{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:54:37Z","timestamp":1788310477931,"version":"build-2803163510"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Studies suggest percutaneous coronary intervention (PCI) guided by intracoronary imaging (ICI) results in larger balloon\/stent diameters and longer stents. Whether this occurs in real-world PCI is poorly understood.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>De novo PCIs performed at 48 nonfederal Michigan hospitals between July 2019 and June 2022 were evaluated with regression modeling to evaluate associations between ICI-guided PCI and balloon\/stent dimensions. The association between ICI-guided PCI and coronary dissection\/perforation was assessed using adjusted odds ratios.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              ICI was used in 16\u2009777 (22.5%) PCI-treated lesions and increased from 11.2% of cases in July 2019 to 32.1% in June 2022. Compared with angiography alone, the average patient\/procedural-adjusted treatment effect of ICI use included: +0.19 mm stent diameter (95% CI +0.16 to +0.22), +0.45 mm maximum balloon diameter (95% CI +0.40 to +0.51), and +3.51 mm stent length (95% CI +2.54 to +4.48). These findings persisted when controlling for the operator. ICI use was associated with a higher risk of dissections (adjusted odds ratio, 2.55 [95% CI, 2.05\u20133.16]) and perforations (adjusted odds ratio, 2.25 [95% CI, 1.74\u20132.91]); however, increased use of ICI and larger stent\/balloon sizes over the study period (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001 for trend for both) was not associated with a concomitant increase in rates of dissection or perforation (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.78 and\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.33 for trend, respectively).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>In real-world practice, ICI-guided PCI was associated with larger stent\/balloon diameters and longer stents. While ICI use was associated with dissections and perforations, there was no significant increase in the rate of these complications despite significant increases in ICI use and stent\/balloon sizes during the study period. Further research is needed to evaluate the association between ICI use and procedural complications.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.124.014886","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T09:00:10Z","timestamp":1755594010000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Safety and Effectiveness of Intracoronary Imaging-Guided PCI in Contemporary Practice: Insights From BMC2"],"prefix":"10.1161","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4005-1580","authenticated-orcid":true,"given":"Thomas","family":"Basala","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (T.B., M.S., B.W., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3472-1872","authenticated-orcid":true,"given":"Milan","family":"Seth","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (T.B., M.S., B.W., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3751-2910","authenticated-orcid":true,"given":"Ryan D.","family":"Madder","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, William Beaumont University Hospital, Corwell Health East, Royal Oak, MI (R.D.M)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4072-8704","authenticated-orcid":true,"given":"Brett","family":"Wanamaker","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (T.B., M.S., B.W., H.S.G.)."},{"name":"VA Ann Arbor Healthcare System, MI (B.W.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1663-3799","authenticated-orcid":true,"given":"Brittany","family":"Fuller","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Henry Ford Health, Detroit, MI (B.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Shlofmitz","sequence":"additional","affiliation":[{"name":"Division of Cardiology, St. Francis Hospital, NY (E.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edouard","family":"Daher","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Ascension St. John Hospital, Detroit, MI (E.D., A.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Tucciarone","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Corewell Health-East, Rochester Hills, MI (M.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7874-4566","authenticated-orcid":true,"given":"M. Chadi","family":"Alraies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Kaki","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Ascension St. John Hospital, Detroit, MI (E.D., A.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2914-0894","authenticated-orcid":true,"given":"Sunil V.","family":"Rao","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, NYU Langone Health System, New York, NY (S.V.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1646-0218","authenticated-orcid":true,"given":"Hitinder S.","family":"Gurm","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (T.B., M.S., B.W., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4709-3390","authenticated-orcid":true,"given":"Devraj","family":"Sukul","sequence":"additional","affiliation":[{"name":"Frederik Meijer Heart and Vascular Institute, Corewell Health West, Grand Rapids, MI (D.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)02454-6"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2022.04.026"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.10.001"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.122.012182"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2025.103710"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2002.tb01072.x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq474"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2216607"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)00282-4"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.09.013"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-20-00498"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.15454"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.09.033"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2305861"}],"container-title":["Circulation: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCINTERVENTIONS.124.014886","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T18:00:26Z","timestamp":1758045626000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCINTERVENTIONS.124.014886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1161\/CIRCINTERVENTIONS.124.014886"],"URL":"https:\/\/doi.org\/10.1161\/circinterventions.124.014886","relation":{},"ISSN":["1941-7640","1941-7632"],"issn-type":[{"value":"1941-7640","type":"print"},{"value":"1941-7632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2024-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}