Impact of lesion calcification on angiographic outcomes after Absorb everolimus-eluting bioresorbable vascular scaffold implantation: an observation from the ABSORB Japan trial

被引：3

作者：

Ohya, Masanobu ^{[1
]}

Kadota, Kazushige ^{[1
]}

Sotomi, Yohei ^{[2
]}

Kozuma, Ken ^{[3
]}

Tanabe, Kengo ^{[4
]}

Uematsu, Masaaki ^{[5
]}

Kawasaki, Tomohiro ^{[6
]}

Morino, Yoshihiro ^{[7
]}

Tobaru, Tetsuya ^{[8
]}

Nakao, Koichi ^{[9
]}

Tachibana, Kouichi ^{[10
]}

Kishi, Koichi ^{[11
]}

Shibata, Yoshisato ^{[12
]}

Ying, Shihwa ^{[13
]}

Kusano, Hajime ^{[13
]}

Stone, Gregg W. ^{[14
,15
]}

Popma, Jeffery J. ^{[16
]}

Onuma, Yoshinobu ^{[2
]}

Serruys, Patrick W. ^{[2
]}

Kimura, Takeshi ^{[17
]}

机构：

[1] Kurashiki Cent Hosp, Kurashiki, Okayama, Japan

[2] Erasmus MC, Thoraxctr, Rotterdam, Netherlands

[3] Teikyo Univ Hosp, Tokyo, Japan

[4] Mitsui Mem Hosp, Tokyo, Japan

[5] Kansai Rosai Hosp, Cardiovasc Ctr, Amagasaki, Hyogo, Japan

[6] Shinkoga Hosp, Fukuoka, Japan

[7] Iwate Med Univ Hosp, Morioka, Iwate, Japan

[8] Sakakibara Heart Inst, Tokyo, Japan

[9] Saiseikai Kumamoto Hosp, Kumamoto, Japan

[10] Osaka Univ Hosp, Osaka, Japan

[11] Tokushima Red Cross Hosp, Tokushima, Japan

[12] Miyazaki Med Assoc Hosp, Miyazaki, Japan

[13] Abbott Vasc, Santa Clara, CA USA

[14] Columbia Univ, NewYork Presbyterian Hosp, Med Ctr, New York, NY USA

[15] Cardiovasc Res Fdn, New York, NY USA

[16] Beth Israel Deaconess Med Ctr, Boston, MA USA

[17] Kyoto Univ Hosp, Kyoto, Japan

来源：

EUROINTERVENTION | 2017年 / 12卷 / 14期

关键词：

angiography; bioresorbable vascular scaffold; calcified lesion; coronary stent; PERCUTANEOUS CORONARY INTERVENTION; CALCIFIED VESSELS; ARTERY-DISEASE; STENT; REVASCULARIZATION; MALAPPOSITION; PREDICTORS; THROMBOSIS;

D O I：

10.4244/EIJ-D-16-00359

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: We aimed to investigate the impact of lesion calcification on angiographic outcomes after Absorb everolimus-eluting bioresorbable vascular scaffold (BVS) implantation in comparison with those after cobalt-chromium everolimus-eluting stent (CoCr-EES) implantation. Methods and results: The present post hoc analysis of the ABSORB Japan randomised trial compared post-procedure and 13-month angiographic outcomes between patients implanted with BVS and CoCrEES based on the presence or absence of calcification, excluding extremely heavily calcified lesions or lesions requiring rotational atherectomy. The study population comprised 384 patients with 384 lesions (including 114 lesions [29.7%] with moderate or severe calcification), classified into two subgroups: calcification, 114 (BVS: n= 72 and CoCr-EES: n= 42) and non-calcification, 270 (BVS: n= 181 and CoCr-EES: n= 89). Follow-up angiography was performed in 94.8% of patients. Both post-procedure and follow-up indevice minimal lumen diameters were comparable in both the BVS arm (calcification vs. non-calcification: 2.43 +/- 0.32 mm vs. 2.43 +/- 0.39 mm, p= 0.91 and 2.17 +/- 0.49 mm vs. 2.27 +/- 0.47 mm, p= 0.17) and in the CoCrEES arm (2.68 +/- 0.34 mm vs. 2.65 +/-+/- 0.42 mm, p= 0.62 and 2.57 +/- 0.52 mm vs. 2.47 +/- 0.53 mm, p= 0.36). Conclusions: Moderate or severe lesion calcification (excluding patients with extremely heavily calcified lesions or lesions requiring rotational atherectomy) does not negatively affect angiographic outcomes at both post-procedure and 13-month follow-up after BVS implantation.

引用

页码：1738 / 1746

页数：9

共 22 条

[1] Percutaneous coronary intervention with everolimus-eluting bioresorbable vascular scaffolds in routine clinical practice: early and midterm outcomes from the European multicentre GHOST-EU registry [J].

Capodanno, Davide ;

Gori, Tommaso ;

Nef, Holger ;

Latib, Azeem ;

Mehilli, Julinda ;

Lesiak, Maciej ;

Caramanno, Giuseppe ;

Naber, Christoph ;

Di Mario, Carlo ;

Colombo, Antonio ;

Capranzano, Piera ;

Wiebe, Jens ;

Araszkiewicz, Aleksander ;

Geraci, Salvatore ;

Pyxaras, Stelios ;

Mattesini, Alessio ;

Naganuma, Toru ;

Muenzel, Thomas ;

Tamburino, Corrado .

EUROINTERVENTION, 2015, 10 (10) :1144-1153

[2] Impact of post-dilation on the acute and one-year clinical outcomes of a large cohort of patients treated solely with the Absorb Bioresorbable Vascular Scaffold [J].

Costa, Jose De Ribamar, Jr. ;

Abizaid, Alexandre ;

Bartorelli, Antonio L. ;

Whitbourn, Robert ;

van Geuns, Robert Jan ;

Chevalier, Bernard ;

Perin, Marcos ;

Seth, Ashok ;

Botelho, Roberto ;

Serruys, Patrick W. .

EUROINTERVENTION, 2015, 11 (02) :141-148

[3] Clinical end points in coronary stent trials - A case for standardized definitions [J].

Cutlip, Donald E. ;

Windecker, Stephan ;

Mehran, Roxana ;

Boam, Ashley ;

Cohen, David J. ;

van Es, Gerrit-Anne ;

Steg, P. Gabriel ;

Morel, Marie-angele ;

Mauri, Laura ;

Vranckx, Pascal ;

McFadden, Eugene ;

Lansky, Alexandra ;

Hamon, Martial ;

Krucoff, Mitchell W. ;

Serruys, Patrick W. .

CIRCULATION, 2007, 115 (17) :2344-2351

[4] Everolimus-Eluting Bioresorbable Scaffolds for Coronary Artery Disease [J].

Ellis, Stephen G. ;

Kereiakes, Dean J. ;

Metzger, D. Christopher ;

Caputo, Ronald P. ;

Rizik, David G. ;

Teirstein, Paul S. ;

Litt, Marc R. ;

Kini, Annapoorna ;

Kabour, Ameer ;

Marx, Steven O. ;

Popma, Jeffrey J. ;

McGreevy, Robert ;

Zhang, Zhen ;

Simonton, Charles ;

Stone, Gregg W. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (20) :1905-1915

[5] Ischemic Outcomes After Coronary Intervention of Calcified Vessels in Acute Coronary Syndromes Pooled Analysis From the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) and ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) Trials [J].

Genereux, Philippe ;

Madhavan, Mahesh V. ;

Mintz, Gary S. ;

Maehara, Akiko ;

Palmerini, Tullio ;

LaSalle, Laura ;

Xu, Ke ;

McAndrew, Tom ;

Kirtane, Ajay ;

Lansky, Alexandra J. ;

Brener, Sorin J. ;

Mehran, Roxana ;

Stone, Gregg W. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (18) :1845-1854

[6] Inter- and intra-observer variability in the qualitative categorization of coronary angiograms [J].

Herrman, JPR ;

Azar, A ;

Umans, VAWM ;

Boersma, E ;

vonEs, GA ;

Serruys, PW .

INTERNATIONAL JOURNAL OF CARDIAC IMAGING, 1996, 12 (01) :21-30

[7]

Huang BT, 2015, HERZ, V40, P1097, DOI 10.1007/s00059-015-4324-1

[8] Incidences, Predictors, and Clinical Outcomes of Acute and Late Stent Malapposition Detected by Optical Coherence Tomography After Drug-Eluting Stent Implantation [J].

Im, Eui ;

Kim, Byeong-Keuk ;

Ko, Young-Guk ;

Shin, Dong-Ho ;

Kim, Jung-Sun ;

Choi, Donghoon ;

Jang, Yangsoo ;

Hong, Myeong-Ki .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2014, 7 (01) :88-96

[9] A randomized trial evaluating everolimus-eluting Absorb bioresorbable scaffolds vs. everolimus-eluting metallic stents in patients with coronary artery disease: ABSORB Japan [J].

Kimura, Takeshi ;

Kozuma, Ken ;

Tanabe, Kengo ;

Nakamura, Sunao ;

Yamane, Masahisa ;

Muramatsu, Toshiya ;

Saito, Shigeru ;

Yajima, Junji ;

Hagiwara, Nobuhisa ;

Mitsudo, Kazuaki ;

Popma, Jeffrey J. ;

Serruys, Patrick W. ;

Onuma, Yoshinobu ;

Ying, Shihwa ;

Cao, Sherry ;

Staehr, Peter ;

Cheong, Wai-Fung ;

Kusano, Hajime ;

Stone, Gregg W. .

EUROPEAN HEART JOURNAL, 2015, 36 (47) :3332-3342

[10] Impact of Coronary Artery Calcification in Percutaneous Coronary Intervention With Paclitaxel-Eluting Stents: Two-Year Clinical Outcomes of Paclitaxel-Eluting Stents in Patients From the ARRIVE Program [J].

Lee, Michael S. ;

Yang, Tae ;

Lasala, John ;

Cox, David .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2016, 88 (06) :891-897

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