Evidence map›Paper›PMID 42007182›Full record

ArticleCJC open2026

Use of Intravascular Imaging to Guide Percutaneous Coronary Interventions: Experience from a Single, High-Volume Canadian Centre.

Mehdi Madanchi, Natalia Pinilla-Echeverri, Shamir R Mehta, Jon-David Schwalm, Nicholas Valettas, James L Velianou, Micheal B Tsang, Madhu K Natarajan, Sanjit S Jolly, Tej Sheth and 1 more

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In one paragraph

Article in CJC open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Mehdi MadanchiPopulation Health Research Institute, Hamilton, Ontario, Canada.
Natalia Pinilla-EcheverriPopulation Health Research Institute, Hamilton, Ontario, Canada.
Shamir R MehtaPopulation Health Research Institute, Hamilton, Ontario, Canada.
Jon-David SchwalmPopulation Health Research Institute, Hamilton, Ontario, Canada.
Nicholas ValettasMcMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
James L VelianouMcMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Micheal B TsangMcMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Madhu K NatarajanPopulation Health Research Institute, Hamilton, Ontario, Canada.
Sanjit S JollyPopulation Health Research Institute, Hamilton, Ontario, Canada.
Tej ShethPopulation Health Research Institute, Hamilton, Ontario, Canada.
Matthew SibbaldMcMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intravascular imaging (IVI) improves outcomes in complex percutaneous coronary intervention (PCI) and is recommended by the latest guidelines. However, data about its real-world application remain limited. Methods: We conducted a retrospective audit of 300 consecutive PCI cases. Lesions were classified as complex if they involved > 1 of the following characteristics: bifurcation, severe calcifications, chronic total occlusion, long lesions, ostial location, and involvement of the left main artery. IVI use was analyzed by lesion subtype and individual operator. Results: Of 300 consecutive PCI cases, 146 (49%) were classified as complex PCI. IVI was used in 53% of complex PCIs and 23% of noncomplex PCIs. Among patients undergoing complex PCI, IVI was most frequently performed in chronic total occlusions (86%) and left main disease (76%), but its use remained below 50% for bifurcations, severe calcified lesions, and long lesions. IVI-guided PCI was associated with higher contrast use (215 ± 78 vs 179 ± 65 mL, Conclusions: Despite current evidence and guideline recommendations, IVI use showed notable variation across operators. Standardizing IVI utilization through education, protocols, and system-level support are essential to promoting guideline-concordant practice.

Indexed as

coronary artery diseaseintravascular imagingpercutaneous coronary intervention

Identifiers

PMID42007182
PMCPMC13084246

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.