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The initial extent of malapposition in ST-elevation myocardial infarction treated with drug-eluting stent: the usefulness of optical coherence tomography

DC FieldValueLanguage
dc.contributor.author고영국-
dc.contributor.author김재덕-
dc.contributor.author김중선-
dc.contributor.author김진선-
dc.contributor.author손정우-
dc.contributor.author이정명-
dc.contributor.author장양수-
dc.contributor.author최동훈-
dc.date.accessioned2015-04-23T16:33:58Z-
dc.date.available2015-04-23T16:33:58Z-
dc.date.issued2010-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100816-
dc.description.abstractPURPOSE: The aim of this study is to identify the extent of initial malapposition using optical coherence tomography (OCT) in ST-elevation myocardial infarctions (STEMI) treated with different types of drug-eluting stents (DES). MATERIALS AND METHODS: Twenty four STEMI patients that underwent primary percutaneous coronary intervention (PCI) were enrolled. The OCT and intravascular ultrasound (IVUS) were performed within 72 hours after the primary PCI. Distances between the endo-luminal surface of the strut reflection and the vessel wall and the extent of malapposition were measured and analyzed. RESULTS: Sirolimus-eluting stents (SES), paclitaxel-eluting stents (PES) and zotarolimus-eluting stents (ZES) were deployed in 7 patients (29%), 7 patients (29%) and 10 patients (42%). In total, 4951 struts in 620 mm single-stent segments were analyzed (1463 struts in SES, 1522 in PES, and 1966 in ZES). In strut analysis by OCT, the incidence of malapposition was 17 % (860/4951) and in stent analysis by IVUS, malapposition rate was 21% (5/24). The malapposition rate of strut level using OCT in 5 patients who had malapposition in IVUS was significantly higher than the 19 of those who had not (32 +/- 5% vs. 12 +/- 6%, p = 0.001). In addition, the frequency of malapposition was also significantly different (28% in SES, 11% in PES, 10% in ZES, p = 0.001). The use of SES was an independent predictor of malapposed struts. CONCLUSION: The incidence of malapposition using OCT was quite prevalent in STEMI after primary PCI with DES implantation and SES has especially higher rates of malapposition compared to other DESs.-
dc.description.statementOfResponsibilityopen-
dc.format.extent332~338-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAngioplasty, Balloon, Coronary/methods-
dc.subject.MESHDrug-Eluting Stents*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/pathology-
dc.subject.MESHMyocardial Infarction/therapy*-
dc.subject.MESHPaclitaxel/therapeutic use-
dc.subject.MESHSirolimus/analogs & derivatives-
dc.subject.MESHSirolimus/therapeutic use-
dc.subject.MESHTomography, Optical Coherence/methods*-
dc.titleThe initial extent of malapposition in ST-elevation myocardial infarction treated with drug-eluting stent: the usefulness of optical coherence tomography-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorUng Kim-
dc.contributor.googleauthorJung-Sun Kim-
dc.contributor.googleauthorJin-Sun Kim-
dc.contributor.googleauthorJung-Myung Lee-
dc.contributor.googleauthorJung-Woo Son-
dc.contributor.googleauthorJaedeok Kim-
dc.contributor.googleauthorYoung-Guk Ko-
dc.contributor.googleauthorDonghoon Choi-
dc.contributor.googleauthorYangsoo Jang-
dc.identifier.doi10.3349/ymj.2010.51.3.332-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00127-
dc.contributor.localIdA00858-
dc.contributor.localIdA00961-
dc.contributor.localIdA01991-
dc.contributor.localIdA03099-
dc.contributor.localIdA03448-
dc.contributor.localIdA04053-
dc.contributor.localIdA01018-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid20376884-
dc.subject.keywordMalapposition-
dc.subject.keyworddrug eluting stent-
dc.subject.keywordcoherence tomography-
dc.subject.keywordoptical-
dc.subject.keywordmyocardial infarction-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.alternativeNameKim, Jae Deok-
dc.contributor.alternativeNameKim, Jung Sun-
dc.contributor.alternativeNameKim, Jin Sun-
dc.contributor.alternativeNameSon, Jung Woo-
dc.contributor.alternativeNameLee, Jung Myung-
dc.contributor.alternativeNameJang, Yang Soo-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.affiliatedAuthorKo, Young Guk-
dc.contributor.affiliatedAuthorKim, Jae Deok-
dc.contributor.affiliatedAuthorKim, Jung Sun-
dc.contributor.affiliatedAuthorSon, Jung Woo-
dc.contributor.affiliatedAuthorLee, Jung Myung-
dc.contributor.affiliatedAuthorJang, Yang Soo-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.contributor.affiliatedAuthorKim, Jin Sun-
dc.citation.volume51-
dc.citation.number3-
dc.citation.startPage332-
dc.citation.endPage338-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.51(3) : 332-338, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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