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We conducted a network meta-analysis including studies comparing those three techniques. We searched databases for studies that compared IVUS, OCT, and ANG-g PCI in patients with CAD. Overall, 52 studies with 231,137 patients were included in this meta-analysis. ANG-g PCI had higher major adverse cardiovascular events (MACEs), all-cause death, cardiac death, myocardial infarction (MI), target lesion revascularization (TLR), and stent thrombosis (ST) than IVUS-guided PCI. Of note, both OCT-guided and IVUS-guided PCI had similar outcomes. The frequency of MACEs, cardiac death, and MI were higher in ANG-g PCI than in OCT-guided PCI. The highest benefit was established with OCT for MACEs (P-score=.973), MI (P-score=.823), and cardiac death (P-score=.921) and with IVUS for all-cause death (P-score=.792), TLR (P -score=.865), and ST (P-score=.930). This network meta-analysis indicated that using OCT or IVUS for optimal stent implantation provides better outcomes in comparison with ANG-g in patients with CAD undergoing PCI.<\/jats:p>","DOI":"10.1177\/00033197231198674","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T03:16:53Z","timestamp":1693365413000},"page":"809-819","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Comparison of Long-Term Outcomes Between Intravascular Ultrasound-, Optical Coherence Tomography- and Angiography-Guided Stent Implantation: A Meta-Analysis"],"prefix":"10.1177","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3165-6769","authenticated-orcid":false,"given":"Faysal","family":"\u015eayl\u0131k","sequence":"first","affiliation":[{"name":"Department of Cardiology, Van Training and Research Hospital, Health Sciences University, Van, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mert \u0130lker","family":"Hay\u0131roglu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Health Sciences University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayyar","family":"Akbulut","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Van Training and Research Hospital, Health Sciences University, Van, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8188-5020","authenticated-orcid":false,"given":"Tufan","family":"\u00c7\u0131nar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sultan II. 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