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Erschienen in: Cardiovascular Intervention and Therapeutics 3/2017

25.05.2016 | Original Article

Impact of stent platform on longitudinal stent deformation: an in vivo frequency domain optical coherence tomography study

verfasst von: Ryotaro Yamada, Hiroyuki Okura, Teruyoshi Kume, Kenzo Fukuhara, Terumasa Koyama, Tomitaka Higa, Yoji Neishi, Kiyoshi Yoshida, Shiro Uemura

Erschienen in: Cardiovascular Intervention and Therapeutics | Ausgabe 3/2017

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Abstract

Recently, longitudinal coronary stent deformation has been highlighted as a possible cause of drug-eluting stent failure. Although bench tests and in vivo studies have demonstrated difference in longitudinal stent strength among the stents with different platforms, its clinical impact is still unknown. Furthermore, it is unknown if modified stent platform favorably affect the incidence of stent deformation. The aim of this study was to investigate the longitudinal deformation of the everolimus-eluting stents (EES) with different stent platforms by using frequency domain optical coherence tomography (FD-OCT). Seventy-eight lesions treated with EES (Xience Prime: n = 26, Promus element: n = 29, Promus premier: n = 23) were studied. After successful stent implantation, FD-OCT was performed and stent length was measured using three-dimensional reconstruction of the images in vivo. Percent longitudinal stent shortening (%SS) was defined as the in vivo stent length divided by nominal stent length. Longitudinal stent deformation was defined as  %SS > 10 %. Patients’ and procedural characteristics were similar among 3 EESs. There was no difference in mean  %SS between Xience Prime, Promus Element and Promus Premier (1.0 ± 5.8, 2.9 ± 6.7 and 0.8 ± 3.7 %, p = 0.322). Incidence of the longitudinal stent deformation was significantly higher in Promus Element than the other stents (0, 13.8 and 0 %, p = 0.028). Incidence of longitudinal stent deformation was different between EESs with different stent platforms. Stent material, stent design and/or stent delivery balloon may affect longitudinal stent deformation.
Literatur
1.
Zurück zum Zitat Kedhi E, Joesoef KS, McFadden E, Wassing J, van Mieghem C, Goedhart D, et al. Second-generation everolimus-eluting and paclitaxel-eluting stents in real-life practice (COMPARE): a randomised trial. Lancet. 2010;375(9710):201–9.CrossRefPubMed Kedhi E, Joesoef KS, McFadden E, Wassing J, van Mieghem C, Goedhart D, et al. Second-generation everolimus-eluting and paclitaxel-eluting stents in real-life practice (COMPARE): a randomised trial. Lancet. 2010;375(9710):201–9.CrossRefPubMed
2.
Zurück zum Zitat Stone GW, Rizvi A, Newman W, Mastali K, Wang JC, Caputo R, et al. Everolimus-eluting versus paclitaxel-eluting stents in coronary artery disease. N Engl J Med. 2010;362(18):1663–74.CrossRefPubMed Stone GW, Rizvi A, Newman W, Mastali K, Wang JC, Caputo R, et al. Everolimus-eluting versus paclitaxel-eluting stents in coronary artery disease. N Engl J Med. 2010;362(18):1663–74.CrossRefPubMed
3.
Zurück zum Zitat Raber L, Juni P, Nuesch E, Kalesan B, Wenaweser P, Moschovitis A, et al. Long-term comparison of everolimus-eluting and sirolimus-eluting stents for coronary revascularization. J Am Coll Cardiol. 2011;57(21):2143–51.CrossRefPubMed Raber L, Juni P, Nuesch E, Kalesan B, Wenaweser P, Moschovitis A, et al. Long-term comparison of everolimus-eluting and sirolimus-eluting stents for coronary revascularization. J Am Coll Cardiol. 2011;57(21):2143–51.CrossRefPubMed
4.
Zurück zum Zitat Kimura T, Morimoto T, Natsuaki M, Shiomi H, Igarashi K, Kadota K, et al. Comparison of everolimus-eluting and sirolimus-eluting coronary stents: 1-year outcomes from the Randomized Evaluation of Sirolimus-eluting Versus Everolimus-eluting stent Trial (RESET). Circulation. 2012;126(10):1225–36.CrossRefPubMed Kimura T, Morimoto T, Natsuaki M, Shiomi H, Igarashi K, Kadota K, et al. Comparison of everolimus-eluting and sirolimus-eluting coronary stents: 1-year outcomes from the Randomized Evaluation of Sirolimus-eluting Versus Everolimus-eluting stent Trial (RESET). Circulation. 2012;126(10):1225–36.CrossRefPubMed
5.
Zurück zum Zitat Stone GW, Teirstein PS, Meredith IT, Farah B, Dubois CL, Feldman RL, et al. A prospective, randomized evaluation of a novel everolimus-eluting coronary stent: the PLATINUM (a Prospective, Randomized, Multicenter Trial to Assess an Everolimus-Eluting Coronary Stent System [PROMUS Element] for the Treatment of Up to Two de Novo Coronary Artery Lesions) trial. J Am Coll Cardiol. 2011;57(16):1700–8.CrossRefPubMed Stone GW, Teirstein PS, Meredith IT, Farah B, Dubois CL, Feldman RL, et al. A prospective, randomized evaluation of a novel everolimus-eluting coronary stent: the PLATINUM (a Prospective, Randomized, Multicenter Trial to Assess an Everolimus-Eluting Coronary Stent System [PROMUS Element] for the Treatment of Up to Two de Novo Coronary Artery Lesions) trial. J Am Coll Cardiol. 2011;57(16):1700–8.CrossRefPubMed
6.
Zurück zum Zitat Ormiston JA, Dixon SR, Webster MW, Ruygrok PN, Stewart JT, Minchington I, et al. Stent longitudinal flexibility: a comparison of 13 stent designs before and after balloon expansion. Catheter Cardiovasc Interv. 2000;50(1):120–4.CrossRefPubMed Ormiston JA, Dixon SR, Webster MW, Ruygrok PN, Stewart JT, Minchington I, et al. Stent longitudinal flexibility: a comparison of 13 stent designs before and after balloon expansion. Catheter Cardiovasc Interv. 2000;50(1):120–4.CrossRefPubMed
7.
Zurück zum Zitat Tsunoda T, Hara H, Nakajima K, Shinji H, Ito S, Iijima R, et al. Stent deformation: an experimental study of coronary ostial stenting. Cardiovasc Revasc Med. 2009;10(2):80–7.CrossRefPubMed Tsunoda T, Hara H, Nakajima K, Shinji H, Ito S, Iijima R, et al. Stent deformation: an experimental study of coronary ostial stenting. Cardiovasc Revasc Med. 2009;10(2):80–7.CrossRefPubMed
8.
Zurück zum Zitat Ormiston JA, Webber B, Webster MW. Stent longitudinal integrity bench insights into a clinical problem. JACC Cardiovasc Interv. 2011;4(12):1310–7.CrossRefPubMed Ormiston JA, Webber B, Webster MW. Stent longitudinal integrity bench insights into a clinical problem. JACC Cardiovasc Interv. 2011;4(12):1310–7.CrossRefPubMed
9.
Zurück zum Zitat Abdel-Wahab M, Sulimov DS, Kassner G, Geist V, Toelg R, Richardt G. Longitudinal deformation of contemporary coronary stents: an integrated analysis of clinical experience and observations from the bench. J Interv Cardiol. 2012;25(6):576–85.CrossRefPubMed Abdel-Wahab M, Sulimov DS, Kassner G, Geist V, Toelg R, Richardt G. Longitudinal deformation of contemporary coronary stents: an integrated analysis of clinical experience and observations from the bench. J Interv Cardiol. 2012;25(6):576–85.CrossRefPubMed
10.
Zurück zum Zitat Foerst J, Foin N, Hettleman B. Longitudinal stent compression demonstrated by angiographic “wedding band” and 3-dimensional optical coherence tomography. JACC Cardiovasc Interv. 2012;5(12):e39–40.CrossRefPubMed Foerst J, Foin N, Hettleman B. Longitudinal stent compression demonstrated by angiographic “wedding band” and 3-dimensional optical coherence tomography. JACC Cardiovasc Interv. 2012;5(12):e39–40.CrossRefPubMed
11.
Zurück zum Zitat Kereiakes DJ, Popma JJ, Cannon LA, Kandzari DE, Kimmelstiel CD, Meredith IT, et al. Longitudinal stent deformation: quantitative coronary angiographic analysis from the PERSEUS and PLATINUM randomised controlled clinical trials. EuroIntervention. 2012;8(2):187–95.CrossRefPubMed Kereiakes DJ, Popma JJ, Cannon LA, Kandzari DE, Kimmelstiel CD, Meredith IT, et al. Longitudinal stent deformation: quantitative coronary angiographic analysis from the PERSEUS and PLATINUM randomised controlled clinical trials. EuroIntervention. 2012;8(2):187–95.CrossRefPubMed
12.
Zurück zum Zitat Lupi A, Porto I, Rognoni A, Lazzero M, Fattori R, Parisi R, et al. Clinical and biomechanical behavior of a platinum-chromium stent platform in a large all-comer single-center population: insights from the Novara-PROMETEUS registry. J Invasive Cardiol. 2014;26(7):311–7.PubMed Lupi A, Porto I, Rognoni A, Lazzero M, Fattori R, Parisi R, et al. Clinical and biomechanical behavior of a platinum-chromium stent platform in a large all-comer single-center population: insights from the Novara-PROMETEUS registry. J Invasive Cardiol. 2014;26(7):311–7.PubMed
13.
Zurück zum Zitat Ota H, Kitabata H, Magalhaes MA, Bui A, Kardenas K, Thomas CH, et al. Comparison of frequency and severity of longitudinal stent deformation among various drug-eluting stents: an intravascular ultrasound study. Int J Cardiol. 2014;175(2):261–7.CrossRefPubMed Ota H, Kitabata H, Magalhaes MA, Bui A, Kardenas K, Thomas CH, et al. Comparison of frequency and severity of longitudinal stent deformation among various drug-eluting stents: an intravascular ultrasound study. Int J Cardiol. 2014;175(2):261–7.CrossRefPubMed
14.
Zurück zum Zitat Ormiston JA, Webber B, Ubod B, White J, Webster MW. Stent longitudinal strength assessed using point compression: insights from a second-generation, clinically related bench test. Circ Cardiovasc Interv. 2014;7(1):62–9.CrossRefPubMed Ormiston JA, Webber B, Ubod B, White J, Webster MW. Stent longitudinal strength assessed using point compression: insights from a second-generation, clinically related bench test. Circ Cardiovasc Interv. 2014;7(1):62–9.CrossRefPubMed
15.
Zurück zum Zitat Kobayashi Y, Okura H, Kume T, Yamada R, Kobayashi Y, Fukuhara K, et al. Impact of target lesion coronary calcification on stent expansion. Circ J. 2014;78(9):2209–14.CrossRefPubMed Kobayashi Y, Okura H, Kume T, Yamada R, Kobayashi Y, Fukuhara K, et al. Impact of target lesion coronary calcification on stent expansion. Circ J. 2014;78(9):2209–14.CrossRefPubMed
16.
Zurück zum Zitat Fedele S, Biondi-Zoccai G, Kwiatkowski P, Di Vito L, Occhipinti M, Cremonesi A, et al. Reproducibility of coronary optical coherence tomography for lumen and length measurements in humans (The CLI-VAR [Centro per la Lotta contro l’Infarto-VARiability] study). Am J Cardiol. 2012;110(8):1106–12.CrossRefPubMed Fedele S, Biondi-Zoccai G, Kwiatkowski P, Di Vito L, Occhipinti M, Cremonesi A, et al. Reproducibility of coronary optical coherence tomography for lumen and length measurements in humans (The CLI-VAR [Centro per la Lotta contro l’Infarto-VARiability] study). Am J Cardiol. 2012;110(8):1106–12.CrossRefPubMed
17.
Zurück zum Zitat Liu Y, Shimamura K, Kubo T, Tanaka A, Kitabata H, Ino Y, et al. Comparison of longitudinal geometric measurement in human coronary arteries between frequency-domain optical coherence tomography and intravascular ultrasound. Int J Cardiovasc Imaging. 2014;30(2):271–7.CrossRefPubMed Liu Y, Shimamura K, Kubo T, Tanaka A, Kitabata H, Ino Y, et al. Comparison of longitudinal geometric measurement in human coronary arteries between frequency-domain optical coherence tomography and intravascular ultrasound. Int J Cardiovasc Imaging. 2014;30(2):271–7.CrossRefPubMed
18.
Zurück zum Zitat Kume T, Okura H, Miyamoto Y, Yamada R, Saito K, Tamada T, et al. Natural history of stent edge dissection, tissue protrusion and incomplete stent apposition detectable only on optical coherence tomography after stent implantation—preliminary observation. Circ J. 2012;76(3):698–703.CrossRefPubMed Kume T, Okura H, Miyamoto Y, Yamada R, Saito K, Tamada T, et al. Natural history of stent edge dissection, tissue protrusion and incomplete stent apposition detectable only on optical coherence tomography after stent implantation—preliminary observation. Circ J. 2012;76(3):698–703.CrossRefPubMed
19.
Zurück zum Zitat Aoki J, Nakazawa G, Tanabe K, Hoye A, Yamamoto H, Nakayama T, et al. Incidence and clinical impact of coronary stent fracture after sirolimus-eluting stent implantation. Catheter Cardiovasc Interv. 2007;69(3):380–6.CrossRefPubMed Aoki J, Nakazawa G, Tanabe K, Hoye A, Yamamoto H, Nakayama T, et al. Incidence and clinical impact of coronary stent fracture after sirolimus-eluting stent implantation. Catheter Cardiovasc Interv. 2007;69(3):380–6.CrossRefPubMed
20.
Zurück zum Zitat Imai M, Kadota K, Goto T, Fujii S, Yamamoto H, Fuku Y, et al. Incidence, risk factors, and clinical sequelae of angiographic peri-stent contrast staining after sirolimus-eluting stent implantation. Circulation. 2011;123(21):2382–91.CrossRefPubMed Imai M, Kadota K, Goto T, Fujii S, Yamamoto H, Fuku Y, et al. Incidence, risk factors, and clinical sequelae of angiographic peri-stent contrast staining after sirolimus-eluting stent implantation. Circulation. 2011;123(21):2382–91.CrossRefPubMed
21.
Zurück zum Zitat De la Torre Hernandez JM, Garcia Camarero T, Lerena P, Lee DH, Sainz Laso F, Gorria GM, et al. A real all-comers randomized trial comparing Xience Prime and Promus Element stents. J Invasive Cardiol. 2013;25(4):182–5.PubMed De la Torre Hernandez JM, Garcia Camarero T, Lerena P, Lee DH, Sainz Laso F, Gorria GM, et al. A real all-comers randomized trial comparing Xience Prime and Promus Element stents. J Invasive Cardiol. 2013;25(4):182–5.PubMed
22.
Zurück zum Zitat Sarno G, Lagerqvist B, Carlsson J, Olivecrona G, Nilsson J, Calais F, et al. Initial clinical experience with an everolimus eluting platinum chromium stent (Promus Element) in unselected patients from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR). Int J Cardiol. 2013;167(1):146–50.CrossRefPubMed Sarno G, Lagerqvist B, Carlsson J, Olivecrona G, Nilsson J, Calais F, et al. Initial clinical experience with an everolimus eluting platinum chromium stent (Promus Element) in unselected patients from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR). Int J Cardiol. 2013;167(1):146–50.CrossRefPubMed
23.
Zurück zum Zitat Inaba S, Mintz GS, Yun KH, Yakushiji T, Shimizu T, Kang SJ, et al. Mechanical complications of everolimus-eluting stents associated with adverse events: an intravascular ultrasound study. EuroIntervention. 2014;9(11):1301–8.CrossRefPubMed Inaba S, Mintz GS, Yun KH, Yakushiji T, Shimizu T, Kang SJ, et al. Mechanical complications of everolimus-eluting stents associated with adverse events: an intravascular ultrasound study. EuroIntervention. 2014;9(11):1301–8.CrossRefPubMed
Metadaten
Titel
Impact of stent platform on longitudinal stent deformation: an in vivo frequency domain optical coherence tomography study
verfasst von
Ryotaro Yamada
Hiroyuki Okura
Teruyoshi Kume
Kenzo Fukuhara
Terumasa Koyama
Tomitaka Higa
Yoji Neishi
Kiyoshi Yoshida
Shiro Uemura
Publikationsdatum
25.05.2016
Verlag
Springer Japan
Erschienen in
Cardiovascular Intervention and Therapeutics / Ausgabe 3/2017
Print ISSN: 1868-4300
Elektronische ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0403-3

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