Assessment of vascular response after drug-eluting stents implantation in patients with diabetes mellitus: an optical coherence tomography sub-study of the J-DESsERT
Even in the drug-eluting stent era, diabetes mellitus (DM) patients have high incidences of restenosis and repeat revascularization after percutaneous coronary intervention. The aim of this study was to compare vascular response after stent implantation between sirolimus-eluting stent (SES) and pacl...
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| Veröffentlicht in: | Heart and vessels 2016-04, Vol.31 (4), p.465-473 |
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| creator | Kubo, Takashi Akasaka, Takashi Tanimoto, Takashi Takano, Masamichi Seino, Yoshitane Nasu, Kenya Itoh, Tomonori Mizuno, Kyoichi Okura, Hiroyuki Shinke, Toshiro Kotani, Jun-ichi Ito, Shigenori Yokoi, Hiroyoshi Muramatsu, Toshiya Nakamura, Masato Nanto, Shinsuke |
| description | Even in the drug-eluting stent era, diabetes mellitus (DM) patients have high incidences of restenosis and repeat revascularization after percutaneous coronary intervention. The aim of this study was to compare vascular response after stent implantation between sirolimus-eluting stent (SES) and paclitaxel-eluting stent (PES) by using optical coherence tomography (OCT) in DM patients as well as in non-DM patients. In the Japan-Drug Eluting Stents Evaluation; a Randomized Trial (J-DESsERT), the OCT sub-study enrolled 75 patients who underwent 8 months follow-up imaging after SES or PES implantation. Mean neointimal hyperplasia (NIH) thickness was significantly thinner in SES than PES in the DM group (77 ± 47 vs. 201 ± 114 μm,
p
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| doi_str_mv | 10.1007/s00380-015-0636-6 |
| format | Article |
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p
< 0.001) and in the non-DM group (84 ± 37 vs. 212 ± 128 μm,
p
< 0.001). Unevenness of NIH thickness in longitudinal axis was significantly smaller in SES than PES in the DM group (348 ± 191 vs. 726 ± 385 μm,
p
< 0.001) and in the non-DM group (344 ± 174 vs. 679 ± 314 μm,
p
< 0.001). The percentage of uncovered struts was significantly greater in SES than PES in the DM group (24 ± 4 vs. 9 ± 14 %,
p
< 0.001) and in the non-DM group (16 ± 16 vs. 3 ± 4 %,
p
= 0.002). Compared with PES, SES showed more potent NIH inhibition in DM patients as well as in non-DM patients.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-015-0636-6</identifier><identifier>PMID: 25630713</identifier><identifier>CODEN: HEVEEO</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiology ; Coronary Angiography - methods ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - surgery ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - physiopathology ; Coronary Vessels - surgery ; Diabetes ; Diabetes Mellitus ; Drug-Eluting Stents ; Electrocardiography ; Female ; Follow-Up Studies ; Heart surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Neointima - pathology ; Original Article ; Percutaneous Coronary Intervention - methods ; Prospective Studies ; Stents ; Surgical outcomes ; Time Factors ; Tomography ; Tomography, Optical Coherence - methods ; Vascular Patency - physiology ; Vascular Surgery</subject><ispartof>Heart and vessels, 2016-04, Vol.31 (4), p.465-473</ispartof><rights>Springer Japan 2015</rights><rights>Springer Japan 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-b1f420d5bffaf20b487b1d3c26ed067618fa3c90ced83a5f5e8164aa8771df523</citedby><cites>FETCH-LOGICAL-c396t-b1f420d5bffaf20b487b1d3c26ed067618fa3c90ced83a5f5e8164aa8771df523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-015-0636-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-015-0636-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25630713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kubo, Takashi</creatorcontrib><creatorcontrib>Akasaka, Takashi</creatorcontrib><creatorcontrib>Tanimoto, Takashi</creatorcontrib><creatorcontrib>Takano, Masamichi</creatorcontrib><creatorcontrib>Seino, Yoshitane</creatorcontrib><creatorcontrib>Nasu, Kenya</creatorcontrib><creatorcontrib>Itoh, Tomonori</creatorcontrib><creatorcontrib>Mizuno, Kyoichi</creatorcontrib><creatorcontrib>Okura, Hiroyuki</creatorcontrib><creatorcontrib>Shinke, Toshiro</creatorcontrib><creatorcontrib>Kotani, Jun-ichi</creatorcontrib><creatorcontrib>Ito, Shigenori</creatorcontrib><creatorcontrib>Yokoi, Hiroyoshi</creatorcontrib><creatorcontrib>Muramatsu, Toshiya</creatorcontrib><creatorcontrib>Nakamura, Masato</creatorcontrib><creatorcontrib>Nanto, Shinsuke</creatorcontrib><title>Assessment of vascular response after drug-eluting stents implantation in patients with diabetes mellitus: an optical coherence tomography sub-study of the J-DESsERT</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Even in the drug-eluting stent era, diabetes mellitus (DM) patients have high incidences of restenosis and repeat revascularization after percutaneous coronary intervention. The aim of this study was to compare vascular response after stent implantation between sirolimus-eluting stent (SES) and paclitaxel-eluting stent (PES) by using optical coherence tomography (OCT) in DM patients as well as in non-DM patients. In the Japan-Drug Eluting Stents Evaluation; a Randomized Trial (J-DESsERT), the OCT sub-study enrolled 75 patients who underwent 8 months follow-up imaging after SES or PES implantation. Mean neointimal hyperplasia (NIH) thickness was significantly thinner in SES than PES in the DM group (77 ± 47 vs. 201 ± 114 μm,
p
< 0.001) and in the non-DM group (84 ± 37 vs. 212 ± 128 μm,
p
< 0.001). Unevenness of NIH thickness in longitudinal axis was significantly smaller in SES than PES in the DM group (348 ± 191 vs. 726 ± 385 μm,
p
< 0.001) and in the non-DM group (344 ± 174 vs. 679 ± 314 μm,
p
< 0.001). The percentage of uncovered struts was significantly greater in SES than PES in the DM group (24 ± 4 vs. 9 ± 14 %,
p
< 0.001) and in the non-DM group (16 ± 16 vs. 3 ± 4 %,
p
= 0.002). Compared with PES, SES showed more potent NIH inhibition in DM patients as well as in non-DM patients.</description><subject>Aged</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - physiopathology</subject><subject>Coronary Vessels - surgery</subject><subject>Diabetes</subject><subject>Diabetes Mellitus</subject><subject>Drug-Eluting Stents</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neointima - pathology</subject><subject>Original Article</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>Prospective Studies</subject><subject>Stents</subject><subject>Surgical outcomes</subject><subject>Time Factors</subject><subject>Tomography</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Vascular Patency - physiology</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctu1DAUhi0EokPhAdggS2zYBHyZ2Am7qh1uqoQEZR05zvFMqsQOPjZoHoj3xGEKQkhsfNH5zu9jfYQ85ewlZ0y_QsZkwyrG64opqSp1j2y4KjdRa3mfbFjLWdVIoc_II8RbVsCWtw_JmaiVZJrLDflxgQiIM_hEg6PfDNo8mUgj4BI8AjUuQaRDzPsKppxGv6eYCo10nJfJ-GTSGDwdPV3K6Vfh-5gOdBhNDwmQzjBNY8r4mhpPw5JGayZqwwEieAs0hTnso1kOR4q5rzDl4bhOkg5AP1RXu8-4-3TzmDxwZkJ4crefky9vdjeX76rrj2_fX15cV1a2KlU9d1vBhrp3zjjB-m2jez5IKxQMTGnFG2ekbZmFoZGmdjU0XG2NabTmg6uFPCcvTrlLDF8zYOrmEW35gPEQMnZc65aJdS3o83_Q25CjL9OtVCOVUFtWKH6ibAyIEVy3xHE28dhx1q0Ou5PDrqjpVoedKj3P7pJzP8Pwp-O3tAKIE4Cl5PcQ_3r6v6k_AWImqlw</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Kubo, Takashi</creator><creator>Akasaka, Takashi</creator><creator>Tanimoto, Takashi</creator><creator>Takano, Masamichi</creator><creator>Seino, Yoshitane</creator><creator>Nasu, Kenya</creator><creator>Itoh, Tomonori</creator><creator>Mizuno, Kyoichi</creator><creator>Okura, Hiroyuki</creator><creator>Shinke, Toshiro</creator><creator>Kotani, Jun-ichi</creator><creator>Ito, Shigenori</creator><creator>Yokoi, Hiroyoshi</creator><creator>Muramatsu, Toshiya</creator><creator>Nakamura, Masato</creator><creator>Nanto, Shinsuke</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20160401</creationdate><title>Assessment of vascular response after drug-eluting stents implantation in patients with diabetes mellitus: an optical coherence tomography sub-study of the J-DESsERT</title><author>Kubo, Takashi ; Akasaka, Takashi ; Tanimoto, Takashi ; Takano, Masamichi ; Seino, Yoshitane ; Nasu, Kenya ; Itoh, Tomonori ; Mizuno, Kyoichi ; Okura, Hiroyuki ; Shinke, Toshiro ; Kotani, Jun-ichi ; Ito, Shigenori ; Yokoi, Hiroyoshi ; Muramatsu, Toshiya ; Nakamura, Masato ; Nanto, Shinsuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-b1f420d5bffaf20b487b1d3c26ed067618fa3c90ced83a5f5e8164aa8771df523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - surgery</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - physiopathology</topic><topic>Coronary Vessels - surgery</topic><topic>Diabetes</topic><topic>Diabetes Mellitus</topic><topic>Drug-Eluting Stents</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neointima - pathology</topic><topic>Original Article</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Prospective Studies</topic><topic>Stents</topic><topic>Surgical outcomes</topic><topic>Time Factors</topic><topic>Tomography</topic><topic>Tomography, Optical Coherence - methods</topic><topic>Vascular Patency - physiology</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kubo, Takashi</creatorcontrib><creatorcontrib>Akasaka, Takashi</creatorcontrib><creatorcontrib>Tanimoto, Takashi</creatorcontrib><creatorcontrib>Takano, Masamichi</creatorcontrib><creatorcontrib>Seino, Yoshitane</creatorcontrib><creatorcontrib>Nasu, Kenya</creatorcontrib><creatorcontrib>Itoh, Tomonori</creatorcontrib><creatorcontrib>Mizuno, Kyoichi</creatorcontrib><creatorcontrib>Okura, Hiroyuki</creatorcontrib><creatorcontrib>Shinke, Toshiro</creatorcontrib><creatorcontrib>Kotani, Jun-ichi</creatorcontrib><creatorcontrib>Ito, Shigenori</creatorcontrib><creatorcontrib>Yokoi, Hiroyoshi</creatorcontrib><creatorcontrib>Muramatsu, Toshiya</creatorcontrib><creatorcontrib>Nakamura, Masato</creatorcontrib><creatorcontrib>Nanto, Shinsuke</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kubo, Takashi</au><au>Akasaka, Takashi</au><au>Tanimoto, Takashi</au><au>Takano, Masamichi</au><au>Seino, Yoshitane</au><au>Nasu, Kenya</au><au>Itoh, Tomonori</au><au>Mizuno, Kyoichi</au><au>Okura, Hiroyuki</au><au>Shinke, Toshiro</au><au>Kotani, Jun-ichi</au><au>Ito, Shigenori</au><au>Yokoi, Hiroyoshi</au><au>Muramatsu, Toshiya</au><au>Nakamura, Masato</au><au>Nanto, Shinsuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of vascular response after drug-eluting stents implantation in patients with diabetes mellitus: an optical coherence tomography sub-study of the J-DESsERT</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>31</volume><issue>4</issue><spage>465</spage><epage>473</epage><pages>465-473</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><coden>HEVEEO</coden><abstract>Even in the drug-eluting stent era, diabetes mellitus (DM) patients have high incidences of restenosis and repeat revascularization after percutaneous coronary intervention. The aim of this study was to compare vascular response after stent implantation between sirolimus-eluting stent (SES) and paclitaxel-eluting stent (PES) by using optical coherence tomography (OCT) in DM patients as well as in non-DM patients. In the Japan-Drug Eluting Stents Evaluation; a Randomized Trial (J-DESsERT), the OCT sub-study enrolled 75 patients who underwent 8 months follow-up imaging after SES or PES implantation. Mean neointimal hyperplasia (NIH) thickness was significantly thinner in SES than PES in the DM group (77 ± 47 vs. 201 ± 114 μm,
p
< 0.001) and in the non-DM group (84 ± 37 vs. 212 ± 128 μm,
p
< 0.001). Unevenness of NIH thickness in longitudinal axis was significantly smaller in SES than PES in the DM group (348 ± 191 vs. 726 ± 385 μm,
p
< 0.001) and in the non-DM group (344 ± 174 vs. 679 ± 314 μm,
p
< 0.001). The percentage of uncovered struts was significantly greater in SES than PES in the DM group (24 ± 4 vs. 9 ± 14 %,
p
< 0.001) and in the non-DM group (16 ± 16 vs. 3 ± 4 %,
p
= 0.002). Compared with PES, SES showed more potent NIH inhibition in DM patients as well as in non-DM patients.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25630713</pmid><doi>10.1007/s00380-015-0636-6</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Biomedical Engineering and Bioengineering Cardiac Surgery Cardiology Coronary Angiography - methods Coronary Artery Disease - complications Coronary Artery Disease - diagnosis Coronary Artery Disease - surgery Coronary Vessels - diagnostic imaging Coronary Vessels - physiopathology Coronary Vessels - surgery Diabetes Diabetes Mellitus Drug-Eluting Stents Electrocardiography Female Follow-Up Studies Heart surgery Humans Male Medicine Medicine & Public Health Neointima - pathology Original Article Percutaneous Coronary Intervention - methods Prospective Studies Stents Surgical outcomes Time Factors Tomography Tomography, Optical Coherence - methods Vascular Patency - physiology Vascular Surgery |
| title | Assessment of vascular response after drug-eluting stents implantation in patients with diabetes mellitus: an optical coherence tomography sub-study of the J-DESsERT |
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