Coronary disease & ACS

Cost-effectiveness of intravascular ultrasound and optical coherence tomography use for percutaneous coronary intervention procedures

Eur Heart J Qual Care Clin OutcomesPublished Markov model

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
Methodological detailslifetime horizon
  • Lifetime horizon

Main finding

As reported in the abstract

GroupIncremental cost-effectiveness ratio (ICER)
IVUS-guided PCI€6802 ($7361)
OCT-guided PCI€8947 ($9682)

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

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

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