Association of LDL-C level with neoatherosclerosis and plaque vulnerability in patients with late restenosis: an optical coherence tomography study
Neoatherosclerosis (NA) is a significant contributor to late stent failure; however, predictors of late in-stent restenosis (ISR) with NA have not been systematically reported. This study aimed to identify predictors of NA incidence and plaque vulnerability in patients with late ISR and the role of...
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| Veröffentlicht in: | The international journal of cardiovascular imaging 2023-12, Vol.39 (12), p.2609-2619 |
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| creator | Liu, Zhijiang Deng, Chancui Zhao, Ranzun Xu, Guanxue Bai, Zhixun Wang, Zhenglong Zhang, Wei Ma, Yi Hu, Xingwei Jin, Caide Chen, Panke Ma, Shuai Shi, Bei |
| description | Neoatherosclerosis (NA) is a significant contributor to late stent failure; however, predictors of late in-stent restenosis (ISR) with NA have not been systematically reported. This study aimed to identify predictors of NA incidence and plaque vulnerability in patients with late ISR and the role of low-density lipoprotein cholesterol (LDL-C) levels in this process. A total of 216 patients with 216 lesions who underwent optical coherence tomography (OCT) before interventional procedure for late drug-eluting stent ISR were enrolled and divided into NA and non-NA groups based on OCT findings. Results showed that higher LDL-C levels were associated with NA, thin-cap fibroatheroma (TCFA), intimal disruption, plaque erosion, and thrombosis. Multivariate regression analysis revealed that the LDL-C level was an independent risk factor for NA and TCFA. The LDL-C levels exhibited a significant predictive value for NA and TCFA, surpassing other factors such as stent age and other lipid types. In conclusion, a high LDL-C level is an independent predictor of NA incidence and plaque vulnerability in patients with late ISR. |
| doi_str_mv | 10.1007/s10554-023-02956-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10691981</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2874258554</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-7ce17fbe210bc996b203d956f2ff835349244d4e127ebd2f7cb022aee2dc38f83</originalsourceid><addsrcrecordid>eNp9UcmO1DAUjBCIWeAHOCBLXLgEvCRxwgWNmmGRWuICZ8txXro9ctvBdhr1d_DDvJBhGDhw8CK5qlyvqiieMfqKUSpfJ0bruiopF7i6uinZg-KctbIuW8H4w3v3s-IipRtKmRRd97g4E7KllWjlefHjKqVgrM42eBJGsn23LTfEwREc-W7znngIOu8hhmTcsttEtB_I5PS3Gchxdh6i7q2z-USsJxMqgc9pJTudgURIGfzCfINUEqZsjXbEBFQFb4DkcAi7qKf9iaQ8D6cnxaNRuwRPb8_L4uv76y-bj-X284dPm6ttaSre5FIaYHLsgTPam65rek7FgDGMfBxbUYuq41U1VMC4hH7gozQ95VwD8MGIFiGXxdtVd5r7AwwGfUft1BTtQceTCtqqv1-83atdOCpGm451LUOFl7cKMWAcKauDTQac0xjbnBRvZcXrFltC6It_oDdhjh7nQ1TXUETJxRJfUQajThHGOzeMqqV0tZausHT1q3S1uHh-f447yu-WESBWQMInv4P45-__yP4EFm68MA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2896058578</pqid></control><display><type>article</type><title>Association of LDL-C level with neoatherosclerosis and plaque vulnerability in patients with late restenosis: an optical coherence tomography study</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Liu, Zhijiang ; Deng, Chancui ; Zhao, Ranzun ; Xu, Guanxue ; Bai, Zhixun ; Wang, Zhenglong ; Zhang, Wei ; Ma, Yi ; Hu, Xingwei ; Jin, Caide ; Chen, Panke ; Ma, Shuai ; Shi, Bei</creator><creatorcontrib>Liu, Zhijiang ; Deng, Chancui ; Zhao, Ranzun ; Xu, Guanxue ; Bai, Zhixun ; Wang, Zhenglong ; Zhang, Wei ; Ma, Yi ; Hu, Xingwei ; Jin, Caide ; Chen, Panke ; Ma, Shuai ; Shi, Bei</creatorcontrib><description>Neoatherosclerosis (NA) is a significant contributor to late stent failure; however, predictors of late in-stent restenosis (ISR) with NA have not been systematically reported. This study aimed to identify predictors of NA incidence and plaque vulnerability in patients with late ISR and the role of low-density lipoprotein cholesterol (LDL-C) levels in this process. A total of 216 patients with 216 lesions who underwent optical coherence tomography (OCT) before interventional procedure for late drug-eluting stent ISR were enrolled and divided into NA and non-NA groups based on OCT findings. Results showed that higher LDL-C levels were associated with NA, thin-cap fibroatheroma (TCFA), intimal disruption, plaque erosion, and thrombosis. Multivariate regression analysis revealed that the LDL-C level was an independent risk factor for NA and TCFA. The LDL-C levels exhibited a significant predictive value for NA and TCFA, surpassing other factors such as stent age and other lipid types. In conclusion, a high LDL-C level is an independent predictor of NA incidence and plaque vulnerability in patients with late ISR.</description><identifier>ISSN: 1875-8312</identifier><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1875-8312</identifier><identifier>EISSN: 1573-0743</identifier><identifier>DOI: 10.1007/s10554-023-02956-1</identifier><identifier>PMID: 37804387</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Atherosclerosis - pathology ; Cardiac Imaging ; Cardiology ; Cholesterol ; Cholesterol, LDL ; Constriction, Pathologic - complications ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - therapy ; Coronary Restenosis - diagnostic imaging ; Coronary Restenosis - etiology ; Coronary Restenosis - pathology ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - pathology ; Drug delivery ; Drug-Eluting Stents - adverse effects ; Heart Valve Diseases - complications ; Humans ; Imaging ; Implants ; Lipids ; Low density lipoprotein ; Medicine ; Medicine & Public Health ; Neointima ; Optical Coherence Tomography ; Original Paper ; Plaque, Atherosclerotic - pathology ; Predictive Value of Tests ; Radiology ; Regression analysis ; Restenosis ; Risk factors ; Stents ; Thromboembolism ; Thrombosis ; Tomography ; Tomography, Optical Coherence - methods</subject><ispartof>The international journal of cardiovascular imaging, 2023-12, Vol.39 (12), p.2609-2619</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-7ce17fbe210bc996b203d956f2ff835349244d4e127ebd2f7cb022aee2dc38f83</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/s10554-023-02956-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-023-02956-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37804387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Zhijiang</creatorcontrib><creatorcontrib>Deng, Chancui</creatorcontrib><creatorcontrib>Zhao, Ranzun</creatorcontrib><creatorcontrib>Xu, Guanxue</creatorcontrib><creatorcontrib>Bai, Zhixun</creatorcontrib><creatorcontrib>Wang, Zhenglong</creatorcontrib><creatorcontrib>Zhang, Wei</creatorcontrib><creatorcontrib>Ma, Yi</creatorcontrib><creatorcontrib>Hu, Xingwei</creatorcontrib><creatorcontrib>Jin, Caide</creatorcontrib><creatorcontrib>Chen, Panke</creatorcontrib><creatorcontrib>Ma, Shuai</creatorcontrib><creatorcontrib>Shi, Bei</creatorcontrib><title>Association of LDL-C level with neoatherosclerosis and plaque vulnerability in patients with late restenosis: an optical coherence tomography study</title><title>The international journal of cardiovascular imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>Neoatherosclerosis (NA) is a significant contributor to late stent failure; however, predictors of late in-stent restenosis (ISR) with NA have not been systematically reported. This study aimed to identify predictors of NA incidence and plaque vulnerability in patients with late ISR and the role of low-density lipoprotein cholesterol (LDL-C) levels in this process. A total of 216 patients with 216 lesions who underwent optical coherence tomography (OCT) before interventional procedure for late drug-eluting stent ISR were enrolled and divided into NA and non-NA groups based on OCT findings. Results showed that higher LDL-C levels were associated with NA, thin-cap fibroatheroma (TCFA), intimal disruption, plaque erosion, and thrombosis. Multivariate regression analysis revealed that the LDL-C level was an independent risk factor for NA and TCFA. The LDL-C levels exhibited a significant predictive value for NA and TCFA, surpassing other factors such as stent age and other lipid types. In conclusion, a high LDL-C level is an independent predictor of NA incidence and plaque vulnerability in patients with late ISR.</description><subject>Atherosclerosis - pathology</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Cholesterol</subject><subject>Cholesterol, LDL</subject><subject>Constriction, Pathologic - complications</subject><subject>Coronary Artery Disease - complications</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 Restenosis - pathology</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - pathology</subject><subject>Drug delivery</subject><subject>Drug-Eluting Stents - adverse effects</subject><subject>Heart Valve Diseases - complications</subject><subject>Humans</subject><subject>Imaging</subject><subject>Implants</subject><subject>Lipids</subject><subject>Low density lipoprotein</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neointima</subject><subject>Optical Coherence Tomography</subject><subject>Original Paper</subject><subject>Plaque, Atherosclerotic - pathology</subject><subject>Predictive Value of Tests</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Restenosis</subject><subject>Risk factors</subject><subject>Stents</subject><subject>Thromboembolism</subject><subject>Thrombosis</subject><subject>Tomography</subject><subject>Tomography, Optical Coherence - methods</subject><issn>1875-8312</issn><issn>1569-5794</issn><issn>1875-8312</issn><issn>1573-0743</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9UcmO1DAUjBCIWeAHOCBLXLgEvCRxwgWNmmGRWuICZ8txXro9ctvBdhr1d_DDvJBhGDhw8CK5qlyvqiieMfqKUSpfJ0bruiopF7i6uinZg-KctbIuW8H4w3v3s-IipRtKmRRd97g4E7KllWjlefHjKqVgrM42eBJGsn23LTfEwREc-W7znngIOu8hhmTcsttEtB_I5PS3Gchxdh6i7q2z-USsJxMqgc9pJTudgURIGfzCfINUEqZsjXbEBFQFb4DkcAi7qKf9iaQ8D6cnxaNRuwRPb8_L4uv76y-bj-X284dPm6ttaSre5FIaYHLsgTPam65rek7FgDGMfBxbUYuq41U1VMC4hH7gozQ95VwD8MGIFiGXxdtVd5r7AwwGfUft1BTtQceTCtqqv1-83atdOCpGm451LUOFl7cKMWAcKauDTQac0xjbnBRvZcXrFltC6It_oDdhjh7nQ1TXUETJxRJfUQajThHGOzeMqqV0tZausHT1q3S1uHh-f447yu-WESBWQMInv4P45-__yP4EFm68MA</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Liu, Zhijiang</creator><creator>Deng, Chancui</creator><creator>Zhao, Ranzun</creator><creator>Xu, Guanxue</creator><creator>Bai, Zhixun</creator><creator>Wang, Zhenglong</creator><creator>Zhang, Wei</creator><creator>Ma, Yi</creator><creator>Hu, Xingwei</creator><creator>Jin, Caide</creator><creator>Chen, Panke</creator><creator>Ma, Shuai</creator><creator>Shi, Bei</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</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>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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20231201</creationdate><title>Association of LDL-C level with neoatherosclerosis and plaque vulnerability in patients with late restenosis: an optical coherence tomography study</title><author>Liu, Zhijiang ; Deng, Chancui ; Zhao, Ranzun ; Xu, Guanxue ; Bai, Zhixun ; Wang, Zhenglong ; Zhang, Wei ; Ma, Yi ; Hu, Xingwei ; Jin, Caide ; Chen, Panke ; Ma, Shuai ; Shi, Bei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-7ce17fbe210bc996b203d956f2ff835349244d4e127ebd2f7cb022aee2dc38f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Atherosclerosis - pathology</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Cholesterol</topic><topic>Cholesterol, LDL</topic><topic>Constriction, Pathologic - complications</topic><topic>Coronary Artery Disease - complications</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 Restenosis - pathology</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - pathology</topic><topic>Drug delivery</topic><topic>Drug-Eluting Stents - adverse effects</topic><topic>Heart Valve Diseases - complications</topic><topic>Humans</topic><topic>Imaging</topic><topic>Implants</topic><topic>Lipids</topic><topic>Low density lipoprotein</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neointima</topic><topic>Optical Coherence Tomography</topic><topic>Original Paper</topic><topic>Plaque, Atherosclerotic - pathology</topic><topic>Predictive Value of Tests</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Restenosis</topic><topic>Risk factors</topic><topic>Stents</topic><topic>Thromboembolism</topic><topic>Thrombosis</topic><topic>Tomography</topic><topic>Tomography, Optical Coherence - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Zhijiang</creatorcontrib><creatorcontrib>Deng, Chancui</creatorcontrib><creatorcontrib>Zhao, Ranzun</creatorcontrib><creatorcontrib>Xu, Guanxue</creatorcontrib><creatorcontrib>Bai, Zhixun</creatorcontrib><creatorcontrib>Wang, Zhenglong</creatorcontrib><creatorcontrib>Zhang, Wei</creatorcontrib><creatorcontrib>Ma, Yi</creatorcontrib><creatorcontrib>Hu, Xingwei</creatorcontrib><creatorcontrib>Jin, Caide</creatorcontrib><creatorcontrib>Chen, Panke</creatorcontrib><creatorcontrib>Ma, Shuai</creatorcontrib><creatorcontrib>Shi, Bei</creatorcontrib><collection>Springer Nature OA Free Journals</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>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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of cardiovascular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Zhijiang</au><au>Deng, Chancui</au><au>Zhao, Ranzun</au><au>Xu, Guanxue</au><au>Bai, Zhixun</au><au>Wang, Zhenglong</au><au>Zhang, Wei</au><au>Ma, Yi</au><au>Hu, Xingwei</au><au>Jin, Caide</au><au>Chen, Panke</au><au>Ma, Shuai</au><au>Shi, Bei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of LDL-C level with neoatherosclerosis and plaque vulnerability in patients with late restenosis: an optical coherence tomography study</atitle><jtitle>The international journal of cardiovascular imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>39</volume><issue>12</issue><spage>2609</spage><epage>2619</epage><pages>2609-2619</pages><issn>1875-8312</issn><issn>1569-5794</issn><eissn>1875-8312</eissn><eissn>1573-0743</eissn><abstract>Neoatherosclerosis (NA) is a significant contributor to late stent failure; however, predictors of late in-stent restenosis (ISR) with NA have not been systematically reported. This study aimed to identify predictors of NA incidence and plaque vulnerability in patients with late ISR and the role of low-density lipoprotein cholesterol (LDL-C) levels in this process. A total of 216 patients with 216 lesions who underwent optical coherence tomography (OCT) before interventional procedure for late drug-eluting stent ISR were enrolled and divided into NA and non-NA groups based on OCT findings. Results showed that higher LDL-C levels were associated with NA, thin-cap fibroatheroma (TCFA), intimal disruption, plaque erosion, and thrombosis. Multivariate regression analysis revealed that the LDL-C level was an independent risk factor for NA and TCFA. The LDL-C levels exhibited a significant predictive value for NA and TCFA, surpassing other factors such as stent age and other lipid types. In conclusion, a high LDL-C level is an independent predictor of NA incidence and plaque vulnerability in patients with late ISR.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>37804387</pmid><doi>10.1007/s10554-023-02956-1</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Atherosclerosis - pathology Cardiac Imaging Cardiology Cholesterol Cholesterol, LDL Constriction, Pathologic - complications Coronary Artery Disease - complications Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - therapy Coronary Restenosis - diagnostic imaging Coronary Restenosis - etiology Coronary Restenosis - pathology Coronary Vessels - diagnostic imaging Coronary Vessels - pathology Drug delivery Drug-Eluting Stents - adverse effects Heart Valve Diseases - complications Humans Imaging Implants Lipids Low density lipoprotein Medicine Medicine & Public Health Neointima Optical Coherence Tomography Original Paper Plaque, Atherosclerotic - pathology Predictive Value of Tests Radiology Regression analysis Restenosis Risk factors Stents Thromboembolism Thrombosis Tomography Tomography, Optical Coherence - methods |
| title | Association of LDL-C level with neoatherosclerosis and plaque vulnerability in patients with late restenosis: an optical coherence tomography study |
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