Frequency and prognostic impact of intravascular imaging-guided urgent percutaneous coronary intervention in patients with acute myocardial infarction: results from J-MINUET

The J-MINUET investigators

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Previous studies have demonstrated that use of intravascular ultrasound (IVUS) during percutaneous coronary intervention (PCI) was associated with lower incidence of death, myocardial infarction, and target vessel revascularization. Recently, optical coherence tomography (OCT) has emerged as an alternative intravascular imaging device with better resolution. The aim of this study was to investigate frequency and prognostic impact of IVUS or OCT-guided PCI during urgent revascularization for acute myocardial infarction diagnosed by the universal definition. A total of 2788 patients who underwent urgent PCI were selected from a multicenter, Japanese registry of acute myocardial infarction diagnosed by universal definition (J-MINUET). Frequency, clinical characteristics and prognostic impact of the IVUS-, or OCT- guided PCI were investigated. Clinical endpoint was in-hospital death. Angiography-, IVUS-, and OCT-guided urgent PCI were performed in 689 (24.7%), 1947 (69.8%), and 152 (5.5%) patients. In-hospital death in each group was 10.4%, 5.1%, and 3.3%, respectively (P < 0.01). By univariate and multivariate logistic regression analysis, IVUS-guided PCI (vs. angiography-guided PCI, OR 0.49, 95% CI 0.30–0.81, P = 0.006) was a significant independent predictor of in-hospital death. Intravascular imaging guided-PCI was frequently adopted during urgent PCI for acute myocardial infarction diagnosed by universal definition and was associated with better in-hospital survival.

Original languageEnglish
Pages (from-to)564-571
Number of pages8
JournalHeart and Vessels
Volume34
Issue number4
DOIs
Publication statusPublished - 15-04-2019

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Percutaneous Coronary Intervention
Myocardial Infarction
Optical Coherence Tomography
Angiography
Registries
Logistic Models
Regression Analysis
Equipment and Supplies
Survival
Incidence

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

@article{9fcca449cb334465aa76ef48cd067803,
title = "Frequency and prognostic impact of intravascular imaging-guided urgent percutaneous coronary intervention in patients with acute myocardial infarction: results from J-MINUET",
abstract = "Previous studies have demonstrated that use of intravascular ultrasound (IVUS) during percutaneous coronary intervention (PCI) was associated with lower incidence of death, myocardial infarction, and target vessel revascularization. Recently, optical coherence tomography (OCT) has emerged as an alternative intravascular imaging device with better resolution. The aim of this study was to investigate frequency and prognostic impact of IVUS or OCT-guided PCI during urgent revascularization for acute myocardial infarction diagnosed by the universal definition. A total of 2788 patients who underwent urgent PCI were selected from a multicenter, Japanese registry of acute myocardial infarction diagnosed by universal definition (J-MINUET). Frequency, clinical characteristics and prognostic impact of the IVUS-, or OCT- guided PCI were investigated. Clinical endpoint was in-hospital death. Angiography-, IVUS-, and OCT-guided urgent PCI were performed in 689 (24.7{\%}), 1947 (69.8{\%}), and 152 (5.5{\%}) patients. In-hospital death in each group was 10.4{\%}, 5.1{\%}, and 3.3{\%}, respectively (P < 0.01). By univariate and multivariate logistic regression analysis, IVUS-guided PCI (vs. angiography-guided PCI, OR 0.49, 95{\%} CI 0.30–0.81, P = 0.006) was a significant independent predictor of in-hospital death. Intravascular imaging guided-PCI was frequently adopted during urgent PCI for acute myocardial infarction diagnosed by universal definition and was associated with better in-hospital survival.",
author = "{The J-MINUET investigators} and Hiroyuki Okura and Yoshihiko Saito and Tsunenari Soeda and Koichi Nakao and Yukio Ozaki and Kazuo Kimura and Junya Ako and Teruo Noguchi and Satoshi Yasuda and Satoru Suwa and Kazuteru Fujimoto and Yasuharu Nakama and Takashi Morita and Wataru Shimizu and Atsushi Hirohata and Yasuhiro Morita and Teruo Inoue and Atsunori Okamura and Masaaki Uematsu and Kazuhito Hirata and Kengo Tanabe and Yoshisato Shibata and Mafumi Owa and Kenichi Tsujita and Kunihiro Nishimura and Yoshihiro Miyamoto and Masaharu Ishihara and Ogawa Hisao and Nobuaki Kokubu and Tadaya Sato and Shigeru Oshima and Hiroshi Funayama and Ken Kozuma and Hiroyuki Kyono and Tetsuya Tobaru and Masashi Fujino and Junichi Kotani and Hiroyuki Okura and Keijiro Saku and Seiji Hokimoto and Koichi and Michikazu Nakai",
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Frequency and prognostic impact of intravascular imaging-guided urgent percutaneous coronary intervention in patients with acute myocardial infarction : results from J-MINUET. / The J-MINUET investigators.

In: Heart and Vessels, Vol. 34, No. 4, 15.04.2019, p. 564-571.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Frequency and prognostic impact of intravascular imaging-guided urgent percutaneous coronary intervention in patients with acute myocardial infarction

T2 - results from J-MINUET

AU - The J-MINUET investigators

AU - Okura, Hiroyuki

AU - Saito, Yoshihiko

AU - Soeda, Tsunenari

AU - Nakao, Koichi

AU - Ozaki, Yukio

AU - Kimura, Kazuo

AU - Ako, Junya

AU - Noguchi, Teruo

AU - Yasuda, Satoshi

AU - Suwa, Satoru

AU - Fujimoto, Kazuteru

AU - Nakama, Yasuharu

AU - Morita, Takashi

AU - Shimizu, Wataru

AU - Hirohata, Atsushi

AU - Morita, Yasuhiro

AU - Inoue, Teruo

AU - Okamura, Atsunori

AU - Uematsu, Masaaki

AU - Hirata, Kazuhito

AU - Tanabe, Kengo

AU - Shibata, Yoshisato

AU - Owa, Mafumi

AU - Tsujita, Kenichi

AU - Nishimura, Kunihiro

AU - Miyamoto, Yoshihiro

AU - Ishihara, Masaharu

AU - Hisao, Ogawa

AU - Kokubu, Nobuaki

AU - Sato, Tadaya

AU - Oshima, Shigeru

AU - Funayama, Hiroshi

AU - Kozuma, Ken

AU - Kyono, Hiroyuki

AU - Tobaru, Tetsuya

AU - Fujino, Masashi

AU - Kotani, Junichi

AU - Okura, Hiroyuki

AU - Saku, Keijiro

AU - Hokimoto, Seiji

AU - Koichi,

AU - Nakai, Michikazu

PY - 2019/4/15

Y1 - 2019/4/15

N2 - Previous studies have demonstrated that use of intravascular ultrasound (IVUS) during percutaneous coronary intervention (PCI) was associated with lower incidence of death, myocardial infarction, and target vessel revascularization. Recently, optical coherence tomography (OCT) has emerged as an alternative intravascular imaging device with better resolution. The aim of this study was to investigate frequency and prognostic impact of IVUS or OCT-guided PCI during urgent revascularization for acute myocardial infarction diagnosed by the universal definition. A total of 2788 patients who underwent urgent PCI were selected from a multicenter, Japanese registry of acute myocardial infarction diagnosed by universal definition (J-MINUET). Frequency, clinical characteristics and prognostic impact of the IVUS-, or OCT- guided PCI were investigated. Clinical endpoint was in-hospital death. Angiography-, IVUS-, and OCT-guided urgent PCI were performed in 689 (24.7%), 1947 (69.8%), and 152 (5.5%) patients. In-hospital death in each group was 10.4%, 5.1%, and 3.3%, respectively (P < 0.01). By univariate and multivariate logistic regression analysis, IVUS-guided PCI (vs. angiography-guided PCI, OR 0.49, 95% CI 0.30–0.81, P = 0.006) was a significant independent predictor of in-hospital death. Intravascular imaging guided-PCI was frequently adopted during urgent PCI for acute myocardial infarction diagnosed by universal definition and was associated with better in-hospital survival.

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