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