Relationship Between Coronary Artery Remodeling and Plaque Composition in Culprit Lesions : An Intravascular Ultrasound Radiofrequency Analysis
スポンサーリンク
概要
- 論文の詳細を見る
Background The relationship between coronary artery remodeling and culprit plaque composition in vivo has not been fully evaluated by spectral analysis of intravascular ultrasound (IVUS) radiofrequency (RF) data. Methods and Results IVUS RF analyses were performed for 56 consecutive de novo culprit lesions of 52 patients undergoing percutaneous coronary intervention. Remodeling of culprit lesions was determined using the remodeling index (RI), calculated as the external elastic membrane area of the minimum lumen area (MLA) site divided by that of the proximal reference site. Positive remodeling was defined as RI >1.05, intermediate remodeling as 0.95<RI<1.05 and negative remodeling as RI <0.95. Among the 56 lesions, positive remodeling was detected in 24, intermediate remodeling in 16, and negative remodeling in 16. At MLA sites, positive remodeling lesions had a larger percentage of the fibrofatty component than negative remodeling lesions (22.5±10.3% vs 10.4±6.6%, p=0.0001), whereas the latter contained a larger percentage of the dense calcium component than the former (2.8±2.9% vs 8.4±7.0%, p=0.016). Conclusions Culprit plaques with positive remodeling have a large lipid burden, whereas those with negative remodeling contain a large amount of calcium.
- 社団法人日本循環器学会の論文
- 2007-04-20
著者
-
Tanabe Kengo
Division of Cardiology, Mitsui Memorial Hospital
-
Ohashi Yoshio
Division Of Cardiology Mitsui Memorial Hospital
-
NAKAZAWA Gaku
Division of Cardiology, Tokai University School of Medicine
-
Tanabe Kengo
Division Of Cardiology Mitsui Memorial Hospital
-
Nakazawa Gaku
Division Of Cardiology Mitsui Memorial Hospital
-
Higashikuni Yasutomi
Division of Cardiology, Mitsui Memorial Hospital
-
Aoki Jiro
Division of Cardiology, Mitsui Memorial Hospital
-
Yamamoto Hirosada
Division of Cardiology, Mitsui Memorial Hospital
-
Onuma Yoshinobu
Division of Cardiology, Mitsui Memorial Hospital
-
Ohtsuki Shuji
Division of Cardiology, Mitsui Memorial Hospital
-
Yagishita Atsuhiko
Division of Cardiology, Mitsui Memorial Hospital
-
Yachi Sen
Division of Cardiology, Mitsui Memorial Hospital
-
Nakajima Hiroyoshi
Division of Cardiology, Mitsui Memorial Hospital
-
Tanabe Kengo
Mitsui memorial hospital
-
Otsuki Shuji
Division of cardiology, Mitsui Memoraial Hospital
-
Aoki Jiro
Division Of Cardiology Mitsui Memorial Hospital
-
Kara Kazuhiro
Division of Cardiology, Mitsui Memorial Hospital
-
Kara Kazuhiro
Division Of Cardiology Mitsui Memorial Hospital
-
Yachi Sen
Division Of Cardiology Mitsui Memorial Hospital
-
Ohtsuki Shuji
Division Of Cardiology Mitsui Memorial Hospital
-
Yamamoto Hirosada
Division Of Cardiology Mitsui Memorial Hospital
-
Yagishita Atsuhiko
Division Of Cardiology Mitsui Memorial Hospital
-
Higashikuni Yasutomi
Division Of Cardiology Mitsui Memorial Hospital
-
Nakajima Hiroyoshi
Division Of Cardiology Mitsui Memorial Hospital
-
Onuma Yoshinobu
Division Of Cardiology Mitsui Memorial Hospital
-
Nakajima Hiroyoshi
Division Of Cardiology Department Of Medicine Mitsui Memorial Hospital
関連論文
- DPE-046 Myocardial Blush Grade is Associated with the Improvement of Cardiac Function at Follow-up Phase after ST-elevation Acute Myocardial Infarction(DPE08,ACS/AMI (Clinical/Diagnosis) (IHD),Digital Poster Session (English),The 73rd Annual Scientific Me
- DPE-044 Binary Restenosis Rate after Primary Percutaneous Coronary Intervention without Drug-eluting Stent for the Patients with ST Elevation Acute Myocardial Infarction(DPE08,ACS/AMI (Clinical/Diagnosis) (IHD),Digital Poster Session (English),The 73rd An
- DPE-046 Myocardial Blush Grade is Associated with the Improvement of Cardiac Function at Follow-up Phase after ST-elevation Acute Myocardial Infarction(DPE08,ACS/AMI (Clinical/Diagnosis) (IHD),Digital Poster Session (English),The 73rd Annual Scientific Me
- DPE-044 Binary Restenosis Rate after Primary Percutaneous Coronary Intervention without Drug-eluting Stent for the Patients with ST Elevation Acute Myocardial Infarction(DPE08,ACS/AMI (Clinical/Diagnosis) (IHD),Digital Poster Session (English),The 73rd An
- DPE-046 Myocardial Blush Grade is Associated with the Improvement of Cardiac Function at Follow-up Phase after ST-elevation Acute Myocardial Infarction(DPE08,ACS/AMI (Clinical/Diagnosis) (IHD),Digital Poster Session (English),The 73rd Annual Scientific Me
- DPE-044 Binary Restenosis Rate after Primary Percutaneous Coronary Intervention without Drug-eluting Stent for the Patients with ST Elevation Acute Myocardial Infarction(DPE08,ACS/AMI (Clinical/Diagnosis) (IHD),Digital Poster Session (English),The 73rd An
- Intravascular Ultrasound Criteria for Determination of Optimal Longitudinal Positioning of Sirolimus-Eluting Stents
- PJ-461 Impact of Geographical Miss following Sirlimus-Eluting Stent Implantation(Coronary revascularization, PCI(22)(IHD),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Reply to Letter Regarding Article, "Sirolimus-Eluting Stents Suppress Neointimal Formation Irrespective of Metallic Allergy"(Letter to the Editor)
- Impact of Culprit Plaque Composition on the No-Reflow Phenomenon in Patients With Acute Coronary Syndrome : An Intravascular Ultrasound Radiofrequency Analysis
- Sirolimus-Eluting Stents Suppress Neointimal Formation Irrespective of Metallic Allergy
- Functional Formula to Determine Adequate Balloon Diameter of Simultaneous Kissing Balloon Technique for Treatment of Bifurcated Coronary Lesions : Clinical Validation by Volumetric Intravascular Ultrasound Analysis
- PJ-832 Noninvasive Assessment of Patients with Aortic Stenosis by 64-slice Multi-Detector Computed Tomography(CT / DSA(11)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-322 Prevalence and Clinical Impact of Non-calcified Plaques in Patients with a Negative Calcium Score Study(CT/DSA-07, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-105 Clinical Validation of a Formula to determine Reasonable Diameter of Simultaneous Kissing Balloons for Treatment of the Bifurcated Coronary Lesions(Coronary revascularization, PCI-06, The 71st Annual Scientific Meeting of the Japanese Circulation S
- OE-118 Efficacy of 64-slice Multidetector Computed Tomography in Diabetic Patients with Suspected Coronary Artery Disease(CT/DSA-01, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Clinical and Angiographic Outcomes of Sirolimus-Eluting Stents Implantation in Japanese Patients in Daily Practice
- PE-332 Evaluation of Coronary Bypass Grafts with 64-slice Multidetector Computed Tomography(CT/DSA-4 (I) PE56,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- PE-215 Sirolimus-eluting Stent Suppresses Neointimal Formation Irrespective of Metallic Allergy(Coronary revascularization, PCI-13 (IHD) PE36,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- PE-102 Impact of 64-slice Multidetector Computed Tomography on the Outcome of Percutaneous Coronary Intervention(CT/DSA-3 (I) PE17,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-112 Impact of Renal Insufficiency on the Long-Term Outcomes Following Percutaneous Coronary Intervention with Sirolimus-Eluting Stents(Kidney/Renal circulation-1 (H) OJ19,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of th
- OE-052 Culprit Plaques with Positive Remodeling are Different from Those with Negative Remodeling : Intravascular Ultrasound Radiofrequency Analysis(Intravascular endoscopy/Intravascular ultrasound-1 (I) OE9,Oral Presentation (English),The 70th Anniversar
- Prolonged QRS Duration and Severity of Mitral Regurgitation are Unfavorable Prognostic Markers of Heart Failure in Patients With Nonischemic Dilated Cardiomyopathy
- Prevalence of Carotid Artery Stenosis in Patients with Coronary Artery Disease in Japan(Peripheral Circulation/Vascular Disease 2 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PE-219 Direct Infusion of Nicorandil Distal to Infarct Related Artery Prior to Reperfusion in Patients with Acute Myocardial Infarction.(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 12 (IHD) : PE38)(Poster Session (English))
- Combination Therapy of Carotid Artery Stenting and Coronary Revascularization
- Initial Results of Ikari Guide Catheter for Transradial Intervention : Single Center Experience
- Cardiac Amyloidosis Presumptively Diagnosed as Cardiac Syndrome X
- Clinical Outcome of Percutaneous Transluminal Coronary Rotational Atherectomy in Patients With End-Stage Renal Disease
- Mid-term Outcome of PTCRA (Percutaneous Transluminal Coronary Rotational Angioplasty) in hemodialysis patients
- Retrospective Analysis of Cerebral Complications After Coronary Artery Bypass Grafting in Elderly Patients
- FRS-078 The Characteristics of Restenosis after Sirolimus-Eluting STENT Implantation : INTENSITY Resigtry(Forefront Updates in PCI(02)(IHD),Featured Research Session,The 72nd An
- Relationship Between Coronary Artery Remodeling and Plaque Composition in Culprit Lesions : An Intravascular Ultrasound Radiofrequency Analysis
- Changing Spectrum of Infective Endocarditis : Review of 194 Episodes Over 20 Years
- RESTENOSIS OF DIRECTIONAL CORONARY ATHERECTOMY(DCA) : COMPARISON WITH THAT OF PALMAZSCHATZ CORONARY STENT(PSS) IMPLANTATION
- Relation between Balloon Artery Ratio and Neointimal Hyperplasiain Stenting Small Vessel
- Serum Osteoprotegerin Levels Are Associated with the Presence and Severity of Coronary Artery Disease
- The impact of the metallic allergy to the in-stent restenosis
- Serum Concentration of alpha-1 Protelnase Inhibitor and alpha-2 Macroglobulin Correlates with Late Lumen Loss Index Following Coronary Stent Implantation
- Evaluation of Bone Quality near Metallic Implants with and without Lotus-Type Pores for Optimal Biomaterial Design
- Cutting Balloon Angioplasty is superior to balloon angioplasty and stent for treatment of small coronary artery disease "Dual center experience"
- Coronary Revascularization Improves Long-Term Prognosis in Diabetic and Nondiabetic End-Stage Renal Disease
- 1 Overview of Drug-Eluting Stents and Future Perspectives(Topic 3 (TP3) (IHD) : New Devices for Coronary Intervention)(Special Program)
- Short-Term Outcome of Stent Implantation in Saphenous Vein Grafts : Predictors of Distal Embolization and Restenosis
- Predictors of Restenosis After Implantation of 2.5 mm Stents in Small Coronary Arteries
- Application of Drug Eluting Stents to Clinical Practice in Japan : Are We Going in the Right Direction?
- 4 MDCT is Useful to Improve the Outcome of PCI(Does MDCT Accurately Estimate Plaque Vulnerability?,Controversy 5 (C-5) (I),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Clinical and angiographic outcomes after bare metal stents implantation for the patients with acute ST-elevation myocardial infarction : insights from multicenter trials
- Utility of 320-Slice Multi-Detector Computed Tomography for the Diagnosis and Evaluation of Cardiac Structures in a Patient With a Double-Chambered Right Ventricle
- Acute systemic hypotension after arteriovenous fistula construction in a patient with severe aortic stenosis
- Sirolimus Eluting Coronary Stent Implantation in Patients on Maintenance Hemodialysis : The OUCH Study (Outcome of Cypher Stent in Hemodialysis Patients)
- Effectiveness of Rate Adaptive AV Delay for CRT-D Optimization: A Case Report
- Incidence and Predictors for Late Target Lesion Revascularization After Sirolimus-Eluting Stent Implantation
- A Case of the Brugada Syndrome Necessitating Eight Years for ICD Therapy of Syncope with Convulsion
- Interleukin-6-producing Giant Cell Carcinoma of the Lung with Multicentric Castleman's Disease-like Presentation
- Incidence and Predictors for Late Target Lesion Revascularization After Sirolimus-Eluting Stent Implantation
- Vascular Response to Drug-Eluting Stent With Biodegradable vs. Durable Polymer:– Optical Coherence Tomography Substudy of the NEXT –