First Report of Edge Vascular Response at 12 Months of Magmaris, A Second-Generation Drug-Eluting Resorbable Magnesium Scaffold, Assessed by Grayscale Intravascular Ultrasound, Virtual Histology, and Optical Coherence Tomography. A Biosolve-II Trial Sub-Study.


Journal

Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551

Informations de publication

Date de publication:
05 2019
Historique:
received: 29 11 2018
revised: 11 01 2019
accepted: 13 02 2019
entrez: 14 5 2019
pubmed: 14 5 2019
medline: 19 5 2020
Statut: ppublish

Résumé

The edge vascular response (EVR) remains unknown in second generation drug-eluting Resorbable Magnesium Scaffold (RMS), such as Magmaris. The aim of the study was to evaluate tissue modifications in the RMS edges over time, assessed by different invasive imaging modalities. The patients treated with the device were assessed by optical coherence tomography (OCT), grayscale intravascular ultrasound (IVUS), and virtual histology IVUS at baseline and 12 months. The EVR study performed a segment- and frame-level analysis of the 5 mm segments proximal and distal of the actual RMS. The segment-level grayscale IVUS (n = 10), virtual histology IVUS (n = 10), and OCT (n = 18) analysis did not show any significant changes after 12 months, except for a fibrous plaque area (FPA) reduction of 0.5mm At 12 months, Magmaris EVR assessment does not show overall significant changes, except for a fibrous plaque area reduction in the proximal segment. This could be translated as a benign healing process at the edges of the RMS. The edge vascular response (EVR) remains unknown in second generation drug-eluting absorbable metal scaffolds (RMS), such as Magmaris. Patients treated with the device were assessed by multi invasive imaging modalities [i.e. optical coherence tomography (OCT), grayscale intravascular ultrasound (IVUS), and virtual histology IVUS] evaluating the tissue changes over time in the segment- and frame-level analysis of the 5 mm segments proximal and distal of the actual RMS. As a result, after 12 months, Magmaris EVR assessment does not show overall significant changes, except for a fibrous plaque area reduction in the proximal segment, translating a benign healing process at the edges of the RMS.

Identifiants

pubmed: 31079817
pii: S1553-8389(19)30152-6
doi: 10.1016/j.carrev.2019.02.019
pii:
doi:

Substances chimiques

Magnesium I38ZP9992A

Types de publication

Clinical Trial Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

392-398

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Alexandre Hideo-Kajita (A)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA.

Hector M Garcia-Garcia (HM)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA. Electronic address: hector.m.garciagarcia@medstar.net.

Michael Haude (M)

Medical Clinic I, Städtische Kliniken Neuss, Lukaskrankenhaus GmbH, Neuss, Germany.

Michael Joner (M)

Deutsches Herzzentrum Muenchen und Deutsches Zentrum fuer Herz-Kreislaufforschung e.V., Munich, Germany.

Jacques Koolen (J)

Cardiologie, Catharina Ziekenhuis, Eindhoven, the Netherlands.

Hüseyin Ince (H)

Vivantes Klinikum im Friedrichshain and Am Urban, Department of Cardiology, University of Rostock, Berlin, Germany.

Alexandre Abizaid (A)

Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.

Ralph Toelg (R)

Herzzentrum Segeberger Kliniken, Henstedt-Ulzburg, Germany.

Pedro A Lemos (PA)

Instituto do Coração - HCFMUSP, Universidade de São Paulo, São Paulo, Brazil.

Clemens von Birgelen (C)

Department of Cardiology, Medisch Spectrum Twente, Thoraxcentrum Twente, Enschede, the Netherlands.

Evald Høj Christiansen (EH)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

William Wijns (W)

Cardiology Department, Cardiovascular Research Center Aalst, OLV Hospital, Aalst, Belgium.

Franz-Josef Neumann (FJ)

Klinik fur Kardiologie und Angiologie II, Universitats-Herzzentrum Freiburg - Bad Krozingen, Bad Krozingen, Germany.

Christoph Kaiser (C)

Department of Cardiology, University Hospital, Basel, Switzerland.

Eric Eeckhout (E)

Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.

Lim Soo Teik (LS)

Department of Cardiology, National Heart Center Singapore, Singapore, Singapore.

Javier Escaned (J)

Department of Cardiology, Hospital Clinico San Carlos, Madrid, Spain.

Viana Azizi (V)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA.

Kayode O Kuku (KO)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA.

Yuichi Ozaki (Y)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA.

Kazuhiro Dan (K)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA.

Ron Waksman (R)

Interventional Cardiology Department, MedStar Washington Hospital Center, Washington, DC, USA.

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