Coronary disease & ACSResearch article
Cost-effectiveness of intravascular ultrasound and optical coherence tomography use for percutaneous coronary intervention procedures
- Markov model
- lifetime horizon
Authors' conclusion
Our study suggests that the routine use of intracoronary imaging during PCI is likely to be a cost-effective strategy. Our results may help to inform cardiologists, guideline writers, and financial decision-makers in healthcare sectors regarding the widespread adoption of intracoronary imaging.
Study context
- Population
- Patients undergoing percutaneous coronary intervention (PCI)
- Comparison
- angiography-guided PCI with intravascular ultrasound (IVUS)- and optical coherence tomography (OCT)-guided PCI
- Outcome
- quality-adjusted life years, discounted costs, and incremental cost-effectiveness ratio (ICER)
- Follow-up
- Lifetime horizon
Main finding
As reported in the abstract
| Group | Incremental cost-effectiveness ratio (ICER) |
|---|---|
| IVUS-guided PCI | €6802 ($7361) |
| OCT-guided PCI | €8947 ($9682) |
- Survival benefit of both IVUS and OCT
- 0.061 quality-adjusted life years
Further findings
Sensitivity analyses
- Results were robust to extensive sensitivity analyses
Original publication
Cost-effectiveness of intravascular ultrasound and optical coherence tomography use for percutaneous coronary intervention procedures. Eur Heart J Qual Care Clin Outcomes. Published 29 January 2026. doi:10.1093/ehjqcco/qcag011
Summarised from the published abstract; every number is checked against it