Post-Stent Optical Coherence Tomography Findings at Index Percutaneous Coronary Intervention ― Characteristics Related to Subsequent Stent Thrombosis ―

• 資料種別: 博士論文
• タイトル: Post-Stent Optical Coherence Tomography Findings at Index Percutaneous Coronary Intervention ― Characteristics Related to Subsequent Stent Thrombosis ―
• 著者・編者: Kyodo, Atsushi; Watanabe, Makoto; Okamura, Akihiko; Iwai, Saki; Sakagami, Azusa; Nogi, Kazutaka; Kamon, Daisuke; Hashimoto, Yukihiro; Ueda, Tomoya; Soeda, Tsunenari; Okura, Hiroyuki; Saito, Yoshihiko
• 著者標目: Kyodo, Atsushi; Watanabe, Makoto; Okamura, Akihiko; Iwai, Saki; Sakagami, Azusa; Nogi, Kazutaka; Kamon, Daisuke; Hashimoto, Yukihiro; Ueda, Tomoya; Soeda, Tsunenari; Okura, Hiroyuki; Saito, Yoshihiko
• 出版事項: Japanese Circulation Society
• 出版年月日等: 2021-05-25
• 出版年（W3CDTF）: 2021-05-25
• 並列タイトル等: 経皮的冠動脈インターベンションにおけるステント血栓症発症に特徴的なステント留置後の光干渉断層法の冠動脈内の所見
• タイトル（掲載誌）: Circulation journal
• 巻号年月日等（掲載誌）: 85 6
• 掲載巻: 85
• 掲載号: 6
• 掲載ページ: 857-866
• ISSN（掲載誌）: ISSN : 1346-9843
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2023-03-15
• 報告番号: 甲第868号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Irregular protrusion; Post-stent optical coherence tomography findings; Stent thrombosis
• 対象利用者: 一般
• 一般注記: type:Thesis; Background:The association between unfavorable post-stent optical coherence tomography (OCT) findings and subsequent stent thrombosis (ST) remains unclear. This study investigated the ST-related characteristics of post-stent OCT findings at index percutaneous coronary intervention (PCI). Methods and Results:Fifteen patients with ST onset after OCT-guided PCI (ST group) were retrospectively enrolled. Post-stent OCT findings in the ST group were compared with those in 70 consecutive patients (reference group) without acute coronary syndrome onset for at least 5 years after OCT-guided PCI. The incidence of acute myocardial infarction (AMI) was higher in the ST than reference group (60.0% vs. 17.1%, respectively; P=0.0005). The incidence of incomplete stent apposition (93.3% vs. 55.7%; P=0.0064), irregular protrusion (IP; 93.3% vs. 62.8%; P=0.0214), and thrombus (93.3% vs. 51.4%; P=0.0028) was significantly higher in the ST than reference group. The maximum median (interquartile range) IP arc was significantly larger in the ST than reference group (265° [217°–360°] vs. 128° [81.4°–212°], respectively; P<0.0001). In AMI patients, the incidence of a maximum IP arc >180° was significantly higher in the ST than reference group (100% vs. 58.3%, respectively; P=0.0265). Conclusions:IP with a large arc was a significant feature on post-stent OCT in patients with ST.; 博士（医学）・甲第868号・令和5年3月15日; © 2021, THE JAPANESE CIRCULATION SOCIETY This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.; identifier:Circulation journal Vol.85 No.6 p.857-866 (2021 May); identifier:13469843; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4100; identifier:Circulation journal, 85(6): 857-866
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1253/circj.CJ-20-0759
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4100/1/01%e7%94%b2868%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4100/2/02%e7%94%b2868%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4100/6/03%e7%94%b2868%e6%9c%ac%e6%96%87.pdf fulltext