The impact of plaque morphology in patients with peripheral artery disease on vessel dissection: an intravascular ultrasound observational study
Drug-coated balloon (DCB) is now available for endovascular treatment (EVT) of superficial femoral arteries (SFA). Although it has been reported that severe vessel dissection after balloon angioplasty was risk of restenosis, it is difficult to predict the vessel dissection patterns before balloon an...
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Veröffentlicht in: | Heart and vessels 2022-06, Vol.37 (6), p.961-968 |
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description | Drug-coated balloon (DCB) is now available for endovascular treatment (EVT) of superficial femoral arteries (SFA). Although it has been reported that severe vessel dissection after balloon angioplasty was risk of restenosis, it is difficult to predict the vessel dissection patterns before balloon angioplasty. We investigated the correlation between plaque morphology and vessel dissection pattern after balloon angioplasty using the intravascular ultrasound (IVUS). A total of 73 de novo SFA lesions were enrolled in this study. IVUS examinations were measured at the minimum lumen area in the control angiogram. Plaque morphology, minimum lumen area (MLA) and vessel diameter at the same point were evaluated before and after the initial balloon angioplasty. Vessel dissection patterns after the initial balloon angioplasty were classified into 7 types (A to F). There were no severe dissection patterns which were more than type D dissection in this study. All patients were treated with DCB without any bailout stenting. No dissection was found in 35.6% (26/73). Type A, B and C dissections were seen in 17.8% (13/73), 40% (27/73) and 9.6% (7/73), respectively. Although there were no relations between plaque morphology and vessel dissection patterns (
p
= 0.547), the MLA with dissection was larger than that without dissection (5.78 mm
2
versus 4.63 mm
2
,
p
= 0.032). Although the dissection patterns could not be predicted in non-severe (Non or A to C) dissection, our result might suggest that IVUS image has the potential to reduce severe dissection. |
doi_str_mv | 10.1007/s00380-021-01994-w |
format | Article |
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p
= 0.547), the MLA with dissection was larger than that without dissection (5.78 mm
2
versus 4.63 mm
2
,
p
= 0.032). Although the dissection patterns could not be predicted in non-severe (Non or A to C) dissection, our result might suggest that IVUS image has the potential to reduce severe dissection.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-021-01994-w</identifier><identifier>PMID: 34799790</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Angioplasty ; Arteries ; Biomedical Engineering and Bioengineering ; Blood vessels ; Cardiac Surgery ; Cardiology ; Cardiovascular system ; Diameters ; Dissection ; Femoral artery ; Medicine ; Medicine & Public Health ; Morphology ; Observational studies ; Original Article ; Patients ; Restenosis ; Stents ; Ultrasonic imaging ; Ultrasound ; Vascular diseases ; Vascular Surgery</subject><ispartof>Heart and vessels, 2022-06, Vol.37 (6), p.961-968</ispartof><rights>Springer Japan KK, part of Springer Nature 2021</rights><rights>2021. Springer Japan KK, part of Springer Nature.</rights><rights>Springer Japan KK, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-5cf86aba48491248649535f1e1a085071ce13754a52416f682a48c53687c77583</citedby><cites>FETCH-LOGICAL-c399t-5cf86aba48491248649535f1e1a085071ce13754a52416f682a48c53687c77583</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/s00380-021-01994-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-021-01994-w$$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/34799790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakata, Aya</creatorcontrib><creatorcontrib>Fukunaga, Masashi</creatorcontrib><creatorcontrib>Kawasaki, Daizo</creatorcontrib><title>The impact of plaque morphology in patients with peripheral artery disease on vessel dissection: an intravascular ultrasound observational study</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Drug-coated balloon (DCB) is now available for endovascular treatment (EVT) of superficial femoral arteries (SFA). Although it has been reported that severe vessel dissection after balloon angioplasty was risk of restenosis, it is difficult to predict the vessel dissection patterns before balloon angioplasty. We investigated the correlation between plaque morphology and vessel dissection pattern after balloon angioplasty using the intravascular ultrasound (IVUS). A total of 73 de novo SFA lesions were enrolled in this study. IVUS examinations were measured at the minimum lumen area in the control angiogram. Plaque morphology, minimum lumen area (MLA) and vessel diameter at the same point were evaluated before and after the initial balloon angioplasty. Vessel dissection patterns after the initial balloon angioplasty were classified into 7 types (A to F). There were no severe dissection patterns which were more than type D dissection in this study. All patients were treated with DCB without any bailout stenting. No dissection was found in 35.6% (26/73). Type A, B and C dissections were seen in 17.8% (13/73), 40% (27/73) and 9.6% (7/73), respectively. Although there were no relations between plaque morphology and vessel dissection patterns (
p
= 0.547), the MLA with dissection was larger than that without dissection (5.78 mm
2
versus 4.63 mm
2
,
p
= 0.032). Although the dissection patterns could not be predicted in non-severe (Non or A to C) dissection, our result might suggest that IVUS image has the potential to reduce severe dissection.</description><subject>Angioplasty</subject><subject>Arteries</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Blood vessels</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular system</subject><subject>Diameters</subject><subject>Dissection</subject><subject>Femoral artery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morphology</subject><subject>Observational studies</subject><subject>Original Article</subject><subject>Patients</subject><subject>Restenosis</subject><subject>Stents</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Vascular diseases</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1DAUhi1ERYeWF2CBLLFhE-pLHNvsUFUuUiU27dryeE46rpI4-DgzmrfgkfEwBSQWrCz7fOe3jz9CXnP2njOmr5AxaVjDBG8Yt7Zt9s_IindcNUJp-ZysmOWsMVLoc_IS8ZExriy3L8i5bLW12rIV-XG3BRrH2YdCU0_nwX9fgI4pz9s0pIcDjROdfYkwFaT7WLZ0hhznLWQ_UJ8L5APdRASPQNNEd4AIw_EEIZSYpg_UTzWjZL_zGJbBZ7oMdYdpmTY0rRHyzh_BGodl2RwuyVnvB4RXT-sFuf90c3f9pbn99vnr9cfbJkhrS6NCbzq_9q1pLRet6VqrpOo5cM-MYpoH4FKr1ivR8q7vjKhoULIzOmitjLwg7065c051ZCxujBhgGPwEaUEnOsaE0ULZir79B31MS64vPlKd6oSoP1spcaJCTogZejfnOPp8cJy5oy938uWqL_fLl9vXpjdP0ct6hM2flt-CKiBPANbS9AD5793_if0JBtqjBA</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Nakata, Aya</creator><creator>Fukunaga, Masashi</creator><creator>Kawasaki, Daizo</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20220601</creationdate><title>The impact of plaque morphology in patients with peripheral artery disease on vessel dissection: an intravascular ultrasound observational study</title><author>Nakata, Aya ; Fukunaga, Masashi ; Kawasaki, Daizo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-5cf86aba48491248649535f1e1a085071ce13754a52416f682a48c53687c77583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Angioplasty</topic><topic>Arteries</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Blood vessels</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular system</topic><topic>Diameters</topic><topic>Dissection</topic><topic>Femoral artery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morphology</topic><topic>Observational studies</topic><topic>Original Article</topic><topic>Patients</topic><topic>Restenosis</topic><topic>Stents</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Vascular diseases</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakata, Aya</creatorcontrib><creatorcontrib>Fukunaga, Masashi</creatorcontrib><creatorcontrib>Kawasaki, Daizo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakata, Aya</au><au>Fukunaga, Masashi</au><au>Kawasaki, Daizo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of plaque morphology in patients with peripheral artery disease on vessel dissection: an intravascular ultrasound observational study</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>37</volume><issue>6</issue><spage>961</spage><epage>968</epage><pages>961-968</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Drug-coated balloon (DCB) is now available for endovascular treatment (EVT) of superficial femoral arteries (SFA). Although it has been reported that severe vessel dissection after balloon angioplasty was risk of restenosis, it is difficult to predict the vessel dissection patterns before balloon angioplasty. We investigated the correlation between plaque morphology and vessel dissection pattern after balloon angioplasty using the intravascular ultrasound (IVUS). A total of 73 de novo SFA lesions were enrolled in this study. IVUS examinations were measured at the minimum lumen area in the control angiogram. Plaque morphology, minimum lumen area (MLA) and vessel diameter at the same point were evaluated before and after the initial balloon angioplasty. Vessel dissection patterns after the initial balloon angioplasty were classified into 7 types (A to F). There were no severe dissection patterns which were more than type D dissection in this study. All patients were treated with DCB without any bailout stenting. No dissection was found in 35.6% (26/73). Type A, B and C dissections were seen in 17.8% (13/73), 40% (27/73) and 9.6% (7/73), respectively. Although there were no relations between plaque morphology and vessel dissection patterns (
p
= 0.547), the MLA with dissection was larger than that without dissection (5.78 mm
2
versus 4.63 mm
2
,
p
= 0.032). Although the dissection patterns could not be predicted in non-severe (Non or A to C) dissection, our result might suggest that IVUS image has the potential to reduce severe dissection.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>34799790</pmid><doi>10.1007/s00380-021-01994-w</doi><tpages>8</tpages></addata></record> |
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subjects | Angioplasty Arteries Biomedical Engineering and Bioengineering Blood vessels Cardiac Surgery Cardiology Cardiovascular system Diameters Dissection Femoral artery Medicine Medicine & Public Health Morphology Observational studies Original Article Patients Restenosis Stents Ultrasonic imaging Ultrasound Vascular diseases Vascular Surgery |
title | The impact of plaque morphology in patients with peripheral artery disease on vessel dissection: an intravascular ultrasound observational study |
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