The frequency and clinical characteristics of in-stent restenosis due to calcified nodule development after coronary stent implantation
The purpose of this study was to evaluated the clinical characteristics of calcified nodule-like in-stent restenosis (ISR) lesions using optical coherence tomography (OCT) in vivo. A total of 124 ISR lesions that were treated with a repeat coronary intervention under OCT guidance were included in th...
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| Veröffentlicht in: | The International Journal of Cardiovascular Imaging 2021-01, Vol.37 (1), p.15-23 |
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| creator | Isodono, Koji Fujii, Kenichi Fujimoto, Tomotaka Kasahara, Takeru Ariyoshi, Makoto Irie, Daisuke Tsubakimoto, Yoshinori Sakatani, Tomohiko Matsuo, Akiko Inoue, Keiji Fujita, Hiroshi |
| description | The purpose of this study was to evaluated the clinical characteristics of calcified nodule-like in-stent restenosis (ISR) lesions using optical coherence tomography (OCT) in vivo. A total of 124 ISR lesions that were treated with a repeat coronary intervention under OCT guidance were included in this analysis. ISR neointimal morphology was classified as “calcified nodule-like ISR”, that appeared as a high-backscattering protruding mass with an irregular surface covered by signal-rich bands, or “non-calcified nodule-like ISR”. The maximum arc and thickness of calcium behind the stent struts was also measured. Of the 124 ISR lesions, calcified nodule-like ISR was observed in 11 lesions (9%). OCT analysis data showed that the maximum arc of calcium and the maximum calcium thickness behind the stent were significantly larger in the calcified nodule-like ISR lesions than in the non-calcified nodule-like ISR lesions (269 ± 51 vs. 179 ± 92°, p |
| doi_str_mv | 10.1007/s10554-020-01952-z |
| format | Article |
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2
, p = 0.02). As a result, the enlargement of the lumen area tended to be larger in the calcified group (2.8 ± 1.7 vs. 2.4 ± 1.3 mm
2
, p = 0.3). Calcified nodule-like neointima within the stent could develop in approximately 10% of all ISR lesions, especially within stents deployed in severely calcified lesions.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-020-01952-z</identifier><identifier>PMID: 32734495</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Aged, 80 and over ; Backscattering ; Calcification ; Calcium ; Cardiac Imaging ; Cardiology ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Coronary Restenosis - diagnostic imaging ; Coronary Restenosis - etiology ; Coronary Vessels - diagnostic imaging ; Enlargement ; Female ; Humans ; Imaging ; Implants ; Lesions ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morphology ; Neointima ; Optical Coherence Tomography ; Original Paper ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - instrumentation ; Predictive Value of Tests ; Radiology ; Restenosis ; Retrospective Studies ; Risk Factors ; Stents ; Struts ; Surgical implants ; Thickness ; Tomography, Optical Coherence ; Treatment Outcome ; Vascular Calcification - diagnostic imaging ; Vascular Calcification - etiology</subject><ispartof>The International Journal of Cardiovascular Imaging, 2021-01, Vol.37 (1), p.15-23</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Springer Nature B.V. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-d91a2e38a0bcda180bdf279d25c0dd0e9cba652f525a9d9e988e744bc4b391083</citedby><cites>FETCH-LOGICAL-c441t-d91a2e38a0bcda180bdf279d25c0dd0e9cba652f525a9d9e988e744bc4b391083</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/s10554-020-01952-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-020-01952-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32734495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Isodono, Koji</creatorcontrib><creatorcontrib>Fujii, Kenichi</creatorcontrib><creatorcontrib>Fujimoto, Tomotaka</creatorcontrib><creatorcontrib>Kasahara, Takeru</creatorcontrib><creatorcontrib>Ariyoshi, Makoto</creatorcontrib><creatorcontrib>Irie, Daisuke</creatorcontrib><creatorcontrib>Tsubakimoto, Yoshinori</creatorcontrib><creatorcontrib>Sakatani, Tomohiko</creatorcontrib><creatorcontrib>Matsuo, Akiko</creatorcontrib><creatorcontrib>Inoue, Keiji</creatorcontrib><creatorcontrib>Fujita, Hiroshi</creatorcontrib><title>The frequency and clinical characteristics of in-stent restenosis due to calcified nodule development after coronary stent implantation</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>The purpose of this study was to evaluated the clinical characteristics of calcified nodule-like in-stent restenosis (ISR) lesions using optical coherence tomography (OCT) in vivo. A total of 124 ISR lesions that were treated with a repeat coronary intervention under OCT guidance were included in this analysis. ISR neointimal morphology was classified as “calcified nodule-like ISR”, that appeared as a high-backscattering protruding mass with an irregular surface covered by signal-rich bands, or “non-calcified nodule-like ISR”. The maximum arc and thickness of calcium behind the stent struts was also measured. Of the 124 ISR lesions, calcified nodule-like ISR was observed in 11 lesions (9%). OCT analysis data showed that the maximum arc of calcium and the maximum calcium thickness behind the stent were significantly larger in the calcified nodule-like ISR lesions than in the non-calcified nodule-like ISR lesions (269 ± 51 vs. 179 ± 92°, p < 0.01 and 989 ± 174 vs. 684 ± 241 μm, p < 0.01, respectively). The enlargement of the stent area was significantly larger in the calcified nodule-like ISR lesions than in the non-calcified nodule-like ISR lesions (1.6 ± 2.3 vs. 0.7 ± 1.3 mm
2
, p = 0.02). As a result, the enlargement of the lumen area tended to be larger in the calcified group (2.8 ± 1.7 vs. 2.4 ± 1.3 mm
2
, p = 0.3). Calcified nodule-like neointima within the stent could develop in approximately 10% of all ISR lesions, especially within stents deployed in severely calcified lesions.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Backscattering</subject><subject>Calcification</subject><subject>Calcium</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Restenosis - diagnostic imaging</subject><subject>Coronary Restenosis - etiology</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Enlargement</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Implants</subject><subject>Lesions</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>Neointima</subject><subject>Optical Coherence Tomography</subject><subject>Original Paper</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - instrumentation</subject><subject>Predictive Value of Tests</subject><subject>Radiology</subject><subject>Restenosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Struts</subject><subject>Surgical implants</subject><subject>Thickness</subject><subject>Tomography, Optical Coherence</subject><subject>Treatment Outcome</subject><subject>Vascular Calcification - diagnostic imaging</subject><subject>Vascular Calcification - etiology</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kctu1jAQhS0Eohd4gS6QJTZsDL7-iZdVBbRSJTZlbTn2hLpK7L-2U6l9AV4bh7RU6oLVjOTvHM_MQeiE0c-M0u5LYVQpSSinhDKtOHl4hQ6Z6gShnRSv136nieq0PEBHpdxQ2lAu3qIDwTshpVaH6PfVNeAxw-0C0d1jGz12U4jB2Qm7a5utq5BDqcEVnEYcIikVYsUZ1ppKKNgvgGvCTeHCGMDjmPwyAfZwB1Pazytux2aDXcop2nyPN48w7ycbq60hxXfozWinAu8f6zH6-e3r1dk5ufzx_eLs9JI4KVklXjPLQfSWDs5b1tPBj7zTnitHvaeg3WB3io-KK6u9Bt330Ek5ODkIzWgvjtGnzXefU9u5VDOH4mBqg0BaiuGS664dR-uGfnyB3qQlxzZdo_peKLYTK8U3yuVUSobR7HOY25KGUbPGZLaYTLu9-RuTeWiiD4_WyzCD_yd5yqUBYgNKe4q_ID___R_bP-BCoV8</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Isodono, Koji</creator><creator>Fujii, Kenichi</creator><creator>Fujimoto, Tomotaka</creator><creator>Kasahara, Takeru</creator><creator>Ariyoshi, Makoto</creator><creator>Irie, Daisuke</creator><creator>Tsubakimoto, Yoshinori</creator><creator>Sakatani, Tomohiko</creator><creator>Matsuo, Akiko</creator><creator>Inoue, Keiji</creator><creator>Fujita, Hiroshi</creator><general>Springer Netherlands</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210101</creationdate><title>The frequency and clinical characteristics of in-stent restenosis due to calcified nodule development after coronary stent implantation</title><author>Isodono, Koji ; Fujii, Kenichi ; Fujimoto, Tomotaka ; Kasahara, Takeru ; Ariyoshi, Makoto ; Irie, Daisuke ; Tsubakimoto, Yoshinori ; Sakatani, Tomohiko ; Matsuo, Akiko ; Inoue, Keiji ; Fujita, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-d91a2e38a0bcda180bdf279d25c0dd0e9cba652f525a9d9e988e744bc4b391083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Backscattering</topic><topic>Calcification</topic><topic>Calcium</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary Restenosis - diagnostic imaging</topic><topic>Coronary Restenosis - etiology</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Enlargement</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Implants</topic><topic>Lesions</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morphology</topic><topic>Neointima</topic><topic>Optical Coherence Tomography</topic><topic>Original Paper</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - instrumentation</topic><topic>Predictive Value of Tests</topic><topic>Radiology</topic><topic>Restenosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Stents</topic><topic>Struts</topic><topic>Surgical implants</topic><topic>Thickness</topic><topic>Tomography, Optical Coherence</topic><topic>Treatment Outcome</topic><topic>Vascular Calcification - diagnostic imaging</topic><topic>Vascular Calcification - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Isodono, Koji</creatorcontrib><creatorcontrib>Fujii, Kenichi</creatorcontrib><creatorcontrib>Fujimoto, Tomotaka</creatorcontrib><creatorcontrib>Kasahara, Takeru</creatorcontrib><creatorcontrib>Ariyoshi, Makoto</creatorcontrib><creatorcontrib>Irie, Daisuke</creatorcontrib><creatorcontrib>Tsubakimoto, Yoshinori</creatorcontrib><creatorcontrib>Sakatani, Tomohiko</creatorcontrib><creatorcontrib>Matsuo, Akiko</creatorcontrib><creatorcontrib>Inoue, Keiji</creatorcontrib><creatorcontrib>Fujita, Hiroshi</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>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>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</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>MEDLINE - Academic</collection><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Isodono, Koji</au><au>Fujii, Kenichi</au><au>Fujimoto, Tomotaka</au><au>Kasahara, Takeru</au><au>Ariyoshi, Makoto</au><au>Irie, Daisuke</au><au>Tsubakimoto, Yoshinori</au><au>Sakatani, Tomohiko</au><au>Matsuo, Akiko</au><au>Inoue, Keiji</au><au>Fujita, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The frequency and clinical characteristics of in-stent restenosis due to calcified nodule development after coronary stent implantation</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>37</volume><issue>1</issue><spage>15</spage><epage>23</epage><pages>15-23</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><abstract>The purpose of this study was to evaluated the clinical characteristics of calcified nodule-like in-stent restenosis (ISR) lesions using optical coherence tomography (OCT) in vivo. A total of 124 ISR lesions that were treated with a repeat coronary intervention under OCT guidance were included in this analysis. ISR neointimal morphology was classified as “calcified nodule-like ISR”, that appeared as a high-backscattering protruding mass with an irregular surface covered by signal-rich bands, or “non-calcified nodule-like ISR”. The maximum arc and thickness of calcium behind the stent struts was also measured. Of the 124 ISR lesions, calcified nodule-like ISR was observed in 11 lesions (9%). OCT analysis data showed that the maximum arc of calcium and the maximum calcium thickness behind the stent were significantly larger in the calcified nodule-like ISR lesions than in the non-calcified nodule-like ISR lesions (269 ± 51 vs. 179 ± 92°, p < 0.01 and 989 ± 174 vs. 684 ± 241 μm, p < 0.01, respectively). The enlargement of the stent area was significantly larger in the calcified nodule-like ISR lesions than in the non-calcified nodule-like ISR lesions (1.6 ± 2.3 vs. 0.7 ± 1.3 mm
2
, p = 0.02). As a result, the enlargement of the lumen area tended to be larger in the calcified group (2.8 ± 1.7 vs. 2.4 ± 1.3 mm
2
, p = 0.3). Calcified nodule-like neointima within the stent could develop in approximately 10% of all ISR lesions, especially within stents deployed in severely calcified lesions.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>32734495</pmid><doi>10.1007/s10554-020-01952-z</doi><tpages>9</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Backscattering Calcification Calcium Cardiac Imaging Cardiology Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - therapy Coronary Restenosis - diagnostic imaging Coronary Restenosis - etiology Coronary Vessels - diagnostic imaging Enlargement Female Humans Imaging Implants Lesions Male Medicine Medicine & Public Health Middle Aged Morphology Neointima Optical Coherence Tomography Original Paper Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - instrumentation Predictive Value of Tests Radiology Restenosis Retrospective Studies Risk Factors Stents Struts Surgical implants Thickness Tomography, Optical Coherence Treatment Outcome Vascular Calcification - diagnostic imaging Vascular Calcification - etiology |
| title | The frequency and clinical characteristics of in-stent restenosis due to calcified nodule development after coronary stent implantation |
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