Intravascular Imaging Findings After PCI in Patients With Focal and Diffuse Coronary Artery Disease

被引:8
作者
Ohashi, Hirofumi [1 ,2 ]
Mizukami, Takuya [1 ,3 ,4 ]
Sonck, Jeroen [1 ]
Boussiet, Frederic [1 ,5 ]
Ko, Brian [6 ,7 ]
Norgaard, Bjarne L. [8 ]
Maeng, Michael [8 ]
Jensen, Jesper Moller [8 ]
Sakai, Koshiro [1 ,9 ]
Ando, Hirohiko [2 ]
Amano, Tetsuya [2 ]
Amabile, Nicolas [10 ]
Ali, Ziad [11 ]
De Bruyne, Bernard [1 ,12 ]
Koo, Bon-Kwon [13 ,14 ]
Otake, Hiromasa [15 ]
Collet, Carlos [1 ]
机构
[1] OLV Clin, Cardiovasc Ctr Aalst, Aalst, Belgium
[2] Aichi Med Univ, Dept Cardiol, Nagakute, Aichi, Japan
[3] Showa Univ, Div Clin Pharmacol, Dept Pharmacol, Tokyo, Japan
[4] Gifu Heart Ctr, Dept Cardiovasc Med, Gifu, Japan
[5] Toulouse Univ Hosp, Dept Cardiol, Toulouse, France
[6] Monash Univ, Monash Cardiovasc Res Ctr, Clayton, Vic, Australia
[7] Monash Hlth, Monash Heart, Clayton, Vic, Australia
[8] Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark
[9] Showa Univ, Sch Med, Div Cardiol, Dept Med, Tokyo, Japan
[10] Inst Mutualiste Montsouris, Dept Cardiol, Paris, France
[11] St Francis Hosp & Heart Ctr, Dematteis Cardiovasc Inst, Roslyn, NY USA
[12] Lausanne Univ Hosp, Dept Cardiol, Lausanne, Switzerland
[13] Seoul Natl Univ Hosp, Dept Internal Med, Seoul, South Korea
[14] Seoul Natl Univ Hosp, Cardiovasc Ctr, Seoul, South Korea
[15] Kobe Univ, Grad Sch Med, Div Cardiovasc Med, Dept Internal Med, Kobe, Hyogo, Japan
来源
JOURNAL OF THE AMERICAN HEART ASSOCIATION | 2024年 / 13卷 / 05期
关键词
coronary artery disease; fractional flow reserve; optical coherence tomography; pullback pressure gradient; OPTICAL COHERENCE TOMOGRAPHY; INCOMPLETE STENT APPOSITION; CLINICAL-OUTCOMES; IMPACT; INTERVENTIONS; IMPLANTATION; PREDICTORS; PROTRUSION; PATTERNS;
D O I
10.1161/JAHA.123.032605
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Following percutaneous coronary intervention (PCI), optical coherence tomography provides prognosis information. The pullback pressure gradient is a novel index that discriminates focal from diffuse coronary artery disease based on fractional flow reserve pullbacks. We sought to investigate the association between coronary artery disease patterns, defined by coronary physiology, and optical coherence tomography after stent implantation in stable patients undergoing PCI. METHODS AND RESULTS: This multicenter, prospective, single-arm study was conducted in 5 countries (NCT03782688). Subjects underwent motorized fractional flow reserve pullbacks evaluation followed by optical coherence tomography-guided PCI. Post-PCI optical coherence tomography minimum stent area, stent expansion, and the presence of suboptimal findings such as incomplete stent apposition, stent edge dissection, and irregular tissue protrusion were compared between patients with focal versus diffuse disease. Overall, 102 patients (105 vessels) were included. Fractional flow reserve before PCI was 0.65 +/- 0.14, pullback pressure gradient was 0.66 +/- 0.14, and post-PCI fractional flow reserve was 0.88 +/- 0.06. The mean minimum stent area was 5.69 +/- 1.99mm(2) and was significantly larger in vessels with focal disease (6.18 +/- 2.12mm(2) versus 5.19 +/- 1.72mm(2), P=0.01). After PCI, incomplete stent apposition, stent edge dissection, and irregular tissue protrusion were observed in 27.6%, 10.5%, and 51.4% of the cases, respectively. Vessels with focal disease at baseline had a lower prevalence of incomplete stent apposition (11.3% versus 44.2%, P=0.002) and more irregular tissue protrusion (69.8% versus 32.7%, P<0.001). CONCLUSIONS: Baseline coronary pathophysiological patterns are associated with suboptimal imaging findings after PCI. Patients with focal disease had larger minimum stent area and a higher incidence of tissue protrusion, whereas stent malapposition was more frequent in patients with diffuse disease.
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页数:12
相关论文
共 38 条
[1]   Optical coherence tomography-guided coronary stent implantation compared to angiography: a multicentre randomised trial in PCI - design and rationale of ILUMIEN IV: OPTIMAL PCI [J].
Ali, Ziad A. ;
Landmesser, Ulf ;
Galougahi, Keyvan Karimi ;
Maehara, Akiko ;
Matsumura, Mitsuaki ;
Shlofmitz, Richard A. ;
Guagliumi, Giulio ;
Price, Matthew J. ;
Hill, Jonathan M. ;
Akasaka, Takashi ;
Prati, Francesco ;
Bezerra, Hiram G. ;
Wijns, William ;
Mintz, Gary S. ;
Ben-Yehuda, Ori ;
McGreevy, Robert J. ;
Zhang, Zhen ;
Rapoza, Richard R. ;
West, Nick E. J. ;
Stone, Gregg W. .
EUROINTERVENTION, 2021, 16 (13) :1092-1099
[2]   Optical coherence tomography in coronary atherosclerosis assessment and intervention [J].
Araki, Makoto ;
Park, Seung-Jung ;
Dauerman, Harold L. ;
Uemura, Shiro ;
Kim, Jung-Sun ;
Di Mario, Carlo ;
Johnson, Thomas W. ;
Guagliumi, Giulio ;
Kastrati, Adnan ;
Joner, Michael ;
Holm, Niels Ramsing ;
Alfonso, Fernando ;
Wijns, William ;
Adriaenssens, Tom ;
Nef, Holger ;
Rioufol, Gilles ;
Amabile, Nicolas ;
Souteyrand, Geraud ;
Meneveau, Nicolas ;
Gerbaud, Edouard ;
Opolski, Maksymilian P. ;
Gonzalo, Nieves ;
Tearney, Guillermo J. ;
Bouma, Brett ;
Aguirre, Aaron D. ;
Mintz, Gary S. ;
Stone, Gregg W. ;
Bourantas, Christos, V ;
Raber, Lorenz ;
Gili, Sebastiano ;
Mizuno, Kyoichi ;
Kimura, Shigeki ;
Shinke, Toshiro ;
Hong, Myeong-Ki ;
Jang, Yangsoo ;
Cho, Jin Man ;
Yan, Bryan P. ;
Porto, Italo ;
Niccoli, Giampaolo ;
Montone, Rocco A. ;
Thondapu, Vikas ;
Papafaklis, Michail, I ;
Michalis, Lampros K. ;
Reynolds, Harmony ;
Saw, Jacqueline ;
Libby, Peter ;
Weisz, Giora ;
Iannaccone, Mario ;
Gori, Tommaso ;
Toutouzas, Konstantinos .
NATURE REVIEWS CARDIOLOGY, 2022, 19 (10) :684-703
[3]   Clinical, angiographic, IVUS, and OCT predictors for irregular protrusion after coronary stenting [J].
Bryniarski, Krzysztof L. ;
Tahk, Seung-Jea ;
Choi, So-Yeon ;
Soeda, Tsunenari ;
Higuma, Takumi ;
Yamamoto, Erika ;
Xing, Lei ;
Dai, Jiannan ;
Zanchin, Thomas ;
Lee, Hang ;
Jang, Ik-Kyung .
EUROINTERVENTION, 2017, 12 (18) :E2204-E2211
[4]   Clinical Outcomes Following Intravascular Imaging-Guided Versus Coronary Angiography-Guided Percutaneous Coronary Intervention With Stent Implantation A Systematic Review and Bayesian Network Meta-Analysis of 31 Studies and 17,882 Patients [J].
Buccheri, Sergio ;
Franchina, Gabriele ;
Romano, Sara ;
Puglisi, Sebastiano ;
Venuti, Giuseppe ;
D'Arrigo, Paolo ;
Francaviglia, Bruno ;
Scalia, Matteo ;
Condorelli, Antonio ;
Barbanti, Marco ;
Capranzano, Piera ;
Tamburino, Corrado ;
Capodanno, Davide .
JACC-CARDIOVASCULAR INTERVENTIONS, 2017, 10 (24) :2488-2498
[5]   Prognostically relevant periprocedural myocardial injury and infarction associated with percutaneous coronary interventions: a Consensus Document of the ESCWorking Group on Cellular Biology of the Heart and European Association of Percutaneous Cardiovascular Interventions (EAPCI) [J].
Bulluck, Heerajnarain ;
Paradies, Valeria ;
Barbato, Emanuele ;
Baumbach, Andreas ;
Botker, Hans Erik ;
Capodanno, Davide ;
De Caterina, Raffaele ;
Cavallini, Claudio ;
Davidson, Sean M. ;
Feldman, Dmitriy N. ;
Ferdinandy, Peter ;
Gili, Sebastiano ;
Gyongyosi, Mariann ;
Kunadian, Vijay ;
Ooi, Sze-Yuan ;
Madonna, Rosalinda ;
Marber, Michael ;
Mehran, Roxana ;
Ndrepepa, Gjin ;
Perrino, Cinzia ;
Schupke, Stefanie ;
Silvain, Johanne ;
Sluijter, Joost P. G. ;
Tarantini, Giuseppe ;
Toth, Gabor G. ;
Van Laake, Linda W. ;
von Birgelen, Clemens ;
Zeitouni, Michel ;
Jaffe, Allan S. ;
Thygesen, Kristian ;
Hausenloy, Derek J. .
EUROPEAN HEART JOURNAL, 2021, 42 (27) :2630-+
[6]   Incidence, Predictors, Morphological Characteristics, and Clinical Outcomes of Stent Edge Dissections Detected by Optical Coherence Tomography [J].
Chamie, Daniel ;
Bezerra, Hiram G. ;
Attizzani, Guilherme F. ;
Yamamoto, Hirosada ;
Kanaya, Tomoaki ;
Stefano, Gregory T. ;
Fujino, Yusuke ;
Mehanna, Emile ;
Wang, Wei ;
Abdul-Aziz, Ahmad ;
Dias, Matthew ;
Simon, Daniel I. ;
Costa, Marco A. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2013, 6 (08) :800-813
[7]   Differential Improvement in Angina and Health-Related Quality of Life After PCI in Focal and Diffuse Coronary Artery Disease [J].
Collet, Carlos ;
Collison, Damien ;
Mizukami, Takuya ;
McCartney, Peter ;
Sonck, Jeroen ;
Ford, Thomas ;
Munhoz, Daniel ;
Berry, Colin ;
De Bruyne, Bernard ;
Oldroyd, Keith .
JACC-CARDIOVASCULAR INTERVENTIONS, 2022, 15 (24) :2506-2518
[8]   Measurement of Hyperemic Pullback Pressure Gradients to Characterize Patterns of Coronary Atherosclerosis [J].
Collet, Carlos ;
Sonck, Jeroen ;
Vandeloo, Bert ;
Mizukami, Takuya ;
Roosens, Bram ;
Lochy, Stijn ;
Argacha, Jean-Francois ;
Schoors, Danny ;
Colaiori, Iginio ;
Di Gioia, Giuseppe ;
Kodeboina, Monika ;
Suzuki, Hiroshi ;
Van 't Veer, Marcel ;
Bartunek, Jozef ;
Barbato, Emanuele ;
Cosyns, Bernard ;
De Bruyne, Bernard .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 74 (14) :1772-1784
[9]   Incomplete stent apposition and very late stent thrombosis after drug-eluting stent implantation [J].
Cook, Stephane ;
Wenaweser, Peter ;
Togni, Mario ;
Billinger, Michael ;
Morger, Cyrill ;
Seiler, Christian ;
Vogel, Rolf ;
Hess, Otto ;
Meier, Bernhard ;
Windecker, Stephan .
CIRCULATION, 2007, 115 (18) :2426-2434
[10]   Impact of incomplete stent apposition on long-term clinical outcome after drug-eluting stent implantation [J].
Cook, Stephane ;
Eshtehardi, Parham ;
Kalesan, Bindu ;
Raeber, Lorenz ;
Wenaweser, Peter ;
Togni, Mario ;
Moschovitis, Aris ;
Vogel, Rolf ;
Seiler, Christian ;
Eberli, Franz R. ;
Luescher, Thomas ;
Meier, Bernhard ;
Jueni, Peter ;
Windecker, Stephan .
EUROPEAN HEART JOURNAL, 2012, 33 (11) :1334-1343