Background
Patients with a high risk of bleeding often have complicated heart artery issues. This study looked at whether using advanced imaging during heart procedures (called PCI) helps these patients more than traditional imaging methods.
Study Overview
This research was part of a larger trial called RENOVATE-COMPLEX-PCI, which took place in Korea from May 2018 to May 2021. Patients with complex heart artery problems were divided into two groups: one received imaging-guided PCI, and the other received standard angiography-guided PCI. The main goal was to see how many patients experienced serious heart issues after the procedure.
Key Findings
Out of 1,639 patients, 478 were identified as having a high bleeding risk. The study found no major difference in serious heart issues between patients with high bleeding risk and those without. However, patients with high bleeding risk had a higher chance of:
- Cardiac death or heart attacks related to the treated artery.
- Overall death from any cause.
- Cardiac death specifically.
Using imaging-guided PCI resulted in fewer serious issues compared to traditional methods for both high bleeding risk and non-high bleeding risk patients.
Conclusions
Patients with high bleeding risk face more heart problems after complex procedures. However, using advanced imaging techniques during PCI can lower these risks significantly.
Opportunities for Improvement
Based on the trial data, clinics can:
- Set clear goals for using imaging-guided PCI to improve patient outcomes.
- Select AI tools that meet specific clinical needs to enhance procedure safety.
- Implement changes gradually, starting with pilot projects to track improvements.
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