Value of stent boost imaging in decision making after coronary stenting.
Humans
Coronary Artery Disease
/ diagnostic imaging
Coronary Angiography
/ methods
Percutaneous Coronary Intervention
/ adverse effects
Cross-Sectional Studies
Treatment Outcome
Predictive Value of Tests
Stents
Tomography, Optical Coherence
/ methods
Decision Making
Ultrasonography, Interventional
/ methods
DES
IVUS
PCI
Stent Boost Imaging
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:
Dec 2023
Dec 2023
Historique:
received:
08
05
2023
accepted:
16
09
2023
medline:
4
12
2023
pubmed:
17
10
2023
entrez:
16
10
2023
Statut:
ppublish
Résumé
Several studies reported the comparability of digital stent enhancement techniques (including stent boost imaging) in detecting suboptimal results of coronary stenting with Intra Vascular Ultrasound and optical coherence tomography. to assess results of stent deployment and determine the incidence of suboptimal results requiring changing final decision using stent boost imaging. This cross-sectional study included 120 patients eligible for PCI were recruited during a period of one year (January 2021 to 2022) using DES. Suboptimal results were found in 38% of the PCI cases with stents (angiography guided). Importantly it was found that improper lesion preparation in our practice could not help improving stent optimization. Also, angiography guided PCI has significant incidence of suboptimal results. Digital stent enhancement techniques like stent boost have significant and important value in better decision making. After adjusting for age and sex, six factors were identified as independent predictors for final decision change (stent length, LAD/RCA affection, proximal segment affection, calcification, and optical coherence tomography. This study has confirmed the utility of stent boost for the optimization of PCI in daily practice. Stent Boost is a simple and costless technique that provides an accurate assessment of a deployed stent without extending the procedure time and without more risk. It appears to be useful for the immediate evaluation of stent expansion and optimization of PCI by additional post-dilatation, when appropriate. Future studies are needed to determine whether Stent Boost data will correlate with adverse long-term clinical outcomes in patients undergoing PCI.
Sections du résumé
BACKGROUND
BACKGROUND
Several studies reported the comparability of digital stent enhancement techniques (including stent boost imaging) in detecting suboptimal results of coronary stenting with Intra Vascular Ultrasound and optical coherence tomography.
AIMS
OBJECTIVE
to assess results of stent deployment and determine the incidence of suboptimal results requiring changing final decision using stent boost imaging.
METHODS
METHODS
This cross-sectional study included 120 patients eligible for PCI were recruited during a period of one year (January 2021 to 2022) using DES.
RESULTS
RESULTS
Suboptimal results were found in 38% of the PCI cases with stents (angiography guided). Importantly it was found that improper lesion preparation in our practice could not help improving stent optimization. Also, angiography guided PCI has significant incidence of suboptimal results. Digital stent enhancement techniques like stent boost have significant and important value in better decision making. After adjusting for age and sex, six factors were identified as independent predictors for final decision change (stent length, LAD/RCA affection, proximal segment affection, calcification, and optical coherence tomography.
CONCLUSION
CONCLUSIONS
This study has confirmed the utility of stent boost for the optimization of PCI in daily practice. Stent Boost is a simple and costless technique that provides an accurate assessment of a deployed stent without extending the procedure time and without more risk. It appears to be useful for the immediate evaluation of stent expansion and optimization of PCI by additional post-dilatation, when appropriate. Future studies are needed to determine whether Stent Boost data will correlate with adverse long-term clinical outcomes in patients undergoing PCI.
Identifiants
pubmed: 37845408
doi: 10.1007/s10554-023-02961-4
pii: 10.1007/s10554-023-02961-4
pmc: PMC10692007
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2557-2566Informations de copyright
© 2023. The Author(s).
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