriesAgedCoronary Artery DiseaseCoronary VesselsFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedPercutaneous Coronary InterventionProspective StudiesSurgery, Computer-AssistedUltrasonography, InterventionalCoronary dissectionFluoroscopy timeIntravascular ultrasoundPercutaneous coronary intervention

Identifiers

PMID31129872
OpenAlexW2945613694

What OpenQuestion 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 OpenQuestion graph.