Evidence map›Paper›PMID 39886189›Full record

ArticleJACC. Asia2025

The Effect of Intravascular Imaging-Guided Percutaneous Coronary Intervention on Coronary Artery Perforation.

Yuichi Sawayama, Kenta Sasaki, Narumi Taninobu, Akihiro Ikuta, Kohei Osakada, Shunsuke Kubo, Takeshi Tada, Yasushi Fuku, Hiroyuki Tanaka, Yoshihisa Nakagawa and 1 more

Abstract read
In one paragraph

Article in JACC. Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
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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

11 authors.

Yuichi SawayamaDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Kenta SasakiDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Narumi TaninobuDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Akihiro IkutaDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Kohei OsakadaDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Shunsuke KuboDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Takeshi TadaDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Yasushi FukuDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Hiroyuki TanakaDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Yoshihisa NakagawaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Otsu, Japan.
Kazushige KadotaDepartment of Cardiovascular Medicine, Kurashiki Central Hospital, Kurashiki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intravascular imaging (IVI) complements coronary angiography and may help prevent coronary artery perforation (CAP) during percutaneous coronary intervention (PCI). Objectives: The authors evaluated whether IVI-guided PCI is associated with a lower risk of PCI-related CAP in a real-world cohort. Methods: This observational study analyzed consecutive PCI procedures from January 2006 to October 2023. The procedures were divided into 4 groups according to the year performed: 2006 to 2010 (P1), 2011 to 2015 (P2), 2016 to 2020 (P3), and 2021 to 2023 (P4). We evaluated the trend of IVI-guided PCI and the incidence of CAP. A mixed effects logistic model was employed to assess their relationship. Results: CAP occurred in 368 (1.6%) of 22,368 PCIs. IVI-guided PCI accounted for 63% of all cases, of which 95% were intravascular ultrasound procedures. From P1 to P3, the ratio of IVI-guided PCI increased linearly (P1: 30%, P2: 61%, P3: 93%, P4: 97%), while the incidence of CAP decreased (P1: 2.10%, P2: 1.74%, P3: 1.13%, P4: 1.18%). IVI-guided PCI showed a significant association with a lower risk of the overall incidence of CAP (adjusted OR: 0.78; 95% CI: 0.61-0.99; Conclusions: IVI-guided PCI may help prevent PCI-related CAP, especially in the setting of chronic total occlusion PCI and PCI for moderate or severe calcification.

Indexed as

coronary artery perforationintravascular imagingpercutaneous coronary intervention

Identifiers

PMID39886189
PMCPMC11775771

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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.