Optical coherence tomography for guidance of distal cell recrossing in bifurcation stenting: choosing the right cell matters

EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Eduardo Alegria-BarreroCarlo Di Mario

Abstract

The aim of this study was to assess the ability of optical coherence tomography (OCT) to guide recrossing during percutaneous coronary interventions in bifurcations and to reduce strut malapposition. Fifty-two patients undergoing elective treatment of bifurcation lesions using provisional stenting as default strategy were included in the study. Patients were divided into two groups: OCT-guided stent recrossing (group 1, n=12), and angiography-guided recrossing (group 2, n=40). Malapposition in the various bifurcation segments was compared in the two groups, using propensity score analysis to correct for confounders. In 4/12 patients (33%) of the OCT-guided group after the first attempt to recross the stent towards the SB the wire was found to have crossed in a proximal cell, requiring a second and in one case a third attempt to successfully cross through a distal cell. Patients who were treated using OCT-guided recrossing had a significantly lower number of malapposed stent struts, especially in the quadrants towards the SB ostium (9.5%[7.5-17.4%] vs 42.3%[31.2-54.7%] in the angiography-guided group, p<0.0001). The rate of strut malapposition was significantly reduced when OCT was used to confirm that wire recrossing was perfor...Continue Reading

Associated Clinical Trials

References

May 18, 2004·Heart·Yves LouvardMarie-Claude Morice
May 5, 2005·JAMA : the Journal of the American Medical Association·Ioannis IakovouAntonio Colombo
Oct 18, 2005·Journal of the American College of Cardiology·Ioannis IakovouAntonio Colombo
Jan 5, 2006·JAMA : the Journal of the American Medical Association·Emmanuel MarretGilles Montalescot
May 26, 2009·JACC. Cardiovascular Interventions·Azeem Latib, Antonio Colombo
Jul 7, 2009·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Goran StankovicUNKNOWN European Bifurcation Club
Sep 17, 2009·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Somjot S BrarJeffrey W Moses
Dec 8, 2009·Cardiology Clinics·Samin K SharmaAnnapoorna S Kini
Jun 15, 2010·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·David Hildick-SmithUNKNOWN European Bifurcation Club
May 5, 2011·Herz·I IakovouC Di Mario
Jul 7, 2011·Heart·Alistair C LindsayCarlo Di Mario
Oct 5, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Carlo Di MarioAlistair C Lindsay
Oct 14, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Takayuki OkamuraMasunori Matsuzaki
Feb 9, 2012·European Heart Journal Cardiovascular Imaging·Eduardo Alegria-BarreroCarlo Di Mario
Feb 15, 2012·European Heart Journal Cardiovascular Imaging·Juan Luis Gutiérrez-ChicoCarlo di Mario
Feb 16, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Vasim FarooqPatrick W Serruys
Oct 2, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nicola ViceconteCarlo Di Mario

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Citations

Apr 5, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Goran StankovicUNKNOWN European Bifurcation Club
May 17, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Francesco BurzottaCarlo Trani
Jul 27, 2014·The International Journal of Cardiovascular Imaging·Maik J GrundekenJoanna J Wykrzykowska
Sep 30, 2014·Revista Española De Cardiología·Fernando Alfonso, Manuel Pan
Sep 27, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jens Flensted LassenYves Louvard
Feb 10, 2016·Current Cardiology Reports·Lazzaro ParaggioCarlo Trani
Apr 30, 2014·Revista Española De Cardiología·Juan Ruiz-GarcíaRaúl Moreno
Aug 25, 2015·International Journal of Cardiology·Gianluca CaiazzoCarlo Di Mario
Jan 30, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Yusuke FujinoMarco A Costa
Sep 1, 2015·JACC. Cardiovascular Interventions·Leif Thuesen, Niels Ramsing Holm
Dec 3, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroki TateishiMasafumi Yano
May 2, 2015·Current Cardiology Reports·Joo Myung LeeHyo-Soo Kim
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Niels Ramsing HolmEvald Høj Christiansen
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Yoshinobu OnumaPatrick W Serruys
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Yoshinobu MurasatoNicolas Foin
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Maik J GrundekenPatrick W Serruys
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Joanna J WykrzykowskaCarlo Di Mario
Feb 18, 2014·Journal of the American College of Cardiology·Guilherme F AttizzaniCorrado Tamburino
Feb 18, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Takayuki OkamuraPatrick W Serruys
May 5, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Roberto DilettiNicolas M van Mieghem
May 14, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jens Flensted LassenGoran Stankovic
Aug 25, 2016·Clinical Cardiology·Andrew Kei-Yan Ng, Man-Hong Jim
Jun 5, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gioel Gabrio SeccoCarlo Di Mario
Jun 6, 2017·Expert Review of Medical Devices·Maik J GrundekenJoanna J Wykrzykowska
Jan 7, 2017·Heart·Alessandra GiavariniCarlo Di Mario
Nov 21, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Calin HomorodeanAndrejs Erglis
Nov 28, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Yoshinobu OnumaPatrick W Serruys
Mar 13, 2019·Interventional Cardiology·Luca LongobardoCarlo Di Mario
Jun 13, 2014·Journal of Cardiovascular Medicine·Carlo ZivelonghiCarlo Di Mario
Feb 23, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Lene N AndreasenJohn A Ormiston
Sep 8, 2020·Cardiovascular Intervention and Therapeutics·Kensuke TakagiYoshinobu Murasato
Jul 16, 2017·Cardiovascular Intervention and Therapeutics·Teruyoshi Kume, Shiro Uemura
Nov 14, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Takayuki OkamuraJunya Shite
Feb 13, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Francesco Burzotta, Carlo Trani
Oct 25, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jens Flensted LassenGoran Stankovic
Mar 20, 2019·The International Journal of Cardiovascular Imaging·Yoshinobu MurasatoUNKNOWN 3D-OCT Bifurcation Registry Investigators
Jun 3, 2018·The International Journal of Cardiovascular Imaging·Rajiv ShresthaShaoliang Chen
Dec 5, 2020·Circulation. Cardiovascular Interventions·Yoshinobu OnumaUNKNOWN OPTIMUM Investigators

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