Natural consequence of post-intervention stent malapposition, thrombus, tissue prolapse, and dissection assessed by optical coherence tomography at mid-term follow-up
Autor: | Daisuke Matsumoto, Amane Kozuki, Hiroyuki Kawamori, Junya Shite, Yu Taniguchi, Takumi Inoue, Noritoshi Hiranuma, Masayuki Nakagawa, Hiromasa Otake, Toshiro Shinke, Hirotoshi Hariki, Ken-ichi Hirata, Ryoji Nagoshi, Ryo Nishio, Tsuyoshi Osue |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty Tissue prolapse Paclitaxel medicine.medical_treatment Stent edge dissection Stent malapposition Sensitivity and Specificity Post-intervention Angina Pectoris Percutaneous Coronary Intervention Postoperative Complications Optical coherence tomography Prolapse medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Thrombus Aged Retrospective Studies Sirolimus medicine.diagnostic_test business.industry Percutaneous coronary intervention Stent Drug-Eluting Stents Thrombosis General Medicine Original Articles medicine.disease equipment and supplies Prosthesis Failure Dissection surgical procedures operative Conventional PCI cardiovascular system Female Radiology Cardiology and Cardiovascular Medicine business Tomography Optical Coherence Follow-Up Studies |
Zdroj: | European Heart Journal Cardiovascular Imaging |
ISSN: | 2047-2412 2047-2404 |
Popis: | Aims We performed this study to clarify natural consequences of abnormal structures (stent malapposition, thrombus, tissue prolapse, and stent edge dissection) after percutaneous coronary intervention (PCI). Methods and results Thirty-five patients treated with 40 drug-eluting stents underwent serial optical coherence tomography (OCT) imaging immediately after PCI and at the 8-month follow-up. Among a total of 73 929 struts in every frame, 431 struts (26 stents) showed malapposition immediately after PCI. Among these, 49 remained malapposed at the follow-up examination. The mean distance between the strut and vessel wall (S–V distance) of persistent malapposed struts on post-stenting OCT images was significantly longer than that of resolved malapposed struts (342 ± 99 vs. 210 ± 49 μm; P |
Databáze: | OpenAIRE |
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