Preprocedural Carotid Plaque Echolucency as a Predictor of In-Stent Intimal Restenosis after Carotid Artery Stenting
被引:18
作者:
Takao, Naoki
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St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Takao, Naoki
[1
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Hagiwara, Yuta
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机构:
St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Hagiwara, Yuta
[1
]
Shimizu, Takahiro
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机构:
St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Shimizu, Takahiro
[1
]
Soga, Kaima
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St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Soga, Kaima
[1
]
Tsuchihashi, Yoko
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St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Tsuchihashi, Yoko
[1
]
Otsubo, Haruki
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机构:
St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Otsubo, Haruki
[2
]
Tatsuno, Kentaro
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St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Tatsuno, Kentaro
[2
]
Takaishi, Satoshi
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St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Takaishi, Satoshi
[2
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Usuki, Noriko
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St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Usuki, Noriko
[2
]
Yoshie, Tomohide
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St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Yoshie, Tomohide
[2
]
Takada, Tatsuro
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St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Takada, Tatsuro
[2
]
Ueda, Toshihiro
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St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Ueda, Toshihiro
[2
]
Hasegawa, Yasuhiro
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St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Hasegawa, Yasuhiro
[1
]
Yamano, Yoshihisa
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机构:
St Marianna Univ, Inst Med Sci, Sch Med, Dept Rare Dis Res, Kawasaki, Kanagawa, JapanSt Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
Yamano, Yoshihisa
[3
]
机构:
[1] St Marianna Univ, Sch Med, Dept Internal Med, Div Neurol,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan
[2] St Marianna Univ, Toyoko Hosp, Stroke Ctr, Dept Strokol, Kawasaki, Kanagawa, Japan
[3] St Marianna Univ, Inst Med Sci, Sch Med, Dept Rare Dis Res, Kawasaki, Kanagawa, Japan
Objectives: In-stent intimal restenosis (ISR) caused by neointimal hyperplasia can develop <24 months after carotid artery stenting (CAS). The utility of plaque imaging by carotid ultrasonography (US) or magnetic resonance imaging (MRI) has been investigated for the prediction of ipsilateral stroke. We aimed to investigate whether these imaging techniques are useful for detecting carotid plaques prone to ISR. Materials and Methods: We examined 133 patients (mean age of 72.1 +/- 8.4 years old) that received CAS at a single hospital from 2014 to 2018. A pre-CAS carotid plaque evaluation was performed by carotid angiography, duplex carotid US, and black-blood carotid artery MRI (BB-MRI). The mean stenosis rate was 71.0 +/- 12.3% by the North American Symptomatic Carotid Endarterectomy Trial (NASCET) methods. Follow-up carotid angiography was performed 6 months after CAS in all patients according to a predefined protocol. ISR was defined as in-stent intimal hyperplasia more than 50% stenosed based on the NASCET criteria. The selection of the stent type was at the discretion of the treating physician. Predictors of ISR were determined by multivariate logistic regression analysis. Results: Follow-up angiography demonstrated ISR in 33 patients (24.8%). In 44 patients, more than two stents were deployed. Univariate logistic regression analyses demonstrated echolucent lesion, floating plaque, complete occlusive or pseudo-occlusive lesion, and closed-cell stent use as significantly associated with ISR (>50%). Multivariate logistic regression analysis demonstrated that echolucent lesion (OR 4.667, 95% CI 1.849-11.779) and closed-cell stent use (OR .378, 95% CI .148-.968) were significantly associated with ISR. Conclusions: Preprocedural plaque characterization by carotid US appeared to be useful to predict ISR 6 months after CAS.
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Qiao, Y.
;
Etesami, M.
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机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Etesami, M.
;
Astor, B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Astor, B. C.
;
Zeiler, S. R.
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机构:
Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21205 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Zeiler, S. R.
;
Trout, H. H., III
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机构:
Suburban Hosp, Dept Surg, Bethesda, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Trout, H. H., III
;
Wasserman, B. A.
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机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Qiao, Y.
;
Etesami, M.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Etesami, M.
;
Malhotra, S.
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机构:
Indiana Univ, Krannert Inst Cardiol, Indianapolis, IN 46204 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Malhotra, S.
;
Astor, B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Astor, B. C.
;
Virmani, R.
论文数: 0引用数: 0
h-index: 0
机构:
CVPath Inst, Gaithersburg, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Virmani, R.
;
Kolodgie, F. D.
论文数: 0引用数: 0
h-index: 0
机构:
CVPath Inst, Gaithersburg, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Kolodgie, F. D.
;
Trout, H. H., III
论文数: 0引用数: 0
h-index: 0
机构:
Suburban Hosp, Dept Surg, Bethesda, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Trout, H. H., III
;
Wasserman, B. A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Qiao, Y.
;
Etesami, M.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Etesami, M.
;
Astor, B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Astor, B. C.
;
Zeiler, S. R.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21205 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Zeiler, S. R.
;
Trout, H. H., III
论文数: 0引用数: 0
h-index: 0
机构:
Suburban Hosp, Dept Surg, Bethesda, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Trout, H. H., III
;
Wasserman, B. A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Qiao, Y.
;
Etesami, M.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Etesami, M.
;
Malhotra, S.
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ, Krannert Inst Cardiol, Indianapolis, IN 46204 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Malhotra, S.
;
Astor, B. C.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Astor, B. C.
;
Virmani, R.
论文数: 0引用数: 0
h-index: 0
机构:
CVPath Inst, Gaithersburg, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Virmani, R.
;
Kolodgie, F. D.
论文数: 0引用数: 0
h-index: 0
机构:
CVPath Inst, Gaithersburg, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Kolodgie, F. D.
;
Trout, H. H., III
论文数: 0引用数: 0
h-index: 0
机构:
Suburban Hosp, Dept Surg, Bethesda, MD USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA
Trout, H. H., III
;
Wasserman, B. A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USAJohns Hopkins Univ Hosp, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21287 USA