Intracoronary thrombus formation after drug-eluting stents implantation: Optical coherence tomographic study
Background Intracoronary thrombus formation after drug-eluting stent (DES) implantation is not sufficiently evaluated. Methods Optical coherence tomography (OCT) was performed in 226 patients (total DES n = 244, sirolimus-eluting stent [SES] n = 95, paclitaxel-eluting stent [PES] n = 62, zotarolimus...
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| Veröffentlicht in: | The American heart journal 2010-02, Vol.159 (2), p.278-283 |
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| creator | Kim, Jung-Sun, MD, PhD Hong, Myeong-Ki, MD, PhD Fan, Chunyu, MD Kim, Tae-Hoon, MD Shim, Jae-Min, MD Park, Sang-Min, MD Ko, Young-Guk, MD Choi, Donghoon, MD, PhD Jang, Yangsoo, MD, PhD |
| description | Background Intracoronary thrombus formation after drug-eluting stent (DES) implantation is not sufficiently evaluated. Methods Optical coherence tomography (OCT) was performed in 226 patients (total DES n = 244, sirolimus-eluting stent [SES] n = 95, paclitaxel-eluting stent [PES] n = 62, zotarolimus-eluting stent [ZES] n = 87) after implantation (mean 11 months, range 3-66 months). Using OCT, we investigated the incidence and determinants of intracoronary thrombus. Results Intracoronary thrombus was detected in 35 (14%) cases (27 SES [28%], 7 PES [11%], and 1 ZES [1%], P < .001) and was associated with longer stent, smaller stent diameter, and stents at bifurcation lesions. More uncovered stent struts (26 ± 23 vs 8 ± 17, P < .001) and malapposed stent struts (6 ± 14 vs 2 ± 6, P < .001) were also associated with intracoronary thrombus. Multiple logistic regression analysis found the following determinants of intracoronary thrombus: stent length ≥28 mm (odds ratio [OR] 7.31, 95% CI 1.79-29.86, P = .01), stent diameter |
| doi_str_mv | 10.1016/j.ahj.2009.11.029 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734291098</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002870309009545</els_id><sourcerecordid>734291098</sourcerecordid><originalsourceid>FETCH-LOGICAL-c531t-c35863eb6b3fd2eb15d7be46b5bfb548d00c528739c7fa1af107d445512e58d13</originalsourceid><addsrcrecordid>eNp9ks2L1TAUxYMoznP0D3AjBRFXrflsWgVBBj8GBmahrkOa3r6X2iY1SYX335v6ng7MwlW48DuXk3MuQs8Jrggm9Zux0oexohi3FSEVpu0DtCO4lWUtOX-IdhhjWjYSswv0JMYxjzVt6sfogmIiKKVyh6Zrl4I2Pninw7FIh-Dnbo3F4MOsk_Wu0EOCUPRh3Zcwrcm6fRETuBQLOy-TdukP9ra4XZI1eiqMP0AAZ6BIfvb7oJeDNVmy9sen6NGgpwjPzu8l-v7p47erL-XN7efrqw83pRGMpNIw0dQMurpjQ0-hI6KXHfC6E93QCd70GBtBG8laIwdN9ECw7DkXglAQTU_YJXp92rsE_3OFmNRso4EpuwW_RiUZp20Oqsnky3vk6NfgsjlFBOY1waLlmSInygQfY4BBLcHOOS9FsNqaUKPKTaitCUWIyk1kzYvz5rWbof-n-Bt9Bl6dAR1zbkPQzth4x1HOqJAic-9OHOTEflkIKhq75dvbACap3tv_2nh_T20m67aifsAR4t1vVaQKq6_byWwXg9u8RHDBfgPWJrxm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1504610594</pqid></control><display><type>article</type><title>Intracoronary thrombus formation after drug-eluting stents implantation: Optical coherence tomographic study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Kim, Jung-Sun, MD, PhD ; Hong, Myeong-Ki, MD, PhD ; Fan, Chunyu, MD ; Kim, Tae-Hoon, MD ; Shim, Jae-Min, MD ; Park, Sang-Min, MD ; Ko, Young-Guk, MD ; Choi, Donghoon, MD, PhD ; Jang, Yangsoo, MD, PhD</creator><creatorcontrib>Kim, Jung-Sun, MD, PhD ; Hong, Myeong-Ki, MD, PhD ; Fan, Chunyu, MD ; Kim, Tae-Hoon, MD ; Shim, Jae-Min, MD ; Park, Sang-Min, MD ; Ko, Young-Guk, MD ; Choi, Donghoon, MD, PhD ; Jang, Yangsoo, MD, PhD</creatorcontrib><description>Background Intracoronary thrombus formation after drug-eluting stent (DES) implantation is not sufficiently evaluated. Methods Optical coherence tomography (OCT) was performed in 226 patients (total DES n = 244, sirolimus-eluting stent [SES] n = 95, paclitaxel-eluting stent [PES] n = 62, zotarolimus-eluting stent [ZES] n = 87) after implantation (mean 11 months, range 3-66 months). Using OCT, we investigated the incidence and determinants of intracoronary thrombus. Results Intracoronary thrombus was detected in 35 (14%) cases (27 SES [28%], 7 PES [11%], and 1 ZES [1%], P < .001) and was associated with longer stent, smaller stent diameter, and stents at bifurcation lesions. More uncovered stent struts (26 ± 23 vs 8 ± 17, P < .001) and malapposed stent struts (6 ± 14 vs 2 ± 6, P < .001) were also associated with intracoronary thrombus. Multiple logistic regression analysis found the following determinants of intracoronary thrombus: stent length ≥28 mm (odds ratio [OR] 7.31, 95% CI 1.79-29.86, P = .01), stent diameter <3.0 mm (OR 4.38, 95% CI 1.38-13.97, P = .01), and ≥8 uncovered struts in each stent (OR 3.29, 95% CI 1.07-10.17, P = .04). Conclusions Length, size, and types of DES may be more important than clinical factors in intracoronary thrombus formation after DES implantations.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2009.11.029</identifier><identifier>PMID: 20152227</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute coronary syndromes ; Biological and medical sciences ; Blood clots ; Cardiology. Vascular system ; Cardiovascular ; Cardiovascular disease ; Coronary Thrombosis - diagnosis ; Coronary Thrombosis - epidemiology ; Coronary Thrombosis - etiology ; Coronary vessels ; Drug-Eluting Stents - adverse effects ; Female ; Follow-Up Studies ; Heart attacks ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Multivariate analysis ; Patients ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Regression analysis ; Stents ; Thrombosis ; Time Factors ; Tomography, Optical Coherence</subject><ispartof>The American heart journal, 2010-02, Vol.159 (2), p.278-283</ispartof><rights>Mosby, Inc.</rights><rights>2010 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright (c) 2010 Mosby, Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c531t-c35863eb6b3fd2eb15d7be46b5bfb548d00c528739c7fa1af107d445512e58d13</citedby><cites>FETCH-LOGICAL-c531t-c35863eb6b3fd2eb15d7be46b5bfb548d00c528739c7fa1af107d445512e58d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002870309009545$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22432575$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20152227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Jung-Sun, MD, PhD</creatorcontrib><creatorcontrib>Hong, Myeong-Ki, MD, PhD</creatorcontrib><creatorcontrib>Fan, Chunyu, MD</creatorcontrib><creatorcontrib>Kim, Tae-Hoon, MD</creatorcontrib><creatorcontrib>Shim, Jae-Min, MD</creatorcontrib><creatorcontrib>Park, Sang-Min, MD</creatorcontrib><creatorcontrib>Ko, Young-Guk, MD</creatorcontrib><creatorcontrib>Choi, Donghoon, MD, PhD</creatorcontrib><creatorcontrib>Jang, Yangsoo, MD, PhD</creatorcontrib><title>Intracoronary thrombus formation after drug-eluting stents implantation: Optical coherence tomographic study</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Intracoronary thrombus formation after drug-eluting stent (DES) implantation is not sufficiently evaluated. Methods Optical coherence tomography (OCT) was performed in 226 patients (total DES n = 244, sirolimus-eluting stent [SES] n = 95, paclitaxel-eluting stent [PES] n = 62, zotarolimus-eluting stent [ZES] n = 87) after implantation (mean 11 months, range 3-66 months). Using OCT, we investigated the incidence and determinants of intracoronary thrombus. Results Intracoronary thrombus was detected in 35 (14%) cases (27 SES [28%], 7 PES [11%], and 1 ZES [1%], P < .001) and was associated with longer stent, smaller stent diameter, and stents at bifurcation lesions. More uncovered stent struts (26 ± 23 vs 8 ± 17, P < .001) and malapposed stent struts (6 ± 14 vs 2 ± 6, P < .001) were also associated with intracoronary thrombus. Multiple logistic regression analysis found the following determinants of intracoronary thrombus: stent length ≥28 mm (odds ratio [OR] 7.31, 95% CI 1.79-29.86, P = .01), stent diameter <3.0 mm (OR 4.38, 95% CI 1.38-13.97, P = .01), and ≥8 uncovered struts in each stent (OR 3.29, 95% CI 1.07-10.17, P = .04). Conclusions Length, size, and types of DES may be more important than clinical factors in intracoronary thrombus formation after DES implantations.</description><subject>Acute coronary syndromes</subject><subject>Biological and medical sciences</subject><subject>Blood clots</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Coronary Thrombosis - diagnosis</subject><subject>Coronary Thrombosis - epidemiology</subject><subject>Coronary Thrombosis - etiology</subject><subject>Coronary vessels</subject><subject>Drug-Eluting Stents - adverse effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Patients</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Regression analysis</subject><subject>Stents</subject><subject>Thrombosis</subject><subject>Time Factors</subject><subject>Tomography, Optical Coherence</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks2L1TAUxYMoznP0D3AjBRFXrflsWgVBBj8GBmahrkOa3r6X2iY1SYX335v6ng7MwlW48DuXk3MuQs8Jrggm9Zux0oexohi3FSEVpu0DtCO4lWUtOX-IdhhjWjYSswv0JMYxjzVt6sfogmIiKKVyh6Zrl4I2Pninw7FIh-Dnbo3F4MOsk_Wu0EOCUPRh3Zcwrcm6fRETuBQLOy-TdukP9ra4XZI1eiqMP0AAZ6BIfvb7oJeDNVmy9sen6NGgpwjPzu8l-v7p47erL-XN7efrqw83pRGMpNIw0dQMurpjQ0-hI6KXHfC6E93QCd70GBtBG8laIwdN9ECw7DkXglAQTU_YJXp92rsE_3OFmNRso4EpuwW_RiUZp20Oqsnky3vk6NfgsjlFBOY1waLlmSInygQfY4BBLcHOOS9FsNqaUKPKTaitCUWIyk1kzYvz5rWbof-n-Bt9Bl6dAR1zbkPQzth4x1HOqJAic-9OHOTEflkIKhq75dvbACap3tv_2nh_T20m67aifsAR4t1vVaQKq6_byWwXg9u8RHDBfgPWJrxm</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Kim, Jung-Sun, MD, PhD</creator><creator>Hong, Myeong-Ki, MD, PhD</creator><creator>Fan, Chunyu, MD</creator><creator>Kim, Tae-Hoon, MD</creator><creator>Shim, Jae-Min, MD</creator><creator>Park, Sang-Min, MD</creator><creator>Ko, Young-Guk, MD</creator><creator>Choi, Donghoon, MD, PhD</creator><creator>Jang, Yangsoo, MD, PhD</creator><general>Elsevier Inc</general><general>Mosby</general><general>Elsevier Limited</general><scope>IQODW</scope><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>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</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>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</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>20100201</creationdate><title>Intracoronary thrombus formation after drug-eluting stents implantation: Optical coherence tomographic study</title><author>Kim, Jung-Sun, MD, PhD ; Hong, Myeong-Ki, MD, PhD ; Fan, Chunyu, MD ; Kim, Tae-Hoon, MD ; Shim, Jae-Min, MD ; Park, Sang-Min, MD ; Ko, Young-Guk, MD ; Choi, Donghoon, MD, PhD ; Jang, Yangsoo, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c531t-c35863eb6b3fd2eb15d7be46b5bfb548d00c528739c7fa1af107d445512e58d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Acute coronary syndromes</topic><topic>Biological and medical sciences</topic><topic>Blood clots</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Coronary Thrombosis - diagnosis</topic><topic>Coronary Thrombosis - epidemiology</topic><topic>Coronary Thrombosis - etiology</topic><topic>Coronary vessels</topic><topic>Drug-Eluting Stents - adverse effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Patients</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Regression analysis</topic><topic>Stents</topic><topic>Thrombosis</topic><topic>Time Factors</topic><topic>Tomography, Optical Coherence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Jung-Sun, MD, PhD</creatorcontrib><creatorcontrib>Hong, Myeong-Ki, MD, PhD</creatorcontrib><creatorcontrib>Fan, Chunyu, MD</creatorcontrib><creatorcontrib>Kim, Tae-Hoon, MD</creatorcontrib><creatorcontrib>Shim, Jae-Min, MD</creatorcontrib><creatorcontrib>Park, Sang-Min, MD</creatorcontrib><creatorcontrib>Ko, Young-Guk, MD</creatorcontrib><creatorcontrib>Choi, Donghoon, MD, PhD</creatorcontrib><creatorcontrib>Jang, Yangsoo, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><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>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</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>British Nursing Database</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>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</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>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Jung-Sun, MD, PhD</au><au>Hong, Myeong-Ki, MD, PhD</au><au>Fan, Chunyu, MD</au><au>Kim, Tae-Hoon, MD</au><au>Shim, Jae-Min, MD</au><au>Park, Sang-Min, MD</au><au>Ko, Young-Guk, MD</au><au>Choi, Donghoon, MD, PhD</au><au>Jang, Yangsoo, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intracoronary thrombus formation after drug-eluting stents implantation: Optical coherence tomographic study</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>159</volume><issue>2</issue><spage>278</spage><epage>283</epage><pages>278-283</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background Intracoronary thrombus formation after drug-eluting stent (DES) implantation is not sufficiently evaluated. Methods Optical coherence tomography (OCT) was performed in 226 patients (total DES n = 244, sirolimus-eluting stent [SES] n = 95, paclitaxel-eluting stent [PES] n = 62, zotarolimus-eluting stent [ZES] n = 87) after implantation (mean 11 months, range 3-66 months). Using OCT, we investigated the incidence and determinants of intracoronary thrombus. Results Intracoronary thrombus was detected in 35 (14%) cases (27 SES [28%], 7 PES [11%], and 1 ZES [1%], P < .001) and was associated with longer stent, smaller stent diameter, and stents at bifurcation lesions. More uncovered stent struts (26 ± 23 vs 8 ± 17, P < .001) and malapposed stent struts (6 ± 14 vs 2 ± 6, P < .001) were also associated with intracoronary thrombus. Multiple logistic regression analysis found the following determinants of intracoronary thrombus: stent length ≥28 mm (odds ratio [OR] 7.31, 95% CI 1.79-29.86, P = .01), stent diameter <3.0 mm (OR 4.38, 95% CI 1.38-13.97, P = .01), and ≥8 uncovered struts in each stent (OR 3.29, 95% CI 1.07-10.17, P = .04). Conclusions Length, size, and types of DES may be more important than clinical factors in intracoronary thrombus formation after DES implantations.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20152227</pmid><doi>10.1016/j.ahj.2009.11.029</doi><tpages>6</tpages></addata></record> |
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| subjects | Acute coronary syndromes Biological and medical sciences Blood clots Cardiology. Vascular system Cardiovascular Cardiovascular disease Coronary Thrombosis - diagnosis Coronary Thrombosis - epidemiology Coronary Thrombosis - etiology Coronary vessels Drug-Eluting Stents - adverse effects Female Follow-Up Studies Heart attacks Humans Incidence Male Medical sciences Middle Aged Multivariate analysis Patients Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Regression analysis Stents Thrombosis Time Factors Tomography, Optical Coherence |
| title | Intracoronary thrombus formation after drug-eluting stents implantation: Optical coherence tomographic study |
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