Outcomes of Optical Coherence Tomography Compared with Intravascular Ultrasound to Guide Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis of Randomized Control Trials
DOI:
10.29303/jppipa.v9i9.4870Published:
2023-09-25Issue:
Vol. 9 No. 9 (2023): SeptemberKeywords:
Intravascular ultrasound, Optical coherence tomography, Percutaneous coronary interventionReview
Downloads
How to Cite
Downloads
Metrics
Abstract
In the recent years, the alternative intravascular imaging modalities that are most frequently employed to direct and optimize PCI have been intravascular ultrasound (IVUS) and optical coherence tomography (OCT). The comparative effectiveness of OCT-guided vs IVUS-guided PCI is still up for debate. The purpose of this study was to conduct a systematic review and meta-analysis of all available studies comparing OCT-guided versus intravascular ultrasound (IVUS)-guided PCI. Electronic journals searching were performed in PubMed, ScienceDirect, and Cochrane from January 2015 to March 2023 to identify randomized control trial (RCT) studies that compare OCTâ€guided PCI to IVUSâ€guided PCI. Meta-analyses were performed on included studies and Odds ratio (OR) and 95% Confidence Interval (CI) were estimated using Review Manager v5.4. A total of four RCT enrolling 1316 participants were included in our analysis. There is no statistical significance was observed in the OCT versus IVUS comparison on all cause mortality [OR = 1.75, 95% CI (0.52, 5.88), p = 0.37], cardiovascular mortality [OR = 1.40, 95% CI (0.27, 7.11), p = 0.69], MACE [OR = 1.04, 95% CI (0.63, 1.71), p = 0.88], ST [OR = 0.94, 95% CI (0.16, 5.52), p = 0.95], TLR [OR = 0.77, 95% CI (0.39, 1.50), p = 0.44], and TVR [OR = 1.19, 95% CI (0.68, 2.07), p = 0.54].
References
Ali, Z. A., Galougahi, K. K., Maehara, A., Shlofmitz, R. A., Fabbiocchi, F., Guagliumi, G., Alfonso, F., Akasaka, T., Matsumura, M., Mintz, G. S., Ben-Yehuda, O., Zhang, Z., Rapoza, R. J., West, N. E. J., & Stone, G. W. (2021). Outcomes of optical coherence tomography compared with intravascular ultrasound and with angiography to guide coronary stent implantation: One-year results from the ILUMIEN III: OPTIMIZE PCI trial. EuroIntervention, 16(13), 1085–1091. https://doi.org/10.4244/EIJ-D-20-00498
Bavishi, C., Sardar, P., Chatterjee, S., Khan, A. R., Shah, A., Ather, S., Lemos, P. A., Moreno, P., & Stone, G. W. (2017). Intravascular ultrasound–guided vs angiography-guided drug-eluting stent implantation in complex coronary lesions: Meta-analysis of randomized trials. American Heart Journal, 185, 26–34. https://doi.org/10.1016/j.ahj.2016.10.008
Braaf, B., Gräfe, M. G. O., Uribe-Patarroyo, N., Bouma, B. E., Vakoc, B. J., de Boer, J. F., Donner, S., & Weichsel, J. (2019). OCT-Based Velocimetry for Blood Flow Quantification. In High Resolution Imaging in Microscopy and Ophthalmology: New Frontiers in Biomedical Optics. https://doi.org/10.1007/9783030166380_7
Chamié, D., Costa, J. R., Damiani, L. P., Siqueira, D., Braga, S., Costa, R., Seligman, H., Brito, F., Barreto, G., Staico, R., Feres, F., Petraco, R., & Abizaid, A. (2021). Optical Coherence Tomography Versus Intravascular Ultrasound and Angiography to Guide Percutaneous Coronary Interventions: The iSIGHT Randomized Trial. Circulation: Cardiovascular Interventions, 14(3), E009452. https://doi.org/10.1161/CIRCINTERVENTIONS.120.009452
Darmoch, F., Alraies, M. C., Al-Khadra, Y., Pacha, H. M., Pinto, D. S., & Osborn, E. A. (2020). Intravascular ultrasound imaging–guided versus coronary angiography–guided percutaneous coronary intervention: A systematic review and meta-analysis. Journal of the American Heart Association, 9(5). https://doi.org/10.1161/JAHA.119.013678
Fujii, K., Carlier, S. G., Mintz, G. S., Yang, Y. M., Moussa, I., Weisz, G., Dangas, G., Mehran, R., Lansky, A. J., Kreps, E. M., Collins, M., Stone, G. W., Moses, J. W., & Leon, M. B. (2005). Stent underexpansion and residual reference segment stenosis are related to stent thrombosis after sirolimus-eluting stent implantation: An intravascular ultrasound study. Journal of the American College of Cardiology, 45(7), 995–998. https://doi.org/10.1016/j.jacc.2004.12.066
Hibi, K., Kimura, K., & Umemura, S. (2014). Clinical utility and significance of intravascular ultrasound and optical coherence tomography in guiding percutaneous coronary interventions. Circulation Journal, 79(1), 24–33. https://doi.org/10.1253/circj.CJ-14-1044
Kim, I. C., Yoon, H. J., Shin, E. S., Kim, M. S., Park, J., Cho, Y. K., Park, H. S., Kim, H., Nam, C. W., Han, S. W., Kim, Y. N., Kim, K. B., & Hur, S. H. (2016). Usefulness of Frequency Domain Optical Coherence Tomography Compared with Intravascular Ultrasound as a Guidance for Percutaneous Coronary Intervention. Journal of Interventional Cardiology, 29(2), 216–224. https://doi.org/10.1111/joic.12276
Kubo, T., Akasaka, T., Shite, J., Suzuki, T., Uemura, S., Yu, B., Kozuma, K., Kitabata, H., Shinke, T., Habara, M., Saito, Y., Hou, J., Suzuki, N., & Zhang, S. (2013). OCT compared with IVUS in a coronary lesion assessment: The OPUS-CLASS study. JACC: Cardiovascular Imaging, 6(10), 1095–1104. https://doi.org/10.1016/j.jcmg.2013.04.014
Kubo, T., Shinke, T., Okamura, T., Hibi, K., Nakazawa, G., Morino, Y., Shite, J., Fusazaki, T., Otake, H., Kozuma, K., Ioji, T., Kaneda, H., Serikawa, T., Kataoka, T., Okada, H., & Akasaka, T. (2017). Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial): One-year angiographic and clinical results. European Heart Journal, 38(42), 3139–3147. https://doi.org/10.1093/eurheartj/ehx351
Kuku, K. O., Ekanem, E., Azizi, V., Melaku, G., Bui, A., Meirovich, Y. F., Dheendsa, A., Beyene, S., Hideo-Kajita, A., Lipinski, M. J., Waksman, R., & Garcia-Garcia, H. M. (2018). Optical coherence tomography-guided percutaneous coronary intervention compared with other imaging guidance: a meta-analysis. International Journal of Cardiovascular Imaging, 34(4), 503–513. https://doi.org/10.1007/s10554-017-1272-2
Mintz, G. S., Nissen, S. E., Anderson, W. D., Bailey, S. R., Erbel, R., Fitzgerald, P. J., Pinto, F. J., Rosenfield, K., Siegel, R. J., Tuzcu, E. M., & Yock, P. G. (2001). American College of Cardiology clinical Expert Consensus Document on standards for acquisition, measurement and reporting of intravascular ultrasound studies (IVUS). European Journal of Echocardiography, 2(4), 299–313. https://doi.org/10.1053/euje.2001.0133
Muramatsu, T., Ozaki, Y., Nanasato, M., Ishikawa, M., Nagasaka, R., Ohota, M., Hashimoto, Y., Yoshiki, Y., Takatsu, H., Ito, K., Kamiya, H., Yoshida, Y., Murohara, T., & Izawa, H. (2020). Comparison Between Optical Frequency Domain Imaging and Intravascular Ultrasound for Percutaneous Coronary Intervention Guidance in Biolimus A9-Eluting Stent Implantation: A Randomized MISTIC-1 Non-Inferiority Trial. Circulation: Cardiovascular Interventions, 13(11), E009314. https://doi.org/10.1161/CIRCINTERVENTIONS.120.009314
Oosterveer, T. T. M., van der Meer, S. M., Scherptong, R. W. C., & Jukema, J. W. (2020). Optical Coherence Tomography: Current Applications for the Assessment of Coronary Artery Disease and Guidance of Percutaneous Coronary Interventions. Cardiology and Therapy, 9(2), 307–321. https://doi.org/10.1007/s40119-020-00185-4
Siddiqi, T. J., Khan, M. S., Karimi Galougahi, K., Shlofmitz, E., Moses, J. W., Rao, S., West, N. E. J., Wolff, E., Hochler, J., Chau, K., Khalique, O., Shlofmitz, R. A., Jeremias, A., & Ali, Z. A. (2022). Optical coherence tomography versus angiography and intravascular ultrasound to guide coronary stent implantation: A systematic review and meta-analysis. Catheterization and Cardiovascular Interventions, 100(S1), S44–S56. https://doi.org/10.1002/ccd.30416
Smilowitz, N. R., Mohananey, D., Razzouk, L., Weisz, G., & Slater, J. N. (2018). Impact and trends of intravascular imaging in diagnostic coronary angiography and percutaneous coronary intervention in inpatients in the United States. Catheterization and Cardiovascular Interventions, 92(6), E410–E415. https://doi.org/10.1002/ccd.27673
Author Biographies
Ketut Angga Aditya Putra Pramana, North Lombok General Hospital
Ni Gusti Ayu Made Sintya Dwi Cahyani, Mataram University
Yusra Pintaningrum, Interventional Cardiology Division, Cardiology and Vascular Department, Faculty of Medicine, Universitas Mataram, West Nusa Tenggara General Hospital, Mataram, Indonesia
License
Copyright (c) 2023 Ketut Angga Aditya Putra Pramana, Ni Gusti Ayu Made Sintya Dwi Cahyani, Yusra Pintaningrum

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).