Metrika

  • citati u SCIndeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[]
  • posete u poslednjih 30 dana:4
  • preuzimanja u poslednjih 30 dana:0

Sadržaj

članak: 2 od 2  
Back povratak na rezultate
2020, vol. 77, br. 1, str. 53-59
Uvećanje odnosa dijametra glavne grane i veličine stenta povezano je sa smanjenim protokom u bočnoj grani kod "pravih" račvi koronarnih arterija lečenih "provizornom" implantacijom stenta - studija sa dvodimenzionalnom kvantitativnom koronarografijom
aUniverzitet u Beogradu, Medicinski fakultet, KBC 'Zemun' + Univerzitet u Beogradu, Medicinski fakultet
bUniverzitet u Beogradu, Medicinski fakultet, KBC 'Zemun'

e-adresaivan1ilic@yahoo.com
Sažetak
Uvod/Cilj. Perkutane koronarne intervencije (PKI) lezija na račvi sa suženjem većim od 50% na glavnoj grani (GG) predstavljaju izazov. Procena dijametara i uglova primenom programa kvantitativne koronarografije (KK) korišćena je u proceni ishoda PKI. Istraživali smo potencijalne efekte "provizorne" implantacije stenta u GG na protok u bočnoj grani (BG) određivanjem kvantitativnih parametara krvnog suda kod "pravih" račvi koje ne zahvataju glavno stablo leve koronarne arterije, primenom 2D KK programa. Metode. Prospektivna studija, sprovedena u univerzitetskom centru sa velikim brojem PKI, uključila je bolesnike sa "pravim" račvama nativnih koronarnih arterija (Medina 1.0.1, 0.1.1, 1.1.1) lečene "provizornom" implantacijom stenta u GG. U studiju nisu bili uključeni bolesnici sa ejekcionom frakcijom (EF) manjom od 30%, klirensom kreatinina manjim od 30 mL/kg/m2 ili lezijom na račvi odgovornoj za infarkt miokarda, hirurški revaskularizovanoj ili prethodno lečenoj primenom PKI. KK analizom mereni su referentni dijametri (RD) GG i BG, stepen dijametar suženja (DS) i uglovi bifurkacija. Rezultati. Studija je uključila 70 bolesnika sa 72 račve. Većina račvi nalazila se u slivu prednje descedentne grane (PDA) - dijagonalna arterija (Dga). Kompromitacija ostijuma BG definisana kao smanjenje koronarnog protoka TIMI < 3 nastala je kod 17/72 (23,6%) račve. Tretirana je angioplastikom ostijuma BG [9/17 (52,9%)] ili implantacijom stenta [8/17 (47,1%)]. U logističkoj regresionoj analizi koja je uključila prethodno poznate prediktore kompromitacije BG (uglovi bifurkacije, RD, DSi odnos GG RD prema dijametru stenta) samo je odnos RD GG prema dijametru stenta bio nezavisni prediktor smanjenje protoka u GG nakon implantacije stenta [OR 2,758 (95% CI 1,298 - 5,862); p = 0,008]. Zaključak. Sniženje koronarnog protoka u bočnoj grani nakon "provizorne" implantacije stenta u glavnu granu, kod "pravih" račvi koronarnih arterija, povezano je sa uvećanim odnosom dijametra glavne grane prema dijametru stenta na osnovu dvodimenzionalne KK.
Reference
Colombo, A., Moses, J.W., Morice, M.C., Ludwig, J., Holmes, D.R., Spanos, V., Louvard, Y., Desmedt, B., di Mario, C., Leon, M.B. (2004) Randomized Study to Evaluate Sirolimus-Eluting Stents Implanted at Coronary Bifurcation Lesions. Circulation, 109(10): 1244-1249
Dou, K., Zhang, D., Xu, B., Yang, Y., Yin, D., Qiao, S., et al. (2015) An angiographic tool for risk prediction of side branch occlusion in coronary bifurcation intervention: The RESOLVE score system (Risk prEdiction of Side branch OccLusion in coronary bifurcation interVEntion). JACC Cardiovasc Interv, 8(1): 39-46
Grottum, P., Svindland, A., Wallroe, L. (1983) Localization of atherosclerotic lesions in the bifurcation of the main left coronary artery. Atherosclerosis, 47(1): 55-62
Grundeken, M.J., Ishibashi, Y., Ramcharitar, S., Tuinenburg, J.C., Reiber, J.H.C., Tu, S., Aben, J., Girasis, C., Wykrzykowska, J.J., Onuma, Y., Serruys, P.W. (2015) The need for dedicated bifurcation quantitative coronary angiography (QCA) software algorithms to evaluate bifurcation lesions. EuroIntervention, 11(V): V44-V49
Gwon, H.C., Song, Y.B., Pan, M. (2015) The story of plaque shift and carina shift. EuroIntervention, 11(V): V75-V77
Hahn, J.Y., Chun, W.J., Kim, J.H., Song, Y.B., Oh, J.H., Koo, B.K., et al. (2013) Predictors and outcomes of side branch occlusion after main vessel stenting in coronary bifurcation lesions: Results from the COBIS II Registry (COronary BIfurcation Stenting). J Am Coll Cardiol, 62: 1654-1663
Hildick-Smith, D., Behan, M.W., Lassen, J.F., Chieffo, A., Lefèvre, T., Stankovic, G., et al. (2016) The EBC TWO Study (European Bifurcation Coronary TWO): A Randomized Comparison of Provisional T-Stenting Versus a Systematic 2 Stent Culotte Strategy in Large Caliber True Bifurcations. Circ Cardiovasc Interv, 9(9): 3643-3643
Huo, Y., Finet, G., Lefevre, T., Louvard, Y., Moussa, I., Kassab, G.S. (2012) Which diameter and angle rule provides optimal flow patterns in a coronary bifurcation?. Journal of Biomechanics, 45(7): 1273-1279
Ishibashi, Y., Grundeken, M.J., Nakatani, S., Iqbal, J., Morel, M.A., Généreux, P., Girasis, C., Wentzel, J.J., Garcia-Garcia, H.M., Onuma, Y., Serruys, P.W. (2015) In vitro validation and comparison of different software packages or algorithms for coronary bifurcation analysis using calibrated phantoms: Implications for clinical practice and research of bifurcation stenting. Catheterization and Cardiovascular Interventions, 85(4): 554-563
Kang, S.J., Mintz, G.S., Kim, W.J., Lee, J.Y., Oh, J.H., Park, D.W., et al. (2011) Changes in left main bifurcation geometry after a single-stent crossover technique: An intravascular ultrasound study using direct imaging of both the left anterior descending and the left circumflex coronary arteries before and after intervention. Circ Cardiovasc Interv, 4(4): 355-61
Kini, A.S., Yoshimura, T., Vengrenyuk, Y., Amirian, J., Hasan, C., Baber, U., Narula, J., Sharma, S.K. (2016) Plaque Morphology Predictors of Side Branch Occlusion After Main Vessel Stenting in Coronary Bifurcation Lesions: Optical Coherence Tomography Imaging Study. JACC: Cardiovascular Interventions, 9(8): 862-865
Koo, B.K., Waseda, K., Kang, H.J., Kim, H.S., Nam, C.W., Hur, S.H., Kim, J.S., Choi, D., Jang, Y., Hahn, J., Gwon, H., Yoon, M., Tahk, S., Chung, W., Cho, Y. (2010) Anatomic and Functional Evaluation of Bifurcation Lesions Undergoing Percutaneous Coronary Intervention. Circulation: Cardiovascular Interventions, 3(2): 113-119
Lansky, A., Tuinenburg, J., Costa, M., Maeng, M., Koning, G., Popma, J., Cristea, E., Gavit, L., Costa, R., Rares, A., van Es, G., Lefevre, T., Reiber, H., Louvard, Y., Morice, M. (2009) Quantitative angiographic methods for bifurcation lesions: A consensus statement from the European Bifurcation Group. Catheterization and Cardiovascular Interventions, 73(2): 258-266
Lassen, J.F., Holm, N.R., Banning, A., Burzotta, F., Lefèvre, T., Chieffo, A., Hildick-Smith, D., Louvard, Y., Stankovic, G. (2016) Percutaneous coronary intervention for coronary bifurcation disease: 11th consensus document from the European Bifurcation Club. EuroIntervention, 12(1): 38-46
Medina, A., Suárez, D.L.J., Pan, M. (2006) A New Classification of Coronary Bifurcation Lesions. Revista Española de Cardiología (English Edition), 59(2): 183-183
Medrano-Gracia, P., Ormiston, J., Webster, M., Beier, S., Young, A., Ellis, C., Wang, C., Smedby, Ö., Cowan, B. (2016) A computational atlas of normal coronary artery anatomy. EuroIntervention, 12(7): 845-854
Reiber, J.H. (2011) Introduction to QCA, IVUS and OCT in interventional cardiology. International Journal of Cardiovascular Imaging, 27(2): 153-154
Reiber, J.H., Serruys, P.W., Kooijman, C.J., Wijns, W., Slager, C.J., Gerbrands, J.J., Schuurbiers, J.C., Den, B.A., Hugenholtz, P.G. (1985) Assessment of short-, medium-, and long-term variations in arterial dimensions from computer-assisted quantitation of coronary cineangiograms. Circulation, 71(2): 280-288
Routledge, H.C., Lefèvre, T., Colombo, A., Oldroyd, K.G., Hamm, C.W., Guagliumi, G., von Scheidt, W., Guetta, V., Ruzyllo, W., Wittebols, K., Goedhart, D., Serruys, P. (2009) Three-year clinical outcome of percutaneous treatment of bifurcation lesions in multivessel coronary artery disease with the sirolimus-eluting stent: Insights from the Arterial Revascularisation Therapies Study, part II (ARTS II). EuroIntervention, 5(2): 190-196
Sakamoto, N., Hoshino, Y., Mizukami, H., Sugimoto, K., Yamaki, T., Kunii, H., Nakazato, K., Suzuki, H., Saitoh, S., Takeishi, Y. (2016) Intravascular ultrasound predictors of acute side branch occlusion in coronary artery bifurcation lesions just after single stent crossover. Catheterization and Cardiovascular Interventions, 87(2): 243-250
Stone, P.H., Saito, S., Takahashi, S., Makita, Y., Nakamura, S., Kawasaki, T., Takahashi, A., Katsuki, T., Nakamura, S., Namiki, A., Hirohata, A., Matsumura, T., Yamazaki, S., Yokoi, H., Tanaka, S. (2012) Prediction of progression of coronary artery disease and clinical outcomes using vascular profiling of endothelial shear stress and arterial plaque characteristics: The PREDICTION Study. Circulation, 126(2): 172-181
Suárez, D.L.J., Medina, A., Martín, P., Novoa, J., Suárez, D.L.J., Pan, M., Caballero, E., Melián, F., Mazuelos, F., Quevedo, V. (2012) Predictors of ostial side branch damage during provisional stenting of coronary bifurcation lesions not involving the side branch origin: An ultrasonographic study. EuroIntervention, 7(10): 1147-1154
Xu, J., Hahn, J.Y., Song, Y.B., Choi, S.H., Choi, J.H., Lu, C., et al. (2012) Carina shift versus plaque shift for aggravation of sidebranch ostial stenosis in bifurcation lesions: Volumetric intravascular ultrasound analysis of both branches. Circ Cardiovasc Interv, 5(5): 657-62
 

O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/VSP171228033I
objavljen u SCIndeksu: 08.02.2020.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

Povezani članci

Vojnosanitetski pregled (2017)
Ateroskleroza račvi koronarnih arterija - anatomske i hemodinamske karakteristike
Stanković Goran, i dr.

Srce i krvni sudovi (2011)
Slučaj kompleksne perkutane koronarne intervencije - Szabo tehnika u fokusu
Mehmedbegović Zlatko, i dr.