Association between tissue characteristics assessed with optical coherence tomography and mid-term results after percutaneous coronary intervention for in-stent restenosis lesions: a comparison between balloon angioplasty, paclitaxel-coated balloon dilatation, and drug-eluting stent implantation

European Heart Journal Cardiovascular Imaging
Takeshi TadaKazuaki Mitsudo

Abstract

Morphological assessment of neointimal tissue using optical coherence tomography (OCT) is important for clarifying the pathophysiology of in-stent restenosis (ISR) lesions. The aim of this study was to determine the impact of OCT findings on recurrence of ISR after various types of percutaneous coronary intervention (PCI) including plain old balloon angioplasty (POBA), paclitaxel-coated balloon (PCB) dilatation, and drug-eluting stent (DES) implantation. Between June 2008 and August 2013, we performed PCI for 428 ISR lesions in 379 patients using POBA (78 lesions, POBA group), PCB dilatation (202 lesions, PCB group), and DES implantation (148 lesions, DES group). Morphological assessment of neointimal tissue at the minimum lumen area site to determine restenotic tissue structure (homogeneous, heterogeneous, or layered type) using OCT was performed. We examined the association between tissue structure and midterm results including ISR and target lesion revascularization (TLR) rates. The patients were 308 men and 71 women with a mean age of 68.9 ± 9.4 years. The mean follow-up period was 211 ± 40 days. ISR and TLR rates of lesions with a homogeneous structure were significantly higher in the POBA group than in the PCB group (ISR:...Continue Reading

References

Mar 4, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Cheol Whan LeeSeung-Jung Park
Jul 22, 2009·American Heart Journal·Nieves GonzaloEvelyn Regar
Feb 11, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hiroyuki NagaiKenshi Fujii
Jan 14, 2012·JACC. Cardiovascular Imaging·Masataka NakanoRenu Virmani
Dec 22, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Ryoji NagoshiKen-ichi Hirata

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Citations

Feb 8, 2016·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Rui Cruz FerreiraMarco Costa
Jan 20, 2016·Current Treatment Options in Cardiovascular Medicine·Patrick M LooserDmitriy N Feldman
Apr 30, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroshi KoiwayaYoshisato Shibata
Jul 20, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Takayuki WarisawaSunao Nakamura
Aug 31, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Katsuya MiuraKazushige Kadota
Dec 4, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tobias KochSebastian Kufner
Sep 11, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Jung-Hee LeeYangsoo Jang
Feb 21, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Erion XhepaAdnan Kastrati
May 23, 2020·Revista Española De Cardiología·Nieves GonzaloCarlos Macaya
Sep 8, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Erion XhepaAdnan Kastrati
Sep 29, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Daisuke NakamuraYasushi Sakata

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