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
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