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Vascular healing after kissing balloon inflation: Nine-month 3D optical coherence tomography analysis in corelab

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Title: Vascular healing after kissing balloon inflation: Nine-month 3D optical coherence tomography analysis in corelab
Authors: Masahiro Yamawaki, Takayuki Okamura, Ryoji Nagoshi, Tatsuhiro Fujimura, Yoshinobu Murasato, Shiro Ono, Takeshi Serikawa, Yutaka Hikichi, Hiroaki Norita, Fumiaki Nakao, Tomohiro Sakamoto, Toshiro Shinke, Junya Shite
Source: International Journal of Cardiology: Heart & Vasculature, Vol 40, Iss , Pp 101034- (2022)
Publisher Information: Elsevier, 2022.
Publication Year: 2022
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Percutaneous coronary intervention, Coronary bifurcation lesions, Kissing balloon technique, Optical coherence tomography, Drug eluting stent, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Background: The jailing strut configuration with link-free and distal guidewire recrossing (LFD) at the side branch orifice (SBO) reduces incomplete stent apposition (ISA) after kissing balloon technique (KBT) in crossover stenting of coronary bifurcation lesions (CBLs). However, data regarding vascular healing after KBT are lacking. We investigated vascular healing 9 months after crossover stenting followed by KBT with optical coherence tomography (OCT) guidance in a prospective multicenter registry. Methods: Fifty-nine patients with CBLs (LFD, 35 patients; non-LFD, 24 patients) were studied. The jailing configuration of the SB and the wire-recrossing position, incidence of ISA and uncovered struts, and neointima unevenness score (NUS) in the main vessel (MV) after 9 months were determined by off-line 3D-OCT in the core laboratory. Results: The ISA rate was significantly higher at the SB ostium and distal MV after KBT in the non-LFD group, compared to the LFD group. After 9 months, incidence of ISA (18.3 ± 18.2 vs. 6.0 ± 8.7%, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2352-9067
Relation: http://www.sciencedirect.com/science/article/pii/S2352906722000835; https://doaj.org/toc/2352-9067
DOI: 10.1016/j.ijcha.2022.101034
Access URL: https://doaj.org/article/4047392e94de417cab8fd6bf1a584a83
Accession Number: edsdoj.4047392e94de417cab8fd6bf1a584a83
Database: Directory of Open Access Journals
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  Data: Vascular healing after kissing balloon inflation: Nine-month 3D optical coherence tomography analysis in corelab
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  Data: <searchLink fieldCode="AR" term="%22Masahiro+Yamawaki%22">Masahiro Yamawaki</searchLink><br /><searchLink fieldCode="AR" term="%22Takayuki+Okamura%22">Takayuki Okamura</searchLink><br /><searchLink fieldCode="AR" term="%22Ryoji+Nagoshi%22">Ryoji Nagoshi</searchLink><br /><searchLink fieldCode="AR" term="%22Tatsuhiro+Fujimura%22">Tatsuhiro Fujimura</searchLink><br /><searchLink fieldCode="AR" term="%22Yoshinobu+Murasato%22">Yoshinobu Murasato</searchLink><br /><searchLink fieldCode="AR" term="%22Shiro+Ono%22">Shiro Ono</searchLink><br /><searchLink fieldCode="AR" term="%22Takeshi+Serikawa%22">Takeshi Serikawa</searchLink><br /><searchLink fieldCode="AR" term="%22Yutaka+Hikichi%22">Yutaka Hikichi</searchLink><br /><searchLink fieldCode="AR" term="%22Hiroaki+Norita%22">Hiroaki Norita</searchLink><br /><searchLink fieldCode="AR" term="%22Fumiaki+Nakao%22">Fumiaki Nakao</searchLink><br /><searchLink fieldCode="AR" term="%22Tomohiro+Sakamoto%22">Tomohiro Sakamoto</searchLink><br /><searchLink fieldCode="AR" term="%22Toshiro+Shinke%22">Toshiro Shinke</searchLink><br /><searchLink fieldCode="AR" term="%22Junya+Shite%22">Junya Shite</searchLink>
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  Data: International Journal of Cardiology: Heart & Vasculature, Vol 40, Iss , Pp 101034- (2022)
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  Data: Elsevier, 2022.
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  Data: 2022
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  Data: LCC:Diseases of the circulatory (Cardiovascular) system
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  Data: <searchLink fieldCode="DE" term="%22Percutaneous+coronary+intervention%22">Percutaneous coronary intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Coronary+bifurcation+lesions%22">Coronary bifurcation lesions</searchLink><br /><searchLink fieldCode="DE" term="%22Kissing+balloon+technique%22">Kissing balloon technique</searchLink><br /><searchLink fieldCode="DE" term="%22Optical+coherence+tomography%22">Optical coherence tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+eluting+stent%22">Drug eluting stent</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+of+the+circulatory+%28Cardiovascular%29+system%22">Diseases of the circulatory (Cardiovascular) system</searchLink><br /><searchLink fieldCode="DE" term="%22RC666-701%22">RC666-701</searchLink>
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  Data: Background: The jailing strut configuration with link-free and distal guidewire recrossing (LFD) at the side branch orifice (SBO) reduces incomplete stent apposition (ISA) after kissing balloon technique (KBT) in crossover stenting of coronary bifurcation lesions (CBLs). However, data regarding vascular healing after KBT are lacking. We investigated vascular healing 9 months after crossover stenting followed by KBT with optical coherence tomography (OCT) guidance in a prospective multicenter registry. Methods: Fifty-nine patients with CBLs (LFD, 35 patients; non-LFD, 24 patients) were studied. The jailing configuration of the SB and the wire-recrossing position, incidence of ISA and uncovered struts, and neointima unevenness score (NUS) in the main vessel (MV) after 9 months were determined by off-line 3D-OCT in the core laboratory. Results: The ISA rate was significantly higher at the SB ostium and distal MV after KBT in the non-LFD group, compared to the LFD group. After 9 months, incidence of ISA (18.3 ± 18.2 vs. 6.0 ± 8.7%, p
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      – SubjectFull: Percutaneous coronary intervention
        Type: general
      – SubjectFull: Coronary bifurcation lesions
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