Cited 15 times in
Outcomes of stent optimisation in intravascular ultrasound-guided interventions for long lesions or chronic total occlusions
DC Field | Value | Language |
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dc.contributor.author | 김대훈 | - |
dc.contributor.author | 홍성진 | - |
dc.contributor.author | 김병극 | - |
dc.contributor.author | 신동호 | - |
dc.contributor.author | 안철민 | - |
dc.contributor.author | 김중선 | - |
dc.contributor.author | 고영국 | - |
dc.contributor.author | 최동훈 | - |
dc.contributor.author | 홍명기 | - |
dc.contributor.author | 장양수 | - |
dc.date.accessioned | 2021-02-03T05:07:38Z | - |
dc.date.available | 2021-02-03T05:07:38Z | - |
dc.date.issued | 2020-08 | - |
dc.identifier.issn | 2093-9043 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/181601 | - |
dc.description.abstract | Aims: We sought to investigate the incidence, predictors, and clinical outcomes of stent optimisation with intravascular ultrasound (IVUS) in long coronary lesions treated with new-generation drug-eluting stents (DESs). Methods and results: From four randomised trials comparing IVUS and angiography guidance in long (≥26 mm) or chronic total occlusion coronary lesions, a total of 1,396 patients who underwent IVUS-guided intervention were classified into two groups (stent optimisation and non-optimisation) according to optimisation criteria (minimal stent area [MSA] ≥5.5 mm2 or 80% of mean reference lumen area [MLA]). Major adverse cardiac event (MACE) occurrence, defined as a composite of cardiac death, myocardial infarction, stent thrombosis, or target vessel revascularisation, was compared. Stent optimisation was not met in 578 (41%) patients. Predictors of non-optimisation were older age, longer lesion length, and smaller stent diameter. The MACE rate was significantly higher in the non-optimisation versus the stent optimisation group (4.8% vs 1.9%, log-rank p=0.002; adjusted hazard ratio 2.95, 95% CI: 1.43-6.06). Among possible combinations of absolute and relative expansion criteria, the one best predicting MACE was at least one of MSA ≥5.4 mm2 and/or ≥80% of MLA (Youden index=0.264). Conclusions: Achieving stent optimisation using IVUS evaluation was associated with favourable outcomes in IVUS-guided, new-generation DES implantation for long coronary lesions including CTOs. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Korean Society of Interventional Neuroradiology | - |
dc.relation.isPartOf | EUROINTERVENTION | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Coronary Angiography | - |
dc.subject.MESH | Coronary Artery Disease | - |
dc.subject.MESH | Drug-Eluting Stents* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Myocardial Infarction / diagnostic imaging | - |
dc.subject.MESH | Myocardial Infarction / surgery* | - |
dc.subject.MESH | Percutaneous Coronary Intervention* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Ultrasonography, Interventional / methods* | - |
dc.title | Outcomes of stent optimisation in intravascular ultrasound-guided interventions for long lesions or chronic total occlusions | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Daehoon Kim | - |
dc.contributor.googleauthor | Sung-Jin Hong | - |
dc.contributor.googleauthor | Byeong-Keuk Kim | - |
dc.contributor.googleauthor | Dong-Ho Shin | - |
dc.contributor.googleauthor | Chul-Min Ahn | - |
dc.contributor.googleauthor | Jung-Sun Kim | - |
dc.contributor.googleauthor | Young-Guk Ko | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Myeong-Ki Hong | - |
dc.contributor.googleauthor | Yangsoo Jang | - |
dc.identifier.doi | 10.4244/EIJ-D-19-00762 | - |
dc.contributor.localId | A00373 | - |
dc.contributor.localId | A04403 | - |
dc.contributor.localId | A00493 | - |
dc.contributor.localId | A02097 | - |
dc.contributor.localId | A02269 | - |
dc.contributor.localId | A00961 | - |
dc.contributor.localId | A00127 | - |
dc.contributor.localId | A04053 | - |
dc.contributor.localId | A04391 | - |
dc.contributor.localId | A03448 | - |
dc.relation.journalcode | J00800 | - |
dc.identifier.eissn | 2233-6273 | - |
dc.identifier.pmid | 31829943 | - |
dc.identifier.url | https://eurointervention.pcronline.com/article/outcomes-of-stent-optimisation-in-intravascular-ultrasound-guided-intervention-for-long-or-chronic-totally-occluded-coronary-lesions | - |
dc.contributor.alternativeName | Kim, Dae Hoon | - |
dc.contributor.affiliatedAuthor | 김대훈 | - |
dc.contributor.affiliatedAuthor | 홍성진 | - |
dc.contributor.affiliatedAuthor | 김병극 | - |
dc.contributor.affiliatedAuthor | 신동호 | - |
dc.contributor.affiliatedAuthor | 안철민 | - |
dc.contributor.affiliatedAuthor | 김중선 | - |
dc.contributor.affiliatedAuthor | 고영국 | - |
dc.contributor.affiliatedAuthor | 최동훈 | - |
dc.contributor.affiliatedAuthor | 홍명기 | - |
dc.contributor.affiliatedAuthor | 장양수 | - |
dc.citation.volume | 16 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | e480 | - |
dc.citation.startPage | Outcomes of stent optimisation in intravascular ultrasound-guided interventions for long lesions or chronic total occlusions | - |
dc.citation.endPage | e488 | - |
dc.identifier.bibliographicCitation | EUROINTERVENTION, Vol.16(6) : e480-e488, 2020-08 | - |
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