Predictors of coronary artery injury after orbital atherectomy as assessed by optical coherence tomography.
Humans
Coronary Artery Disease
/ diagnostic imaging
Atherectomy, Coronary
/ adverse effects
Coronary Vessels
/ diagnostic imaging
Percutaneous Coronary Intervention
/ adverse effects
Vascular System Injuries
/ diagnostic imaging
Tomography, Optical Coherence
/ methods
Treatment Outcome
Predictive Value of Tests
Atherectomy
Vascular Calcification
/ diagnostic imaging
Coronary Angiography
Calcified stenosis
Coronary artery disease
Optical coherence tomography
Orbital atherectomy
Journal
The international journal of cardiovascular imaging
ISSN: 1875-8312
Titre abrégé: Int J Cardiovasc Imaging
Pays: United States
ID NLM: 100969716
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
03
10
2022
accepted:
13
03
2023
medline:
12
6
2023
pubmed:
8
4
2023
entrez:
7
4
2023
Statut:
ppublish
Résumé
The association between the extent of the wire and device bias as assessed by optical coherence tomography (OCT) in the healthy portion of the vessel and the risk of coronary artery injury after orbital atherectomy (OA) has not been fully elucidated. Thus, purpose of this study is to investigate the association between pre-OA OCT findings and post-OA coronary artery injury by OCT. We enrolled 148 de novo lesions having calcified lesion required OA (max Ca angle > 90°) in 135 patients who underwent both pre- and post-OA OCT. In pre-OA OCT, OCT catheter contact angle and the presence or absences of guide-wire (GW) contact with the normal vessel intima were assessed. Also, in post-OA OCT, we assessed there was post-OA coronary artery injury (OA injury), defined as disappearance of both of intima and medial wall of normal vessel, or not. OA injury was found in 19 lesions (13%). Pre-PCI OCT catheter contact angle with the normal coronary artery was significantly larger (median 137°; inter quartile range [IQR] 113-169 vs. median 0°; IQR 0-0, P < 0.001) and more GW contact with the normal vessel was found (63% vs. 8%, P < 0.001). Pre-PCI OCT catheter contact angle > 92° and GW contact with the normal vessel intima were associated with post-OA vascular injury (Both: 92% (11/12), Either: 32% (8/25), Neither: 0% (0/111), P < 0.001). Pre-PCI OCT findings, such as catheter contact angle > 92° and guide-wire contact to the normal coronary artery, were associated with post-OA coronary artery injury.
Identifiants
pubmed: 37027104
doi: 10.1007/s10554-023-02837-7
pii: 10.1007/s10554-023-02837-7
pmc: PMC10250457
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1367-1374Informations de copyright
© 2023. The Author(s).
Références
Cardiovasc Revasc Med. 2021 Jul;28:9-13
pubmed: 32888836
Circ Cardiovasc Interv. 2018 Oct;11(10):e007003
pubmed: 30354637
J Interv Cardiol. 2020 Nov 10;2020:1894389
pubmed: 33223973
Nat Rev Cardiol. 2022 Oct;19(10):684-703
pubmed: 35449407
JACC Cardiovasc Imaging. 2017 Aug;10(8):869-879
pubmed: 28797408
J Interv Cardiol. 2016 Aug;29(4):357-62
pubmed: 27358246
EuroIntervention. 2019 Jun 12;15(3):e279-e288
pubmed: 29769164
EuroIntervention. 2018 Apr 06;13(18):e2182-e2189
pubmed: 29400655
Catheter Cardiovasc Interv. 2012 Oct 1;80(4):621-5
pubmed: 21805585
EuroIntervention. 2019 Apr 20;14(17):1760-1767
pubmed: 29957595
JACC Cardiovasc Interv. 2014 May;7(5):510-8
pubmed: 24852804
JACC Cardiovasc Imaging. 2017 Aug;10(8):883-891
pubmed: 28797410
JACC Cardiovasc Interv. 2019 Mar 25;12(6):531-540
pubmed: 30898249
Int J Cardiovasc Imaging. 2021 Mar;37(3):803-812
pubmed: 33111175
Expert Rev Med Devices. 2017 Nov;14(11):867-879
pubmed: 28945162
Cardiovasc Revasc Med. 2022 Jul;40:123-131
pubmed: 35101372
Cardiovasc Interv Ther. 2020 Oct;35(4):361-370
pubmed: 31939066
J Am Coll Cardiol. 2014 May 13;63(18):1845-54
pubmed: 24561145
Cardiovasc Interv Ther. 2020 Jan;35(1):13-18
pubmed: 31602597
Catheter Cardiovasc Interv. 2021 Nov 1;98(5):884-892
pubmed: 33325587
Catheter Cardiovasc Interv. 2015 Nov 15;86(6):1024-32
pubmed: 25964009