E-7 | OCT vs IVUS for Detection of Edge Dissection

Edge dissection is a common cause of target lesion revascularization after stent placement. It has been suggested that optical coherence tomography (OCT) superior to intravascular ultrasound (IVUS) for detection edge dissection. We queried PubMed, EMBASE, Medline, and Cochrane studies comparing IVUS OCT assessed as part their protocol. A total 10 were included in this analysis. Meta-analysis was performed using Jamovi R 4.0. Of the 2024 patients analyzed, 1016 (50.2%) imaged with 1008 (49.8%) OCT. Detection favored an odds ratio 0.83 [CI 0.13, 1.54 p<0.001]. One trial, ILUMIEN III, -0.53 -1.03, -0.02 Analysis above demonstrates provided better rates when compared IVUS. However, one randomized-controlled trial (ILUMIEN III) showed Further study into these imaging modalities warranted.