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

• Material Type: 博士論文
• Title: Post-Stent Optical Coherence Tomography Findings at Index Percutaneous Coronary Intervention ― Characteristics Related to Subsequent Stent Thrombosis ―
• Author/Editor: Kyodo, Atsushi; Watanabe, Makoto; Okamura, Akihiko; Iwai, Saki; Sakagami, Azusa; Nogi, Kazutaka; Kamon, Daisuke; Hashimoto, Yukihiro; Ueda, Tomoya; Soeda, Tsunenari; Okura, Hiroyuki; Saito, Yoshihiko
• Author Heading: Kyodo, Atsushi; Watanabe, Makoto; Okamura, Akihiko; Iwai, Saki; Sakagami, Azusa; Nogi, Kazutaka; Kamon, Daisuke; Hashimoto, Yukihiro; Ueda, Tomoya; Soeda, Tsunenari; Okura, Hiroyuki; Saito, Yoshihiko
• Publication, Distribution, etc.: Japanese Circulation Society
• Publication Date: 2021-05-25
• Publication Date (W3CDTF): 2021-05-25
• Alternative Title: 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
• Periodical title: Circulation journal
• No. or year of volume/issue: 85 6
• Volume: 85
• Issue: 6
• Pages: 857-866
• ISSN (Periodical Title): ISSN : 1346-9843
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2023-03-15
• Dissertation Number: 甲第868号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Irregular protrusion; Post-stent optical coherence tomography findings; Stent thrombosis
• Target Audience: 一般
• Note (General): 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
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1253/circj.CJ-20-0759
• Data Provider (Database): 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
• Original Data Provider (Database): 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