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The International Journal of Cardiovascular Imaging

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19.10.2016 | Original Paper

Predictors of acute scaffold recoil after implantation of the everolimus-eluting bioresorbable scaffold: an optical coherence tomography assessment in native coronary arteries

verfasst von: Takao Sato, John Jose, Mohamed El-Mawardy, Dmitriy S. Sulimov, Ralph Tölg, Gert Richardt, Mohamed Abdel-Wahab

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 2/2017

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Abstract

This study investigated the predictors of acute recoil after implantation of everolimus-eluting BRS based on optical coherence tomography (OCT). Thirty-nine patients (56 scaffolds) were enrolled. Acute absolute recoil by quantitative coronary angiography was defined as the difference between the mean diameter of the last inflated balloon (X) and the mean lumen diameter of BRS immediately after balloon deflation (Y). Acute percent recoil was defined as (X − Y) × 100/X. Plaque eccentricity (PE) and plaque composition (PC) were assessed by OCT. PC was classified into two different types: calcific (score = 1), fibrous and lipid (score = 0). Based on the mean acute scaffold recoil value of the present study, scaffolds were divided into two groups: the low acute recoil group (LAR, n = 34) and the high acute recoil group (HAR, n = 22). Acute percent and absolute recoil were 6.4 ± 3.0 % and 0.19 ± 0.11 mm. PE, PC score and scaffold/artery ratio were significantly higher in HAR than in LAR. In multivariate logistic regression analysis, PE > 1.49, PC score (score 1) and scaffold/artery ratio >1.07 were significant positive predictors for the occurrence of acute scaffold recoil (OR 10.7, 95 % CI 2.2–51.4, p < 0.01; OR 5.6, 95 % CI 1.9–22.0, p = 0.04; OR 12.4, 95 % CI 2.6–65.4, p < 0.01, respectively). Acute recoil of BRS is influenced by BRS sizing as well as OCT-derived plaque characteristics.

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Titel: Predictors of acute scaffold recoil after implantation of the everolimus-eluting bioresorbable scaffold: an optical coherence tomography assessment in native coronary arteries
verfasst von: Takao Sato
John Jose
Mohamed El-Mawardy
Dmitriy S. Sulimov
Ralph Tölg
Gert Richardt
Mohamed Abdel-Wahab
Publikationsdatum: 19.10.2016
Verlag: Springer Netherlands
Erschienen in: The International Journal of Cardiovascular Imaging / Ausgabe 2/2017
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI: https://doi.org/10.1007/s10554-016-0997-7

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