약물 용출 스텐트 시술 후 스텐트 부위 혈관의 혈관 재형성과 후기 획득 불완전 스텐트 밀착

Other Titles
Positive peri-stent vascular remodeling and late-acquired incomplete stent apposition in intravascular ultrasound(IVUS) after drug-eluting stent implantation
Authors
김효은허승호김권배김윤년한성욱김형섭윤혁준조윤경원기범김인철
Department
Dept. of Internal Medicine (내과학)
Citation
Keimyung Medical Journal, Vol.34(1) : 1-13, 2015
Abstract
The peri-stent vascular changes after 2nd generation drugeluting stent (2G DES) implantation have not been fully investigated compare to 1st generation DES (1G DES). From March 2003 to October 2010, patients receiving percutaneous coronary intervention (PCI) with either 1G or 2G DES were retrospectively included. All patients underwent intravascular ultrasound (IVUS) at post-procedure and 8-12 months after PCI. A total of 281 patients (1G DES: 201 patients with 217 lesions and 2G DES: 80 patients with 88 lesions) were enrolled. The incidence of positive peri-stent vascular remodeling (PPVR) and late-acquired incomplete stent apposition (LAISA) were investigated by IVUS images. Major adverse cardiac events (MACE) up to 3 years were also evaluated. The lesion and the stent length were shorter, and the stent size was larger in the 2G DES group. The incidences of PPVR and LAISA were lower in the 2G DES group before and after propensity score matching. However, the incidence of 3-year MACE were not different between the two groups. Independent predictors for PPVR or LAISA were stent length and 1G DES implantation. These results suggested that biocompatible stent system in 2G DES might have reduced peri-stent vascular changes.
Keywords
Drug-eluting stentsIncomplete stent appositionIntravascular ultrasoundIschemic heart disease
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15652
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2015
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
Keimyung Author(s)
허승호; 김권배; 김윤년; 한성욱; 김형섭; 윤혁준; 조윤경; 김인철
File in this Item
 사서에게 요청하기
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE