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Severe acute stent malapposition follow-up: 3-month and 12-month serial quantitative analyses by optical coherence tomography
- Source :
- International Journal of Cardiology. 299:81-86
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Optical coherence tomography (OCT) was used to assess serial changes in severe acute stent malapposition (ASM) after drug-eluting stent (DES) implantation.The maximal depth and axial lengths of ASM after DES implantation were serially quantified at percutaneous coronary intervention (PCI), and at 3 and 12-month follow-up, for 100 lesions in 96 patients. Severe ASM was defined as a maximal malapposed depth ≥400 μm or maximal malapposed axial length ≥1 mm.Of the 100 lesions, 23 lesions (23%) had a severe ASM depth at PCI. At 3 months, the maximal depth decreased to400 μm in 12 of 23 lesions (52%). At 12 months, the maximal depth further decreased to400 μm in 8 of the remaining 11 lesions (73%). Similarly, of 53 lesions (53%) with a severe ASM length at PCI, the maximal length decreased to 0 mm in 26 (49%) but remained severe in 17 lesions (32%) at 3 months. At 12 months, 9 of the 17 remaining lesions (53%) further decreased to 0 mm. The cut-off values for the maximal malapposed depth and length to predict the absence of stent malapposition at 12 months were 565 μm at PCI and 165 μm at 3 months, and were 2.7 mm at PCI and 0.1 mm at 3 months, respectively.Half of the severe ASM cases resolved within 3 months, and another half resolved during 3-12 months of follow-up. Our findings provide a better understanding of the time-dependent natural course of severe ASM using OCT.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Coronary Artery Disease
macromolecular substances
030204 cardiovascular system & hematology
Coronary Angiography
Coronary artery disease
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Optical coherence tomography
Prosthesis Fitting
medicine
Humans
Everolimus
030212 general & internal medicine
Sirolimus
Natural course
medicine.diagnostic_test
business.industry
Stent
Percutaneous coronary intervention
Drug-Eluting Stents
Axial length
Middle Aged
respiratory system
musculoskeletal system
medicine.disease
Coronary Vessels
respiratory tract diseases
Equipment Failure Analysis
Drug-eluting stent
Conventional PCI
Female
Radiology
Cardiology and Cardiovascular Medicine
business
Immunosuppressive Agents
Tomography, Optical Coherence
Follow-Up Studies
Subjects
Details
- ISSN :
- 01675273
- Volume :
- 299
- Database :
- OpenAIRE
- Journal :
- International Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....a521edcab24e1ff17db62d3d9ab0f228