Recovery of Endothelial Function After Sirolimus-Eluting Stent Implantation: A Pilot Study

Whether endothelial dysfunction after sirolimus-eluting stent (SES) implantation is persistent has not been fully evaluated. Endothelial function was evaluated in 152 lesions that underwent follow-up coronary angiography after SES implantation. Lesions were classified into 2 groups according to the...

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Veröffentlicht in:Angiology 2013-04, Vol.64 (3), p.211-215
Hauptverfasser: Kitahara, Hideki, Fujimoto, Yoshihide, Ishikawa, Keishi, Aoki, Yasuhiro, Iwata, Yo, Kadohira, Tadayuki, Morino, Tomoki, Ohkubo, Kenji, Sugimoto, Kazumasa, Kobayashi, Yoshio
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container_end_page 215
container_issue 3
container_start_page 211
container_title Angiology
container_volume 64
creator Kitahara, Hideki
Fujimoto, Yoshihide
Ishikawa, Keishi
Aoki, Yasuhiro
Iwata, Yo
Kadohira, Tadayuki
Morino, Tomoki
Ohkubo, Kenji
Sugimoto, Kazumasa
Kobayashi, Yoshio
description Whether endothelial dysfunction after sirolimus-eluting stent (SES) implantation is persistent has not been fully evaluated. Endothelial function was evaluated in 152 lesions that underwent follow-up coronary angiography after SES implantation. Lesions were classified into 2 groups according to the duration between SES implantation and follow-up: ≤12 months (n = 95) and >12 months (n = 57). Changes in coronary diameter in response to 10−8 mol/L (−2.4% ± 6.3% vs −4.9% ± 3.8%, P < .01) and 10−7 mol/L acetylcholine (Ach; −4.6% ± 7.6% vs −10.7% ± 9.1%, P < .001) in segment proximal to SES were significantly attenuated in the >12-month group than in the ≤12-month group. There were less changes in coronary diameter in response to 10−8 mol/L (−2.3% ± 4.6% vs −6.9% ± 5.0%, P < .001) and 10−7 mol/L Ach (−6.5% ± 11.4% vs −16.8% ± 10.5%, P < .001) in segment distal to SES in the >12-month group. Endothelial dysfunction may diminish long after SES implantation.
doi_str_mv 10.1177/0003319712441388
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subjects Aged
Coronary Angiography
Coronary Disease - physiopathology
Coronary Disease - therapy
Drug-Eluting Stents
Endothelium, Vascular - physiopathology
Female
Humans
Immunosuppressive Agents - administration & dosage
Male
Middle Aged
Pilot Projects
Sirolimus - administration & dosage
title Recovery of Endothelial Function After Sirolimus-Eluting Stent Implantation: A Pilot Study
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