Prediction of restenosis after coronary balloon angioplasty - Results of PICTURE (Post-IntraCoronary Treatment Ultrasound Result Evaluation), a prospective multicenter intracoronary ultrasound imaging study

被引:51
作者
Peters, RJ [1 ]
Kok, WEM [1 ]
DiMario, C [1 ]
Serruys, PW [1 ]
Bar, FWHM [1 ]
Pasterkamp, G [1 ]
Borst, C [1 ]
Kamp, O [1 ]
Bronzwaer, JGF [1 ]
Visser, CA [1 ]
Piek, JJ [1 ]
Panday, RN [1 ]
Jaarsma, W [1 ]
Savalle, L [1 ]
Bom, N [1 ]
机构
[1] INTERUNIV CARDIOL INST NETHERLANDS, UTRECHT, NETHERLANDS
关键词
restenosis; angioplasty; ultrasonics;
D O I
10.1161/01.CIR.95.9.2254
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Intracoronary ultrasound (ICUS) imaging is potentially suitable to identify lesions at high risk of restenosis after percutaneous transluminal coronary angioplasty (PTCA), but it has not been studied systematically. Methods and Results We recruited 200 patients in whom ICUS studies were performed after successful PTCA and related their ICUS parameters to 6-month follow-up quantitative coronary angiography. This was performed in 164 patients (82%), yielding: 170 lesions for analysis. The overall incidence of a greater than or equal to 50% diameter stenosis at follow-up (categorical restenosis) was 29.4%. Quantitative ICUS parameters were weakly but significantly related to follow-up minimal luminal diameter on quantitative coronary angiography (lumen area: R-2=.36, P=.0001; Vessel area: R-2=.29, P=.0002 plaque area: R-2=-.18, P=.021; percent obstruction: R-2=-.15, P=.05), but categorical restenosis was not significantly related to these parameters (P=.63, .77, .38, and .08, respeclively). There were no significant predictors of restenosis in ICUS parameters of plaque morphology: eccentric versus concentric (P=1.0), plaque type (hard, soft, or calcific, P=.98), or the number of calcified quadrants (P=.41). There were no significant predictors of restenosis in two predefined types of vessel-wall disruptions: (1) rupture: presence (P=.79), depth (partial versus complete, P=.85), or extent in quadrants (P=.6), and (2) dissection: presence (P=.31). depth (P=.82), or extent (P=.38). Conclusions Qualitative ICUS parameters after PTCA did nor predict restenosis. A larger lumen and vessel area and a smaller plaque area by ICUS were associated with a larger angiographic minimal lumen diameter at follow-up, but these parameters were nor, significantlly related to categorical restenosis.
引用
收藏
页码:2254 / 2261
页数:8
相关论文
共 42 条
  • [1] BLASINI R, 1995, J AM COLL CARDIOL, V25, pA139
  • [2] CLINICAL, PHYSIOLOGICAL, ANATOMIC AND PROCEDURAL FACTORS PREDICTIVE OF RESTENOSIS AFTER PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY
    BOURASSA, MG
    LESPERANCE, J
    EASTWOOD, C
    SCHWARTZ, L
    COTE, G
    KAZIM, F
    HUDON, G
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (02) : 368 - 376
  • [3] Di Mario C, 1992, J Am Soc Echocardiogr, V5, P135
  • [4] QUANTITATIVE ASSESSMENT WITH INTRACORONARY ULTRASOUND OF THE MECHANISMS OF RESTENOSIS AFTER PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY AND DIRECTIONAL CORONARY ATHERECTOMY
    DIMARIO, C
    GIL, R
    CAMENZIND, E
    OZAKI, Y
    VONBIRGELEN, C
    UMANS, V
    DEJAEGERE, P
    DEFEYTER, PJ
    ROELANDT, JRTC
    SERRUYS, PW
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1995, 75 (12) : 772 - 777
  • [5] PERCUTANEOUS TRANS-LUMINAL CORONARY ANGIOPLASTY - REPORT OF COMPLICATIONS FROM THE NATIONAL-HEART-LUNG-AND-BLOOD-INSTITUTE PTCA REGISTRY
    DORROS, G
    COWLEY, MJ
    SIMPSON, J
    BENTIVOGLIO, LG
    BLOCK, PC
    BOURASSA, M
    DETRE, K
    GOSSELIN, AJ
    GRUNTZIG, AR
    KELSEY, SF
    KENT, KM
    MOCK, MB
    MULLIN, SM
    MYLER, RK
    PASSAMANI, ER
    STERTZER, SH
    WILLIAMS, DO
    [J]. CIRCULATION, 1983, 67 (04) : 723 - 730
  • [6] ARTERIAL INJURY AND THE ENIGMA OF CORONARY RESTENOSIS
    ELLIS, SG
    MULLER, DWM
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 19 (02) : 275 - 277
  • [7] MECHANISMS AND OUTCOMES OF ANGIOPLASTY AND ATHERECTOMY ASSESSED BY INTRAVASCULAR ULTRASOUND IMAGING
    FITZGERALD, PJ
    YOCK, PG
    [J]. JOURNAL OF CLINICAL ULTRASOUND, 1993, 21 (09) : 579 - 588
  • [8] INFLUENCE OF CORONARY VESSEL SIZE ON RENARROWING PROCESS AND LATE ANGIOGRAPHIC OUTCOME AFTER SUCCESSFUL BALLOON ANGIOPLASTY
    FOLEY, DP
    MELKERT, R
    SERRUYS, PW
    [J]. CIRCULATION, 1994, 90 (03) : 1239 - 1251
  • [9] CLASSIFICATION OF MORPHOLOGIC EFFECTS OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY ASSESSED BY INTRAVASCULAR ULTRASOUND
    GERBER, TC
    ERBEL, R
    GORGE, G
    GE, J
    RUPPRECHT, HJ
    MEYER, J
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1992, 70 (20) : 1546 - 1554
  • [10] ARTERIAL-WALL CHARACTERISTICS DETERMINED BY INTRAVASCULAR ULTRASOUND IMAGING - AN INVITRO STUDY
    GUSSENHOVEN, EJ
    ESSED, CE
    LANCEE, CT
    MASTIK, F
    FRIETMAN, P
    VANEGMOND, FC
    REIBER, J
    BOSCH, H
    VANURK, H
    ROELANDT, J
    BOM, N
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1989, 14 (04) : 947 - 952