📄 medicine
IVUS-Guided versus Angiography-Guided PCI in Unprotected Left Main Coronary Artery Disease: An Updated Systematic Review and Meta-Analysis
This updated systematic review and meta-analysis of 12 studies involving over 20,000 patients suggests that IVUS-guided PCI for unprotected left main coronary artery disease is associated with significantly lower rates of all-cause mortality, cardiac mortality, myocardial infarction, and target vessel revascularization compared to angiography-guided PCI, although these benefits were primarily driven by observational data while randomized controlled trials showed neutral results.
Eashan Aneja, Vinicius de Pontes, Mauricio Boneli, Prakhar Gupta, Shivani Phugat, Veda Chanda, Thierry Trevisan, Michael (…)2026-07-06