Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions
Abstract Background To compare the effect and outcomes of optical coherence tomography (OCT)-guided rotational atherectomy (RA) with intravascular ultrasound (IVUS)-guided RA in the treatment of calcified coronary lesions. Methods Data of calcified coronary lesions treated with RA that underwent OCT...
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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BMC
2021-06-01
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| Ráidu: | BMC Cardiovascular Disorders |
| Fáttát: | |
| Liŋkkat: | https://doi.org/10.1186/s12872-021-02103-5 |
| _version_ | 1830200217962545152 |
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| author | Weili Teng Qi Li Yuliang Ma Chengfu Cao Jian Liu Hong Zhao Mingyu Lu Chang Hou Weimin Wang |
| author_facet | Weili Teng Qi Li Yuliang Ma Chengfu Cao Jian Liu Hong Zhao Mingyu Lu Chang Hou Weimin Wang |
| author_sort | Weili Teng |
| collection | DOAJ |
| description | Abstract Background To compare the effect and outcomes of optical coherence tomography (OCT)-guided rotational atherectomy (RA) with intravascular ultrasound (IVUS)-guided RA in the treatment of calcified coronary lesions. Methods Data of calcified coronary lesions treated with RA that underwent OCT-guided or IVUS-guided from January 2016 to December 2019 at a single-center registry were retrospectively analyzed. The effect and outcomes between underwent OCT-guided RA and IVUS-guided RA were compared. Results A total of 33 lesions in 32 patients received OCT-guided RA and 51 lesions in 47 patients received IVUS-guided RA. There was no significant difference between OCT-guided RA group and IVUS-guided RA group in clinical baselines characteristics. Comparing the procedural and lesions characteristics of the two groups, the contrast volume was larger [(348.8 ± 110.6) ml vs. (275.2 ± 76.8) ml, P = 0.002] and the scoring balloon was more frequently performed (33.3% vs. 3.9%, P = 0.001) after RA and before stenting in the OCT-guided RA group. Comparing the intravascular imaging findings of the two groups, stent expansion was significantly larger in the OCT-guided RA group ([82 ± 8]% vs. [75 ± 9]%, P = 0.001). Both groups achieved procedural success immediately. There were no significantly differences in the incidence of complications. Although there was no statistical difference in the occurrence of MACE at 1 year between OCT-guided RA group and IVUS-guided RA group (3.1% vs. 6.4%, P = 0.517), no cardiovascular death, TVR and stent thrombosis occurred in OCT-guided RA group. Conclusions OCT-guided RA compared to IVUS-guided RA for treating calcified coronary lesions resulted in better stent expansion and may have improved prognosis. |
| first_indexed | 2024-12-18T02:30:06Z |
| format | Article |
| id | doaj.art-ff7d8961f8174c369f27ee630814546a |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-18T02:30:06Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-ff7d8961f8174c369f27ee630814546a2022-12-21T21:23:55ZengBMCBMC Cardiovascular Disorders1471-22612021-06-012111910.1186/s12872-021-02103-5Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesionsWeili Teng0Qi Li1Yuliang Ma2Chengfu Cao3Jian Liu4Hong Zhao5Mingyu Lu6Chang Hou7Weimin Wang8Department of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalDepartment of Cardiology, Peking University People’s HospitalAbstract Background To compare the effect and outcomes of optical coherence tomography (OCT)-guided rotational atherectomy (RA) with intravascular ultrasound (IVUS)-guided RA in the treatment of calcified coronary lesions. Methods Data of calcified coronary lesions treated with RA that underwent OCT-guided or IVUS-guided from January 2016 to December 2019 at a single-center registry were retrospectively analyzed. The effect and outcomes between underwent OCT-guided RA and IVUS-guided RA were compared. Results A total of 33 lesions in 32 patients received OCT-guided RA and 51 lesions in 47 patients received IVUS-guided RA. There was no significant difference between OCT-guided RA group and IVUS-guided RA group in clinical baselines characteristics. Comparing the procedural and lesions characteristics of the two groups, the contrast volume was larger [(348.8 ± 110.6) ml vs. (275.2 ± 76.8) ml, P = 0.002] and the scoring balloon was more frequently performed (33.3% vs. 3.9%, P = 0.001) after RA and before stenting in the OCT-guided RA group. Comparing the intravascular imaging findings of the two groups, stent expansion was significantly larger in the OCT-guided RA group ([82 ± 8]% vs. [75 ± 9]%, P = 0.001). Both groups achieved procedural success immediately. There were no significantly differences in the incidence of complications. Although there was no statistical difference in the occurrence of MACE at 1 year between OCT-guided RA group and IVUS-guided RA group (3.1% vs. 6.4%, P = 0.517), no cardiovascular death, TVR and stent thrombosis occurred in OCT-guided RA group. Conclusions OCT-guided RA compared to IVUS-guided RA for treating calcified coronary lesions resulted in better stent expansion and may have improved prognosis.https://doi.org/10.1186/s12872-021-02103-5Optical coherence tomographyIntravascular ultrasoundCalcified lesionsRotational atherectomy |
| spellingShingle | Weili Teng Qi Li Yuliang Ma Chengfu Cao Jian Liu Hong Zhao Mingyu Lu Chang Hou Weimin Wang Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions BMC Cardiovascular Disorders Optical coherence tomography Intravascular ultrasound Calcified lesions Rotational atherectomy |
| title | Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions |
| title_full | Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions |
| title_fullStr | Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions |
| title_full_unstemmed | Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions |
| title_short | Comparison of optical coherence tomography-guided and intravascular ultrasound-guided rotational atherectomy for calcified coronary lesions |
| title_sort | comparison of optical coherence tomography guided and intravascular ultrasound guided rotational atherectomy for calcified coronary lesions |
| topic | Optical coherence tomography Intravascular ultrasound Calcified lesions Rotational atherectomy |
| url | https://doi.org/10.1186/s12872-021-02103-5 |
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