Highlight
- IVUS-guided PCI significantly reduces cardiac death and adverse cardiovascular events overall compared to angiography-guided PCI.
- There is substantial geographic heterogeneity: East Asian trials report pronounced benefits, whereas non-Asian trials demonstrate neutral or no significant advantage for IVUS guidance in cardiac death.
- Reductions in target-vessel myocardial infarction, revascularization, and major adverse cardiovascular events mirror the geographic pattern seen for cardiac death.
- Definite stent thrombosis is consistently reduced by IVUS guidance regardless of geographic location.
Specialty calculators
For clinical reference; use professional judgment.
