Abstract:
:In addition to plaque rupture (PR), calcified nodule (CN) may also have the potential to develop into arterial thrombus in the peripheral arteries. This study evaluated the distribution of plaque ruptures and calcified nodules in the peripheral arteries and their impact on the outcome of endovascular therapy (EVT). Consecutive 159 patients who underwent EVT with intravascular ultrasound guidance were enrolled. The position of CNs and PRs were assigned to any of common iliac artery, external iliac artery, common femoral artery, and superficial femoral artery. Forty-six (29%) patients had calcified nodule and twenty-eight (18%) patients had plaque rupture somewhere in the lower limb arteries. Although calcified nodules were evenly distributed throughout the length of the arteries plaque ruptures were predominantly located in the proximal segment of the iliofemoral arteries. Stent expansion ratio was significantly smaller in the target arteries with calcified nodules than in those with plaque rupture. Multivariate logistic regression analysis identified hemodialysis as an independent clinical predictor of calcified nodule (odds ratio 8.15, 95% confidence interval 1.73-38.3; P = 0.008). CN definitely affects incomplete stent deployment in the peripheral artery contributing to adverse events, on the other hand, PR has more acceptable outcomes after stent implantation. In the clinical setting, it is important that we realize the features of peripheral artery disease and its patient characteristics which having CNs and PRs to make a strategy for revascularization.
journal_name
Heart Vesselsjournal_title
Heart and vesselsauthors
Horimatsu T,Fujii K,Fukunaga M,Miki K,Nishimura M,Naito Y,Shibuya M,Imanaka T,Kawai K,Tamaru H,Sumiyoshi A,Saita T,Masuyama T,Ishihara Mdoi
10.1007/s00380-017-0984-5subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1161-1168issue
10eissn
0910-8327issn
1615-2573pii
10.1007/s00380-017-0984-5journal_volume
32pub_type
杂志文章abstract::Etiopathogenesis of coronary artery ectasia (CAE), which is defined as abnormal dilatation of a segment of the coronary artery to 1.5 times of an adjacent normal coronary artery segment, is unclear. However, it is speculated that CAE develops in the atherosclerosis process through degeneration of coronary artery media...
journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/s00380-008-1087-0
更新日期:2009-03-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/s00380-010-0029-9
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abstract::We report herein an adult case of anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome; BWG syndrome). The patient had chest discomfort during exercise and signs of mitral regurgitation. We diagnosed him as having BWG syndrome by angiography, and performed surgical treat...
journal_title:Heart and vessels
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doi:10.1007/BF01746067
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/s00380-018-1211-8
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/BF01744868
更新日期:1992-01-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/BF02058423
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/BF01744982
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pub_type: 杂志文章
doi:10.1007/s00380-004-0787-3
更新日期:2005-05-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
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更新日期:1999-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Heart and vessels
pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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journal_title:Heart and vessels
pub_type: 临床试验,杂志文章
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更新日期:2016-03-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/BF02058316
更新日期:1987-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-03-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/s00380-005-0830-z
更新日期:2006-01-01 00:00:00
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journal_title:Heart and vessels
pub_type: 杂志文章
doi:10.1007/s00380-006-0930-4
更新日期:2007-01-01 00:00:00
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journal_title:Heart and vessels
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Heart and vessels
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journal_title:Heart and vessels
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