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Usefulness of intravascular ultrasound to predict outcomes in short-length lesions treated with drug-eluting stents

DC FieldValueLanguage
dc.contributor.author고영국-
dc.contributor.author권혁문-
dc.contributor.author김병극-
dc.contributor.author김중선-
dc.contributor.author신동호-
dc.contributor.author신상준-
dc.contributor.author윤영원-
dc.contributor.author장양수-
dc.contributor.author최동훈-
dc.contributor.author홍명기-
dc.date.accessioned2014-12-18T09:00:47Z-
dc.date.available2014-12-18T09:00:47Z-
dc.date.issued2013-
dc.identifier.issn0002-9149-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/87368-
dc.description.abstractIntravascular ultrasound (IVUS) offers tomographic images of the coronary artery, helping physicians to refine drug-eluting stent (DES) implantation in angiographically complex lesions. However, controversy exists regarding whether the routine use of IVUS in short-length lesions leads to improved clinical outcomes after DES implantation. Therefore, we evaluated the usefulness of IVUS in predicting major adverse cardiac events (MACE), including cardiovascular death, myocardial infarction, or target vessel revascularization, at 1 year after DES implantation in short-length lesions. The present study was a subanalysis of the REal Safety and Efficacy of a 3-month dual antiplatelet Therapy following Endeavor zotarolimus-eluting stent implantation (RESET) study with different clinical outcome parameters. The study population consisted of 662 patients with IVUS guidance and 912 patients with angiography guidance who underwent DES implantation (stent length ≤24 mm). In the IVUS-guided group, adjuvant postdilation was more frequently performed (43.0% vs 34.6%, p <0.001), and the postintervention minimal lumen diameters were greater (2.88 ± 0.44 mm vs 2.72 ± 0.43 mm, p <0.001). MACE occurred in 15 IVUS-guided (2.3%) and 19 angiographically guided (2.1%) patients (p = 0.872). In a subset of patients with diabetes mellitus (n = 292), the MACE rate was 3.4% (n = 4) and 1.7% (n = 3) in the IVUS- and angiographically guided patients, respectively (p = 0.384). The MACE rate in the IVUS- and angiographically guided patients with acute coronary syndrome (n = 601) was 1.1% (n = 3) and 2.7% (n = 9), respectively (p = 0.194). The clinical benefits of IVUS-guided DES implantation compared with angiographically guided DES implantation in short-length lesions could not be confirmed even in patients with clinically high-risk presentations (acute coronary syndrome and diabetes mellitus). In conclusion, routine IVUS guidance does not provide clinical benefits when performing short-length DES implantation-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfAMERICAN JOURNAL OF CARDIOLOGY-
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.MESHCoronary Angiography-
dc.subject.MESHCoronary Artery Disease/diagnostic imaging-
dc.subject.MESHCoronary Artery Disease/mortality-
dc.subject.MESHCoronary Artery Disease/therapy*-
dc.subject.MESHCoronary Restenosis-
dc.subject.MESHCoronary Vessels/diagnostic imaging*-
dc.subject.MESHDrug-Eluting Stents*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/prevention & control-
dc.subject.MESHPercutaneous Coronary Intervention/methods*-
dc.subject.MESHPrognosis-
dc.subject.MESHSirolimus/analogs & derivatives-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUltrasonography, Interventional*-
dc.titleUsefulness of intravascular ultrasound to predict outcomes in short-length lesions treated with drug-eluting stents-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorYoung-Won Yoon-
dc.contributor.googleauthorSanghoon Shin-
dc.contributor.googleauthorByeong-Keuk Kim-
dc.contributor.googleauthorJung-Sun Kim-
dc.contributor.googleauthorDong-Ho Shin-
dc.contributor.googleauthorYoung-Guk Ko-
dc.contributor.googleauthorDonghoon Choi-
dc.contributor.googleauthorDong-Woon Jeon-
dc.contributor.googleauthorHyuckmoon Kwon-
dc.contributor.googleauthorYangsoo Jang-
dc.contributor.googleauthorMyeong-Ki Hong-
dc.identifier.doi10.1016/j.amjcard.2013.04.037-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00127-
dc.contributor.localIdA00260-
dc.contributor.localIdA00493-
dc.contributor.localIdA00961-
dc.contributor.localIdA02097-
dc.contributor.localIdA02105-
dc.contributor.localIdA02580-
dc.contributor.localIdA03448-
dc.contributor.localIdA04053-
dc.contributor.localIdA04391-
dc.relation.journalcodeJ00071-
dc.identifier.eissn1879-1913 -
dc.identifier.pmid23711810-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0002914913010540-
dc.subject.keywordAged-
dc.subject.keywordCoronary Angiography-
dc.subject.keywordCoronary Artery Disease/diagnostic imaging-
dc.subject.keywordCoronary Artery Disease/mortality-
dc.subject.keywordCoronary Artery Disease/therapy*-
dc.subject.keywordCoronary Restenosis-
dc.subject.keywordCoronary Vessels/diagnostic imaging*-
dc.subject.keywordDrug-Eluting Stents*-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordMyocardial Infarction/prevention & control-
dc.subject.keywordPercutaneous Coronary Intervention/methods*-
dc.subject.keywordPrognosis-
dc.subject.keywordSirolimus/analogs & derivatives-
dc.subject.keywordTreatment Outcome-
dc.subject.keywordUltrasonography, Interventional*-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.alternativeNameKwon, Hyuck Moon-
dc.contributor.alternativeNameKim, Byeong Keuk-
dc.contributor.alternativeNameKim, Jung Sun-
dc.contributor.alternativeNameShin, Dong Ho-
dc.contributor.alternativeNameShin, Sang Joon-
dc.contributor.alternativeNameYoon, Young Won-
dc.contributor.alternativeNameJang, Yang Soo-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.alternativeNameHong, Myeong Ki-
dc.contributor.affiliatedAuthorKo, Young Guk-
dc.contributor.affiliatedAuthorKwon, Hyuck Moon-
dc.contributor.affiliatedAuthorKim, Byeong Keuk-
dc.contributor.affiliatedAuthorKim, Jung Sun-
dc.contributor.affiliatedAuthorShin, Dong Ho-
dc.contributor.affiliatedAuthorShin, Sang Joon-
dc.contributor.affiliatedAuthorYoon, Young Won-
dc.contributor.affiliatedAuthorJang, Yang Soo-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.contributor.affiliatedAuthorHong, Myeong Ki-
dc.rights.accessRightsnot free-
dc.citation.volume112-
dc.citation.number5-
dc.citation.startPage642-
dc.citation.endPage646-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF CARDIOLOGY, Vol.112(5) : 642-646, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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