Intravascular Ultrasound Findings That Are Predictive of No Reflow After Percutaneous Coronary Intervention for Saphenous Vein Graft Disease
DC Field | Value | Language |
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dc.contributor.author | Hong, Young Joon | - |
dc.contributor.author | Jeong, Myung Ho | - |
dc.contributor.author | Ahn, Youngkeun | - |
dc.contributor.author | Kang, Jung Chaee | - |
dc.contributor.author | Mintz, Gary S. | - |
dc.contributor.author | Kim, Sang Wook | - |
dc.contributor.author | Lee, Sung Yun | - |
dc.contributor.author | Kim, Seok Yeon | - |
dc.contributor.author | Pichard, Augusto D. | - |
dc.contributor.author | Satler, Lowell F. | - |
dc.contributor.author | Waksman, Ron | - |
dc.contributor.author | Weissman, Neil J. | - |
dc.date.available | 2019-05-29T07:32:24Z | - |
dc.date.issued | 2012-06 | - |
dc.identifier.issn | 0002-9149 | - |
dc.identifier.issn | 1879-1913 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/20250 | - |
dc.description.abstract | The aim of this study was to investigate the relation between intravascular ultrasound (IVUS) findings and the no-reflow phenomenon and long-term outcome after percutaneous coronary intervention (PCI) of saphenous vein graft (SVG) lesions. No reflow was defined as Thrombolysis In Myocardial Infarction grade 0, 1, or 2 flow after PCI. Of 311 patients who underwent IVUS before and after stenting, no reflow was observed in 39 patients (13%). Degenerated SVG (62% vs 36%, p = 0.002), IVUS-detected intraluminal mass (82% vs 43%, p <0.001), culprit lesion multiple plaque ruptures (23% vs 6%, p <0.001), and tissue prolapse (51% vs 35%, p = 0.043) were observed more frequently in patients with no reflow. In multivariate logistic regression analysis, an intraluminal mass (odds ratio [OR] 4.84, 95% confidence interval [CI] 1.98 to 10.49, p = 0.001), culprit lesion multiple plaque ruptures (OR 3.46, 95% CI 1.46 to 8.41, p = 0.014), and degenerated SVGs (OR 3.17, 95% CI 1.17 to 6.56, p = 0.024) were the independent predictors of no reflow after PCI. At 5-year clinical follow-up, rates of death (14, 36%, vs 55, 20%, p = 0.036) and myocardial infarction (13, 33%, vs 52, 19%, p = 0.039) were significantly higher in the no-reflow group. However, rate of target vessel revascularization was not significantly different between the 2 groups (15, 38%, vs 90, 33%, p = 0.3). IVUS-detected intraluminal mass, multiple plaque ruptures, and degenerated SVGs were associated with no reflow in SVG lesions after PCI. In conclusion, no reflow was associated with poor long-term clinical outcomes after PCI for SVG lesions. (C) 2012 Elsevier Inc. All rights reserved. (Am J Cardiol 2012;109:1576-1581) | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC | - |
dc.title | Intravascular Ultrasound Findings That Are Predictive of No Reflow After Percutaneous Coronary Intervention for Saphenous Vein Graft Disease | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.amjcard.2012.01.383 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF CARDIOLOGY, v.109, no.11, pp 1576 - 1581 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000304737800006 | - |
dc.identifier.scopusid | 2-s2.0-84862812308 | - |
dc.citation.endPage | 1581 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1576 | - |
dc.citation.title | AMERICAN JOURNAL OF CARDIOLOGY | - |
dc.citation.volume | 109 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordPlus | ACUTE MYOCARDIAL-INFARCTION | - |
dc.subject.keywordPlus | GLYCOPROTEIN IIB/IIIA RECEPTOR | - |
dc.subject.keywordPlus | AORTOCORONARY BYPASS GRAFTS | - |
dc.subject.keywordPlus | BALLOON ANGIOPLASTY | - |
dc.subject.keywordPlus | STENT IMPLANTATION | - |
dc.subject.keywordPlus | ANGIOGRAPHY | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordPlus | EMBOLIZATION | - |
dc.subject.keywordPlus | PROTECTION | - |
dc.subject.keywordPlus | OCCLUSION | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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