Serial longitudinal changes of coronary calcified plaques with clear outer borders under intensive lipid management: insights from optical coherence tomography
Percutaneous coronary intervention (PCI) for calcified lesions is one of the most challenging procedures related to worse clinical outcomes. To stabilize vulnerable plaques, intensive lipid management is recommended; however, the serial changes of calcified plaques under intensive lipid management a...
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| Veröffentlicht in: | Heart and vessels 2024-05, Vol.39 (5), p.373-381 |
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| creator | Soma, Takanobu Yokoyama, Hiroaki Saito, Kazumasa Washima, Shota Tsushima, Michiko Senoo, Maiko Ichikawa, Hiroaki Nishizaki, Fumie Shibutani, Shuji Hanada, Kenji Tomita, Hirofumi |
| description | Percutaneous coronary intervention (PCI) for calcified lesions is one of the most challenging procedures related to worse clinical outcomes. To stabilize vulnerable plaques, intensive lipid management is recommended; however, the serial changes of calcified plaques under intensive lipid management are unknown. A total of 31 patients (mean age, 63 ± 10 years; men, 29 patients) who underwent PCI with intensive lipid management were retrospectively studied. We evaluated the serial longitudinal changes of calcified plaques with clear outer borders using optical coherence tomography (OCT) at two time points: at the time of PCI (baseline) and the chronic phase. The median interval from PCI to chronic phase was 287 (233–429) days. Twenty-eight patients (90.3%) had increased calcium volume at the chronic phase compared with those at baseline (2.6 [1.3–5.1] vs. 1.8 [0.7–4.3] mm
2
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| doi_str_mv | 10.1007/s00380-023-02345-7 |
| format | Article |
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2
, p < 0.05), and the median increase rate of calcium volume was 27.4% at the chronic phase. According to the median increase rate of calcium volume (27.4%), patients were divided into the following two groups: rapid progression (≥ 27.4%, RP group) and non-rapid progression (< 27.4%, non-RP group). The RP group had more patients with diabetes, and diabetes was independently associated with rapid progression by multivariate analysis. Furthermore, patients with diabetes had significantly higher changes in calcium index and volume from the baseline to the chronic phase than those without diabetes. Coronary calcification progression during relatively short intervals was observed using OCT even under intensive lipid management. Diabetes was an independent predictor for rapid coronary calcification progression.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-023-02345-7</identifier><identifier>PMID: 38150053</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Biomedical Engineering and Bioengineering ; Borders ; Calcification ; Calcification (ectopic) ; Calcium ; Cardiac Surgery ; Cardiology ; Coronary Angiography - methods ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - pathology ; Diabetes ; Diabetes Mellitus ; Humans ; Lipids ; Male ; Management ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate analysis ; Optical Coherence Tomography ; Original Article ; Percutaneous Coronary Intervention ; Plaque, Atherosclerotic - pathology ; Plaques ; Retrospective Studies ; Tomography ; Tomography, Optical Coherence - methods ; Vascular Calcification - diagnostic imaging ; Vascular Calcification - therapy ; Vascular Surgery</subject><ispartof>Heart and vessels, 2024-05, Vol.39 (5), p.373-381</ispartof><rights>Springer Nature Japan KK, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Springer Nature Japan KK, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-de8d460635331eb0619807fc7524611607a5b56600293ce335d9f17d50ffd8393</cites><orcidid>0000-0001-8149-3043</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-023-02345-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-023-02345-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38150053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soma, Takanobu</creatorcontrib><creatorcontrib>Yokoyama, Hiroaki</creatorcontrib><creatorcontrib>Saito, Kazumasa</creatorcontrib><creatorcontrib>Washima, Shota</creatorcontrib><creatorcontrib>Tsushima, Michiko</creatorcontrib><creatorcontrib>Senoo, Maiko</creatorcontrib><creatorcontrib>Ichikawa, Hiroaki</creatorcontrib><creatorcontrib>Nishizaki, Fumie</creatorcontrib><creatorcontrib>Shibutani, Shuji</creatorcontrib><creatorcontrib>Hanada, Kenji</creatorcontrib><creatorcontrib>Tomita, Hirofumi</creatorcontrib><title>Serial longitudinal changes of coronary calcified plaques with clear outer borders under intensive lipid management: insights from optical coherence tomography</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Percutaneous coronary intervention (PCI) for calcified lesions is one of the most challenging procedures related to worse clinical outcomes. To stabilize vulnerable plaques, intensive lipid management is recommended; however, the serial changes of calcified plaques under intensive lipid management are unknown. A total of 31 patients (mean age, 63 ± 10 years; men, 29 patients) who underwent PCI with intensive lipid management were retrospectively studied. We evaluated the serial longitudinal changes of calcified plaques with clear outer borders using optical coherence tomography (OCT) at two time points: at the time of PCI (baseline) and the chronic phase. The median interval from PCI to chronic phase was 287 (233–429) days. Twenty-eight patients (90.3%) had increased calcium volume at the chronic phase compared with those at baseline (2.6 [1.3–5.1] vs. 1.8 [0.7–4.3] mm
2
, p < 0.05), and the median increase rate of calcium volume was 27.4% at the chronic phase. According to the median increase rate of calcium volume (27.4%), patients were divided into the following two groups: rapid progression (≥ 27.4%, RP group) and non-rapid progression (< 27.4%, non-RP group). The RP group had more patients with diabetes, and diabetes was independently associated with rapid progression by multivariate analysis. Furthermore, patients with diabetes had significantly higher changes in calcium index and volume from the baseline to the chronic phase than those without diabetes. Coronary calcification progression during relatively short intervals was observed using OCT even under intensive lipid management. Diabetes was an independent predictor for rapid coronary calcification progression.</description><subject>Aged</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Borders</subject><subject>Calcification</subject><subject>Calcification (ectopic)</subject><subject>Calcium</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - pathology</subject><subject>Diabetes</subject><subject>Diabetes Mellitus</subject><subject>Humans</subject><subject>Lipids</subject><subject>Male</subject><subject>Management</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Optical Coherence Tomography</subject><subject>Original Article</subject><subject>Percutaneous Coronary Intervention</subject><subject>Plaque, Atherosclerotic - pathology</subject><subject>Plaques</subject><subject>Retrospective Studies</subject><subject>Tomography</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Vascular Calcification - diagnostic imaging</subject><subject>Vascular Calcification - therapy</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-OFCEQxonRuOPoC3gwJF68tBbNAN3ezMZ_ySYe1DNhoLqHTTe0QLvZp_FVpZ1VEw8eSIV8X30F9SPkKYOXDEC9ygC8gwZavp2DaNQ9smOSiaYVit8nO-gZNB1v1QV5lPM1ABM96x-SC94xASD4jvz4jMmbiU4xjL6szod6sScTRsw0DtTGFINJt9SayfrBo6PLZL6tVb3x5UTthCbRuBZM9BiTw5TpGmqhPhQM2X9HOvnFOzqbYEacMZTXVct-PJVMhxRnGpfi7TY2njBhsEhLnOOYzHK6fUweDGbK-OSu7snXd2-_XH5orj69_3j55qqxvJWlcdi5gwTJBecMjyBZ34EarBLtQTImQRlxFFICtD23yLlw_cCUEzAMruM935MX59wlxe13Rc8-W5wmEzCuWbc9SLWlddX6_B_rdVxT3VvWHLhQrG_rK_akPbtsijknHPSS_Fw3qRnoDZ8-49MVnf6FT6va9Owuej3O6P60_OZVDfxsyFWqjNLf2f-J_QmWWKfD</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Soma, Takanobu</creator><creator>Yokoyama, Hiroaki</creator><creator>Saito, Kazumasa</creator><creator>Washima, Shota</creator><creator>Tsushima, Michiko</creator><creator>Senoo, Maiko</creator><creator>Ichikawa, Hiroaki</creator><creator>Nishizaki, Fumie</creator><creator>Shibutani, Shuji</creator><creator>Hanada, Kenji</creator><creator>Tomita, Hirofumi</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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8149-3043</orcidid></search><sort><creationdate>20240501</creationdate><title>Serial longitudinal changes of coronary calcified plaques with clear outer borders under intensive lipid management: insights from optical coherence tomography</title><author>Soma, Takanobu ; Yokoyama, Hiroaki ; Saito, Kazumasa ; Washima, Shota ; Tsushima, Michiko ; Senoo, Maiko ; Ichikawa, Hiroaki ; Nishizaki, Fumie ; Shibutani, Shuji ; Hanada, Kenji ; Tomita, Hirofumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-de8d460635331eb0619807fc7524611607a5b56600293ce335d9f17d50ffd8393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Borders</topic><topic>Calcification</topic><topic>Calcification (ectopic)</topic><topic>Calcium</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - pathology</topic><topic>Diabetes</topic><topic>Diabetes Mellitus</topic><topic>Humans</topic><topic>Lipids</topic><topic>Male</topic><topic>Management</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Optical Coherence Tomography</topic><topic>Original Article</topic><topic>Percutaneous Coronary Intervention</topic><topic>Plaque, Atherosclerotic - pathology</topic><topic>Plaques</topic><topic>Retrospective Studies</topic><topic>Tomography</topic><topic>Tomography, Optical Coherence - methods</topic><topic>Vascular Calcification - diagnostic imaging</topic><topic>Vascular Calcification - therapy</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soma, Takanobu</creatorcontrib><creatorcontrib>Yokoyama, Hiroaki</creatorcontrib><creatorcontrib>Saito, Kazumasa</creatorcontrib><creatorcontrib>Washima, Shota</creatorcontrib><creatorcontrib>Tsushima, Michiko</creatorcontrib><creatorcontrib>Senoo, Maiko</creatorcontrib><creatorcontrib>Ichikawa, Hiroaki</creatorcontrib><creatorcontrib>Nishizaki, Fumie</creatorcontrib><creatorcontrib>Shibutani, Shuji</creatorcontrib><creatorcontrib>Hanada, Kenji</creatorcontrib><creatorcontrib>Tomita, Hirofumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><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>Soma, Takanobu</au><au>Yokoyama, Hiroaki</au><au>Saito, Kazumasa</au><au>Washima, Shota</au><au>Tsushima, Michiko</au><au>Senoo, Maiko</au><au>Ichikawa, Hiroaki</au><au>Nishizaki, Fumie</au><au>Shibutani, Shuji</au><au>Hanada, Kenji</au><au>Tomita, Hirofumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serial longitudinal changes of coronary calcified plaques with clear outer borders under intensive lipid management: insights from optical coherence tomography</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>39</volume><issue>5</issue><spage>373</spage><epage>381</epage><pages>373-381</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Percutaneous coronary intervention (PCI) for calcified lesions is one of the most challenging procedures related to worse clinical outcomes. To stabilize vulnerable plaques, intensive lipid management is recommended; however, the serial changes of calcified plaques under intensive lipid management are unknown. A total of 31 patients (mean age, 63 ± 10 years; men, 29 patients) who underwent PCI with intensive lipid management were retrospectively studied. We evaluated the serial longitudinal changes of calcified plaques with clear outer borders using optical coherence tomography (OCT) at two time points: at the time of PCI (baseline) and the chronic phase. The median interval from PCI to chronic phase was 287 (233–429) days. Twenty-eight patients (90.3%) had increased calcium volume at the chronic phase compared with those at baseline (2.6 [1.3–5.1] vs. 1.8 [0.7–4.3] mm
2
, p < 0.05), and the median increase rate of calcium volume was 27.4% at the chronic phase. According to the median increase rate of calcium volume (27.4%), patients were divided into the following two groups: rapid progression (≥ 27.4%, RP group) and non-rapid progression (< 27.4%, non-RP group). The RP group had more patients with diabetes, and diabetes was independently associated with rapid progression by multivariate analysis. Furthermore, patients with diabetes had significantly higher changes in calcium index and volume from the baseline to the chronic phase than those without diabetes. Coronary calcification progression during relatively short intervals was observed using OCT even under intensive lipid management. Diabetes was an independent predictor for rapid coronary calcification progression.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>38150053</pmid><doi>10.1007/s00380-023-02345-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8149-3043</orcidid></addata></record> |
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| subjects | Aged Biomedical Engineering and Bioengineering Borders Calcification Calcification (ectopic) Calcium Cardiac Surgery Cardiology Coronary Angiography - methods Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - therapy Coronary Vessels - diagnostic imaging Coronary Vessels - pathology Diabetes Diabetes Mellitus Humans Lipids Male Management Medicine Medicine & Public Health Middle Aged Multivariate analysis Optical Coherence Tomography Original Article Percutaneous Coronary Intervention Plaque, Atherosclerotic - pathology Plaques Retrospective Studies Tomography Tomography, Optical Coherence - methods Vascular Calcification - diagnostic imaging Vascular Calcification - therapy Vascular Surgery |
| title | Serial longitudinal changes of coronary calcified plaques with clear outer borders under intensive lipid management: insights from optical coherence tomography |
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