Observational studyCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025
Comparison of Procedural and Clinical Outcomes of Angiography- Versus Imaging-Guided Percutaneous Coronary Intervention With Intravascular Lithotripsy.
Observational study in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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
2 citing papers in PubMed.
- Efficacy and safety of the SoniCracker intravascular lithotripsy device for severely calcified coronary lesions: the LEAD-FIM study from China.BMC cardiovascular disorders · 2025Trial
- First-in-Center Experience with a Novel Intravascular Lithotripsy System: The Shunmei ShockFast™ Intravascular Lithotripsy System Device for the Treatment of Severe Calcified Coronary De Novo Lesions.Life (Basel, Switzerland) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
backgroundIntravascular lithotripsy (IVL) is an innovative treatment for coronary artery calcification (CAC).
aimsThis study aimed to compare procedural and clinical outcomes of intracoronary imaging (ICI)-guided percutaneous coronary intervention (PCI) versus angiography-guided PCI with IVL in patients with CAC.
methodsA total of 509 patients were analyzed from the BENELUX-IVL registry (May 2019 to September 2024). Angiography-guided PCI with IVL was defined as therapy under solely fluoroscopic guidance. ICI-guided PCI with IVL was defined as PCI with IVL and concomitant use of ICI for procedural guidance either pre- and/or post-IVL. The primary endpoint was procedural success, defined as Thrombolysis In Myocardial Infarction (TIMI) 3 flow, residual stenosis < 30%, and absence of in-hospital major adverse cardiovascular events (MACE). Safety endpoints included procedural complications and MACE up to 2-year follow-up.
resultsA total of 537 lesions were treated with IVL: 252 (46.9%) angiography-guided and 285 (53.1%) ICI-guided. The ICI-guided group had more complex lesions, with higher rates of aorto-ostial (20.2% vs. 30.9%; p = 0.005), chronic total occlusions (2.8% vs. 12.3%; p = 0.001), and long-segment lesions (58.7% vs. 69.5%; p = 0.009). Procedural success rates were comparable between groups (88.7% vs. 89.7%; p = 0.71), as were device success (97.9% vs. 97.4%; p = 0.72) and technical success (89.1% vs. 91.5%; p = 0.35). MACE rates remained similar at all time points up to 2-year follow-up (p > 0.05).
conclusionProcedural success was comparable between angiography-guided and ICI-guided PCI with IVL, despite greater lesion complexity in the ICI-guided group. Complication rates were similar, with no significant differences in MACE or mortality at long-term follow-up.
Indexed as
Identifiers
What 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.