Meta-Analysisvery high evidence
Intracoronary Imaging-Guided Percutaneous Coronary Intervention: An Updated Meta-Analysis of Randomized Trials.
Journal of the American College of Cardiology·September 10, 2026·PMID 42747372
Why it mattersDespite recent neutral trials, this comprehensive analysis supports a Class I recommendation for ICI-guided PCI in complex or left main disease. The findings clarify that geographic and lesion-related heterogeneity explains prior inconsistencies, reinforcing the value of imaging guidance in optimizing stent outcomes.
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