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• W2132014564 abstract "HomeCirculationVol. 112, No. 23Optical Coherence Tomography Findings at 5-Year Follow-Up After Coronary Stent Implantation Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUBOptical Coherence Tomography Findings at 5-Year Follow-Up After Coronary Stent Implantation E. Regar, MD, PhD, H.M.M. van Beusekom, PhD, W.J. van der Giessen, MD, PhD and P.W. Serruys, MD, PhD E. RegarE. Regar From the Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Search for more papers by this author , H.M.M. van BeusekomH.M.M. van Beusekom From the Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Search for more papers by this author , W.J. van der GiessenW.J. van der Giessen From the Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Search for more papers by this author and P.W. SerruysP.W. Serruys From the Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands. Search for more papers by this author Originally published6 Dec 2005https://doi.org/10.1161/CIRCULATIONAHA.104.531897Circulation. 2005;112:e345–e346Optical coherence tomography (OCT) is an in vivo, high-resolution imaging modality (resolution, 12 μm; wavelength, 1300 nm; probe size, 0.018 inch; Lightlab Imaging). The principle is analogous to that of pulse-echo ultrasound imaging; however light is used rather than sound to create the image. The case presented illustrates the 5-year follow-up examination after bare metal stent implantation (Figure 1). Intravascular ultrasound imaging (IVUS) shows concentric, moderate neointimal hyperplasia (Figure 2). Intravascular OCT provides detailed visualization of the individual stent struts, neointimal proliferation, and neovascularization that is missed by IVUS (Figure 3). Download figureDownload PowerPointFigure 1. a, Baseline, June 1999: occluded right coronary artery (RCA); b, RCA after recanalization and bare metal stent implantation for postinfarct angina (proximal to distal: Multilink duet stent, 3.0/23 mm; AVE microstent, 3.0/39 mm; and Mini Crown stent, 2.5/15 mm); c, follow-up, October 2004: arrow indicates region imaged by OCT and IVUS.Download figureDownload PowerPointFigure 2. IVUS image (40 MHz, Atlantis CVIS). This image shows a typical visualization of the luminal border, vessel layers, and bright presentation of stent struts (arrows). The neointima is not clearly distinguishable throughout the circumference. Note the high echogenicity of blood speckles due to flow limitation from the IVUS probe.Download figureDownload PowerPointFigure 3. a, OCT image of a stented region at 5-year follow-up. Individual stent struts are represented as highly reflective structures with typical dorsal shadowing (arrowheads). The neointima is concentric, with a thickness between 230 and 300 μm. Neovascularization is recognizable in the deep layers of the neointima, at the luminal side of the stent struts in the 8 to 1 o’clock position. The diameter of the microvessels is <100 μm. b, Segment magnification (×5.4), demonstrating the neovascular bed.Intraplaque hemorrhage through the neovascular bed is hypothesized to promote plaque growth. Although neovascularization, particularly when adjacent to stent struts, is a common finding in experimental animal models, to date only sparse data based on postmortem case reports are available in humans.1 The incidence, distribution, and time course are unknown. Our findings present strong evidence for the visualization of neovascularization in a living patient, which cannot be achieved with any other in vivo imaging modality to date.DisclosuresNone.FootnotesCorrespondence to Dr E. Regar, Thoraxcentre, Bd 408, Dr Molewaterplein 40, NL-3015 GD Rotterdam, The Netherlands. E-mail [email protected]References1 Inoue K, Abe K, Ando K, Shirai S, Nishiyama K, Nakanishi M, Yamada T, Sakai K, Nakagawa Y, Hamasaki N, Kimura T, Nobuyoshi M, Miyamoto TA. Pathological analyses of long-term intracoronary Palmaz-Schatz stenting: is its efficacy permanent? Cardiovasc Pathol. 2004; 13: 109–115.CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Brahmbhatt J, Singhal R and Mansuri Z (2022) Role of optical coherence tomography in borderline coronary lesions Cardiovascular and Coronary Artery Imaging, 10.1016/B978-0-12-822706-0.00014-7, (305-325), . 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Kobayashi N, Ito Y, Yamawaki M, Araki M, Sakai T, Obokata M, Sakamoto Y, Mori S, Tsutsumi M, Nauchi M, Honda Y, Tokuda T, Makino K, Shirai S and Hirano K (2018) Differences between first-generation and second-generation drug-eluting stent regarding in-stent neoatherosclerosis characteristics: an optical coherence tomography analysis, The International Journal of Cardiovascular Imaging, 10.1007/s10554-018-1375-4, 34:10, (1521-1528), Online publication date: 1-Oct-2018. Moriyama N, Shishido K, Tanaka Y, Yokota S, Hayashi T, Miyashita H, Koike T, Yokoyama H, Takada T, Nishimoto T, Ochiai T, Tobita K, Yamanaka F, Mizuno S, Murakami M, Takahashi S and Saito S (2018) Neoatherosclerosis 5 Years After Bioresorbable Vascular Scaffold Implantation, Journal of the American College of Cardiology, 10.1016/j.jacc.2018.02.051, 71:17, (1882-1893), Online publication date: 1-May-2018. 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Subbotin V (2016) Excessive intimal hyperplasia in human coronary arteries before intimal lipid depositions is the initiation of coronary atherosclerosis and constitutes a therapeutic target, Drug Discovery Today, 10.1016/j.drudis.2016.05.017, 21:10, (1578-1595), Online publication date: 1-Oct-2016. Gao L, Park S, Jang Y, Lee S, Kim C, Minami Y, Ong D, Soeda T, Vergallo R, Lee H, Yu B, Uemura S and Jang I (2015) Comparison of Neoatherosclerosis and Neovascularization Between Patients With and Without Diabetes, JACC: Cardiovascular Interventions, 10.1016/j.jcin.2015.02.020, 8:8, (1044-1052), Online publication date: 1-Jul-2015. Kim C, Kim B, Lee S, Shin D, Kim J, Ko Y, Choi D, Jang Y and Hong M (2015) Incidence, clinical presentation, and predictors of early neoatherosclerosis after drug-eluting stent implantation, American Heart Journal, 10.1016/j.ahj.2015.06.005, 170:3, (591-597), Online publication date: 1-Sep-2015. Suter M, Kashiwagi M, Gallagher K, Nadkarni S, Asanani N, Tanaka A, Conditt G, Tellez A, Milewski K, Kaluza G, Granada J, Bouma B and Tearney G (2015) Optimizing flushing parameters in intracoronary optical coherence tomography: an in vivo swine study, The International Journal of Cardiovascular Imaging, 10.1007/s10554-015-0668-0, 31:6, (1097-1106), Online publication date: 1-Aug-2015. Ali Z, Roleder T, Narula J, Mohanty B, Baber U, Kovacic J, Mintz G, Otsuka F, Pan S, Virmani R, Sharma S, Moreno P and Kini A (2013) Increased Thin-Cap Neoatheroma and Periprocedural Myocardial Infarction in Drug-Eluting Stent Restenosis, Circulation: Cardiovascular Interventions, 6:5, (507-517), Online publication date: 1-Oct-2013. Kang S, Lee C, Song H, Ahn J, Kim W, Lee J, Park D, Lee S, Kim Y, Mintz G, Park S and Park S (2013) OCT Analysis in Patients With Very Late Stent Thrombosis, JACC: Cardiovascular Imaging, 10.1016/j.jcmg.2013.02.006, 6:6, (695-703), Online publication date: 1-Jun-2013. 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Schmitt J, Petersen C, Zhang S, Lovec R and Xu C (2008) Development of OCT Technology for Clinical Applications Optical Coherence Tomography, 10.1007/978-3-540-77550-8_42, (1293-1326), . Shemesh H, van Soest G, Wu M, van der Sluis L and Wesselink P (2007) The Ability of Optical Coherence Tomography to Characterize the Root Canal Walls, Journal of Endodontics, 10.1016/j.joen.2007.06.022, 33:11, (1369-1373), Online publication date: 1-Nov-2007. Zysk A, Nguyen F, Oldenburg A, Marks D and Boppart S (2007) Optical coherence tomography: a review of clinical development from bench to bedside, Journal of Biomedical Optics, 10.1117/1.2793736, 12:5, (051403), . December 6, 2005Vol 112, Issue 23 Advertisement Article InformationMetrics https://doi.org/10.1161/CIRCULATIONAHA.104.531897PMID: 16330689 Originally publishedDecember 6, 2005 PDF download Advertisement SubjectsImagingRestenosisStentVascular Biology" @default.
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