8. Intravascular imaging-guided PCI

IVUS- vs angiography-guided PCI in complex coronary bifurcation lesions

DKCRUSH VIII
Objective
to determine whether IVUS-guided PCI provides superior outcomes compared with angiography-guided PCI in patients with complex true coronary bifurcation lesions undergoing DK crush
Study
multicentre, randomised, open-label trial
Population
patients with complex bifurcation lesions undergoing PCI
Endpoints
composite of target vessel failure (cardiac death, target vessel myocardial infarction, or clinically driven target vessel revascularisation at 1 year)
DKCRUSH VIII
DKCRUSH VIII
Conclusion
In patients undergoing complex coronary bifurcation intervention, IVUS-guided PCI was superior to angiography-guided PCI in terms of target vessel failure at 1 year.
Gao et al. J Am Coll Cardiol. 2026 Mar 30.
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