Coronary disease & ACS

Impact of multisite artery disease on clinical outcomes after percutaneous coronary intervention: an analysis from the e-Ultimaster registry

Eur Heart J Qual Care Clin OutcomesPublished Secondary analysis of the e-Ultimaster prospective registry

Authors' conclusion

Patients with previously known vascular disease experienced an increased risk of adverse cardiovascular events and mortality post-PCI. This risk is highest among patients with multisite artery disease.

Study context

Population
Patients undergoing percutaneous coronary intervention (PCI) in the e-Ultimaster study
Participants
37,198 patients
Comparison
Multisite artery disease vs single-territory vascular disease vs no known prior vascular disease
Primary endpoint
Coronary target lesion failure:
  • Cardiac death
  • Target vessel-related MI
  • Clinically driven target lesion revascularization
Follow-up
1 year
Methodological detailsinverse propensity score weighted
  • Inverse propensity score weighted

Primary result

As reported in the abstract

TLF
Target lesion failure (TLF) rate incrementally increased with number of diseased vascular beds
P < 0.01 for all comparisons

Further findings

All-cause death · after IPSW

Cardiac mortality · after IPSW

Distribution of groups

All-cause death — Incremental increase
P < 0.01 for all comparisons
Cardiac mortality — Incremental increase
P ≤ 0.01 for all comparisons

Original publication

Impact of multisite artery disease on clinical outcomes after percutaneous coronary intervention: an analysis from the e-Ultimaster registry. Eur Heart J Qual Care Clin Outcomes. Published 25 July 2022. doi:10.1093/ehjqcco/qcac043

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