Utility of near‐infrared spectroscopy to detect the extent of lipid core plaque leading to periprocedural myocardial infarction
Objectives The aim of this study was to investigate whether lipid core plaque (LCP) in the entire stented segment detected by near‐infrared spectroscopy‐intravascular ultrasound (NIRS‐IVUS) could predict procedural myocardial infarction (PMI) in patients undergoing percutaneous coronary artery inter...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2021-11, Vol.98 (5), p.E695-E704 |
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| container_title | Catheterization and cardiovascular interventions |
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| creator | Matsuoka, Takaaki Kitahara, Hideki Saito, Kan Mori, Naoto Tateishi, Kazuya Fujimoto, Yoshihide Kobayashi, Yoshio |
| description | Objectives
The aim of this study was to investigate whether lipid core plaque (LCP) in the entire stented segment detected by near‐infrared spectroscopy‐intravascular ultrasound (NIRS‐IVUS) could predict procedural myocardial infarction (PMI) in patients undergoing percutaneous coronary artery intervention (PCI).
Background
NIRS‐IVUS can identify LCP, described as high lipid core burden index (LCBI). Previously, the highest LCBI contained only in the 4‐mm segment (maxLCBI4mm) was reported to predict PMI.
Methods
Patients who underwent NIRS‐IVUS examination during PCI for coronary artery disease at Chiba University Hospital were included. The extent of LCP in the stented segment derived from NIRS‐IVUS analysis was presented as LCBI, maxLCBI4mm, and LCP area index (LAI), reflecting the total amount of LCP in the entire stented segment calculated as LCBI×lesion length. PMI was defined as an elevation of creatine kinase MB > 3 times upper reference level (URL), and periprocedural myocardial injury (PMInj) was defined as an elevation of troponin I>5 times URL within 12 to 24 h after PCI.
Results
Out of 141 enrolled patients, PMI occurred in 20 (14.2%) and PMInj occurred in 62 (44.0%) patients. Receiver‐operating characteristic curve analysis revealed LAI was the strongest predictor for both PMI and PMInj (area under curve 0.771, p |
| doi_str_mv | 10.1002/ccd.29927 |
| format | Article |
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The aim of this study was to investigate whether lipid core plaque (LCP) in the entire stented segment detected by near‐infrared spectroscopy‐intravascular ultrasound (NIRS‐IVUS) could predict procedural myocardial infarction (PMI) in patients undergoing percutaneous coronary artery intervention (PCI).
Background
NIRS‐IVUS can identify LCP, described as high lipid core burden index (LCBI). Previously, the highest LCBI contained only in the 4‐mm segment (maxLCBI4mm) was reported to predict PMI.
Methods
Patients who underwent NIRS‐IVUS examination during PCI for coronary artery disease at Chiba University Hospital were included. The extent of LCP in the stented segment derived from NIRS‐IVUS analysis was presented as LCBI, maxLCBI4mm, and LCP area index (LAI), reflecting the total amount of LCP in the entire stented segment calculated as LCBI×lesion length. PMI was defined as an elevation of creatine kinase MB > 3 times upper reference level (URL), and periprocedural myocardial injury (PMInj) was defined as an elevation of troponin I>5 times URL within 12 to 24 h after PCI.
Results
Out of 141 enrolled patients, PMI occurred in 20 (14.2%) and PMInj occurred in 62 (44.0%) patients. Receiver‐operating characteristic curve analysis revealed LAI was the strongest predictor for both PMI and PMInj (area under curve 0.771, p < 0.001, and 0.717, p < 0.001, respectively). Multiple logistic regression analysis determined high LAI value as the independent predictor of both PMI and PMInj.
Conclusions
Greater extent of LCP in the entire stented segment detected by NIRS‐IVUS was significantly associated with PMI as well as PMInj in patients undergoing PCI.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.29927</identifier><identifier>PMID: 34415682</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Atherosclerosis ; Calcium-binding protein ; Cardiovascular disease ; Coronary artery ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Coronary vessels ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - surgery ; Creatine ; Creatine kinase ; Heart attacks ; Heart diseases ; Humans ; imaging ; Infrared spectroscopy ; intravascular ultrasound ; Lipids ; Myocardial infarction ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - etiology ; Patients ; percutaneous coronary intervention ; Percutaneous Coronary Intervention - adverse effects ; Plaque, Atherosclerotic ; Spectroscopy, Near-Infrared ; Spectrum analysis ; Treatment Outcome ; Troponin ; Troponin I ; Ultrasonography, Interventional</subject><ispartof>Catheterization and cardiovascular interventions, 2021-11, Vol.98 (5), p.E695-E704</ispartof><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4197-f9c0b98d06e932fed23bc8b3d2a24cede549977e76139028eae8d2c31b8c3533</citedby><cites>FETCH-LOGICAL-c4197-f9c0b98d06e932fed23bc8b3d2a24cede549977e76139028eae8d2c31b8c3533</cites><orcidid>0000-0002-8217-8990 ; 0000-0002-3834-8665</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.29927$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.29927$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34415682$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuoka, Takaaki</creatorcontrib><creatorcontrib>Kitahara, Hideki</creatorcontrib><creatorcontrib>Saito, Kan</creatorcontrib><creatorcontrib>Mori, Naoto</creatorcontrib><creatorcontrib>Tateishi, Kazuya</creatorcontrib><creatorcontrib>Fujimoto, Yoshihide</creatorcontrib><creatorcontrib>Kobayashi, Yoshio</creatorcontrib><title>Utility of near‐infrared spectroscopy to detect the extent of lipid core plaque leading to periprocedural myocardial infarction</title><title>Catheterization and cardiovascular interventions</title><addtitle>Catheter Cardiovasc Interv</addtitle><description>Objectives
The aim of this study was to investigate whether lipid core plaque (LCP) in the entire stented segment detected by near‐infrared spectroscopy‐intravascular ultrasound (NIRS‐IVUS) could predict procedural myocardial infarction (PMI) in patients undergoing percutaneous coronary artery intervention (PCI).
Background
NIRS‐IVUS can identify LCP, described as high lipid core burden index (LCBI). Previously, the highest LCBI contained only in the 4‐mm segment (maxLCBI4mm) was reported to predict PMI.
Methods
Patients who underwent NIRS‐IVUS examination during PCI for coronary artery disease at Chiba University Hospital were included. The extent of LCP in the stented segment derived from NIRS‐IVUS analysis was presented as LCBI, maxLCBI4mm, and LCP area index (LAI), reflecting the total amount of LCP in the entire stented segment calculated as LCBI×lesion length. PMI was defined as an elevation of creatine kinase MB > 3 times upper reference level (URL), and periprocedural myocardial injury (PMInj) was defined as an elevation of troponin I>5 times URL within 12 to 24 h after PCI.
Results
Out of 141 enrolled patients, PMI occurred in 20 (14.2%) and PMInj occurred in 62 (44.0%) patients. Receiver‐operating characteristic curve analysis revealed LAI was the strongest predictor for both PMI and PMInj (area under curve 0.771, p < 0.001, and 0.717, p < 0.001, respectively). Multiple logistic regression analysis determined high LAI value as the independent predictor of both PMI and PMInj.
Conclusions
Greater extent of LCP in the entire stented segment detected by NIRS‐IVUS was significantly associated with PMI as well as PMInj in patients undergoing PCI.</description><subject>Atherosclerosis</subject><subject>Calcium-binding protein</subject><subject>Cardiovascular disease</subject><subject>Coronary artery</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary vessels</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - surgery</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>imaging</subject><subject>Infrared spectroscopy</subject><subject>intravascular ultrasound</subject><subject>Lipids</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - etiology</subject><subject>Patients</subject><subject>percutaneous coronary intervention</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Plaque, Atherosclerotic</subject><subject>Spectroscopy, Near-Infrared</subject><subject>Spectrum analysis</subject><subject>Treatment Outcome</subject><subject>Troponin</subject><subject>Troponin I</subject><subject>Ultrasonography, Interventional</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU2OEzEQhS00iISBBRdAlmbDLJKxy_3n5SgwgBSJTZDYtdx2NThy2o3t1tA7uAFn5CQ4JLAYiVWVSl-9eqpHyAvO1pwxuNHarEFKqB-RJS8BVjVUny7OPZdFtSBPY9wzxmQF8glZiKLgZdXAkvz4mKyzaaa-pwOq8Ov7Tzv0QQU0NI6oU_BR-3GmyVODKQ9o-oIUvyUc0nHJ2dEaqn1AOjr1dULqUBk7fD5ujBjsGLxGMwXl6GH2WgVjc5uPqKCT9cMz8rhXLuLzc70ku7s3u8271fbD2_eb2-1KF1zWq15q1snGsAqlgB4NiE43nTCgoMgHsCykrGusKy4kgwYVNga04F2jRSnEJXl1ks1-ssuY2oONGp1TA_optlBWogBgTZnRqwfo3k9hyOYyJUtW1WVzFLw-UTq_KAbs2zHYgwpzy1l7jKXNsbR_Ysnsy7Pi1B3Q_CP_5pCBmxNwbx3O_1dqN5vXJ8nfu-eZ3w</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Matsuoka, Takaaki</creator><creator>Kitahara, Hideki</creator><creator>Saito, Kan</creator><creator>Mori, Naoto</creator><creator>Tateishi, Kazuya</creator><creator>Fujimoto, Yoshihide</creator><creator>Kobayashi, Yoshio</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</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>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8217-8990</orcidid><orcidid>https://orcid.org/0000-0002-3834-8665</orcidid></search><sort><creationdate>20211101</creationdate><title>Utility of near‐infrared spectroscopy to detect the extent of lipid core plaque leading to periprocedural myocardial infarction</title><author>Matsuoka, Takaaki ; Kitahara, Hideki ; Saito, Kan ; Mori, Naoto ; Tateishi, Kazuya ; Fujimoto, Yoshihide ; Kobayashi, Yoshio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4197-f9c0b98d06e932fed23bc8b3d2a24cede549977e76139028eae8d2c31b8c3533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Atherosclerosis</topic><topic>Calcium-binding protein</topic><topic>Cardiovascular disease</topic><topic>Coronary artery</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary vessels</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - surgery</topic><topic>Creatine</topic><topic>Creatine kinase</topic><topic>Heart attacks</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>imaging</topic><topic>Infrared spectroscopy</topic><topic>intravascular ultrasound</topic><topic>Lipids</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - etiology</topic><topic>Patients</topic><topic>percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Plaque, Atherosclerotic</topic><topic>Spectroscopy, Near-Infrared</topic><topic>Spectrum analysis</topic><topic>Treatment Outcome</topic><topic>Troponin</topic><topic>Troponin I</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuoka, Takaaki</creatorcontrib><creatorcontrib>Kitahara, Hideki</creatorcontrib><creatorcontrib>Saito, Kan</creatorcontrib><creatorcontrib>Mori, Naoto</creatorcontrib><creatorcontrib>Tateishi, Kazuya</creatorcontrib><creatorcontrib>Fujimoto, Yoshihide</creatorcontrib><creatorcontrib>Kobayashi, Yoshio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuoka, Takaaki</au><au>Kitahara, Hideki</au><au>Saito, Kan</au><au>Mori, Naoto</au><au>Tateishi, Kazuya</au><au>Fujimoto, Yoshihide</au><au>Kobayashi, Yoshio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of near‐infrared spectroscopy to detect the extent of lipid core plaque leading to periprocedural myocardial infarction</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>98</volume><issue>5</issue><spage>E695</spage><epage>E704</epage><pages>E695-E704</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Objectives
The aim of this study was to investigate whether lipid core plaque (LCP) in the entire stented segment detected by near‐infrared spectroscopy‐intravascular ultrasound (NIRS‐IVUS) could predict procedural myocardial infarction (PMI) in patients undergoing percutaneous coronary artery intervention (PCI).
Background
NIRS‐IVUS can identify LCP, described as high lipid core burden index (LCBI). Previously, the highest LCBI contained only in the 4‐mm segment (maxLCBI4mm) was reported to predict PMI.
Methods
Patients who underwent NIRS‐IVUS examination during PCI for coronary artery disease at Chiba University Hospital were included. The extent of LCP in the stented segment derived from NIRS‐IVUS analysis was presented as LCBI, maxLCBI4mm, and LCP area index (LAI), reflecting the total amount of LCP in the entire stented segment calculated as LCBI×lesion length. PMI was defined as an elevation of creatine kinase MB > 3 times upper reference level (URL), and periprocedural myocardial injury (PMInj) was defined as an elevation of troponin I>5 times URL within 12 to 24 h after PCI.
Results
Out of 141 enrolled patients, PMI occurred in 20 (14.2%) and PMInj occurred in 62 (44.0%) patients. Receiver‐operating characteristic curve analysis revealed LAI was the strongest predictor for both PMI and PMInj (area under curve 0.771, p < 0.001, and 0.717, p < 0.001, respectively). Multiple logistic regression analysis determined high LAI value as the independent predictor of both PMI and PMInj.
Conclusions
Greater extent of LCP in the entire stented segment detected by NIRS‐IVUS was significantly associated with PMI as well as PMInj in patients undergoing PCI.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>34415682</pmid><doi>10.1002/ccd.29927</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8217-8990</orcidid><orcidid>https://orcid.org/0000-0002-3834-8665</orcidid></addata></record> |
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| ispartof | Catheterization and cardiovascular interventions, 2021-11, Vol.98 (5), p.E695-E704 |
| issn | 1522-1946 1522-726X |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Atherosclerosis Calcium-binding protein Cardiovascular disease Coronary artery Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - therapy Coronary vessels Coronary Vessels - diagnostic imaging Coronary Vessels - surgery Creatine Creatine kinase Heart attacks Heart diseases Humans imaging Infrared spectroscopy intravascular ultrasound Lipids Myocardial infarction Myocardial Infarction - diagnostic imaging Myocardial Infarction - etiology Patients percutaneous coronary intervention Percutaneous Coronary Intervention - adverse effects Plaque, Atherosclerotic Spectroscopy, Near-Infrared Spectrum analysis Treatment Outcome Troponin Troponin I Ultrasonography, Interventional |
| title | Utility of near‐infrared spectroscopy to detect the extent of lipid core plaque leading to periprocedural myocardial infarction |
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