Abstract:
OBJECTIVES:To evaluate the effectiveness of the proximal optimization technique (POT) to prevent longitudinal stent elongation. BACKGROUND:The mechanism of stent elongation, which occurs after post-balloon dilation, is still unclear. METHODS:A total of 103 lesions treated with optical coherence tomography guided coronary intervention between May 2013 and November 2017 were retrospectively analyzed. Lesions were divided according to the circumferential degree of malapposition at the stent edge immediately after deployment into well-apposed group (<180°) and malapposed group (≥180°). Post-dilation was performed from distal to proximal within the stent until August 2016 (non-POT cohort), and POT was applied thereafter (POT cohort). In the POT cohort, post-dilation was done at the proximal portion of the stent with sufficiently large balloon to minimize malapposition followed by distal dilatations. Stent elongation length was defined as the change in stent length from stent deployment to after post-dilatation. RESULTS:In the non-POT cohort, 72 lesions, including 54 lesions in the well-apposed group and 18 in the malapposed group were analyzed. Stent elongation length was significantly longer in the malapposed group than in the well-apposed group (1.51 ± 1.34 mm vs 0.13 ± 0.84 mm, P < 0.01). In the POT cohort, 31 lesions including 21 in the well-apposed group and 10 in the malapposed group were analyzed. Stent elongation length was not significantly different between the groups (-0.09 ± 0.91 mm vs 0.30 ± 0.99 mm, P = 0.29). CONCLUSIONS:Malapposition of the stent edge is responsible for longitudinal stent elongation caused by post-dilatation. POT appeared to effectively prevent longitudinal stent elongation.
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Matsuda Y,Ashikaga T,Sasaoka T,Hatano Y,Umemoto T,Yamamoto T,Maejima Y,Hirao Kdoi
10.1111/joic.12543subject
Has Abstractpub_date
2018-10-01 00:00:00pages
624-631issue
5eissn
0896-4327issn
1540-8183journal_volume
31pub_type
杂志文章abstract:AIM:Over the past 2 decades, transcatheter occlusion of patent ductus arteriosus (PDA) with coils and the duct occluders evolved to be the procedure of choice. A new device, the Occlutech PDA® occluder (ODO) device has been designed. Herein, we aimed to evaluate the characteristics and short-term results of patients wh...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究
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abstract::Forty patients undergoing percutaneous transluminal coronary angioplasty (PTCA) with severely impaired left ventricular ejection fraction (LVEF) < 30% were randomized between prophylactic intraaortic balloon pump (IABP) support (N = 20) and percutaneous cardiopulmonary bypass (PCPB) support (N = 20). The indications f...
journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::Results from clinical trials of glycoprotein IIb/IIIa(GPIIb/IIIa) inhibitors during the past decade have established their current role in the treatment of non-ST-segment elevation acute coronary syndrome and in percutaneous coronary interventions. However, there are still unanswered questions on optimal use of GPIIb/...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2006.00182.x
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abstract:BACKGROUND:Controversy still exists regarding closure of atrial septal defects (ASDs) in patients >40 years of age who are largely asymptomatic or do not have large shunts (LS). If left unrepaired, the majority of patients will experience symptoms and will have a shorter life span compared to patients who undergo repai...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2007.00216.x
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abstract::Local delivery of immunosuppressive or antiproliferative agents using a drug-eluting stent is a new technology that is supposed to inhibit in-stent restenosis, thus providing a biological and mechanical solution. This technique is a very promising. To date, several agents have been used, including paclitaxel, QP-2, ra...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2002.tb01091.x
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2007.00301.x
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00356.x
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pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2005.00043.x
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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更新日期:2010-06-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2016-10-01 00:00:00
abstract::In an effort to keep the interventional community up-to-date with the abundant amount of new data, we have selected what we believe to be the most important publications in percutaneous coronary intervention from January 1, 2017 to December 2017. ...
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pub_type: 杂志文章,评审
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更新日期:2018-04-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2005.00080.x
更新日期:2005-12-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2004.00378.x
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2006.00119.x
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abstract:Aim:To investigate the relationship between stent length and changes in microvascular resistance during PCI in stable coronary artery disease (CAD). Methods and Results:We measured fractional flow reserve (FFR), index of microcirculatory resistance (IMR), and coronary flow reserve (CFR) before and after stenting in 42...
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pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
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doi:10.1111/j.1540-8183.2001.tb00364.x
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2003-02-01 00:00:00
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journal_title:Journal of interventional cardiology
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更新日期:2017-08-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Prevalence of patent foramen ovale (PFO) with detectable right-to-left shunt is higher in young adults with transient ischemic attack (TIA) and stroke compared to the general population. So far, published series included different occluder systems, various indications and regimens of postprocedural anticoagu...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00593.x
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Ideally, percutaneous, mechanical closure of defects of the atrial septum should completely resolve shunt. To achieve this goal, more information is needed about the factors associated with device failure. METHODS:Consecutive patients with cryptogenic neurological events who had severe baseline Valsalva shu...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00644.x
更新日期:2011-08-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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abstract:BACKGROUND:With the introduction of drug-eluting stents (DES), the angiographic rates of restenosis have reduced dramatically but less prominently in diabetic patients. We compared the effects of sirolimus-eluting stents (SES) versus paclitaxel-eluting stents (PES) on 6-month angiographic and clinical outcomes in Korea...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2008-06-01 00:00:00
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journal_title:Journal of interventional cardiology
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doi:10.1111/j.1540-8183.1991.tb01008.x
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