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Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases

Introduction: Optical coherence tomography (OCT) intravascular imaging including the latest version Ultreon™ 1.0 Software (Abbott Vascular, Santa Clara, CA, USA), not only improve patients prognosis, but also facilitates improved percutaneous coronary intervention (PCI). Objectives: The aim of the s...

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Autores principales: Bartuś, Stanisław, Siłka, Wojciech, Kasprzycki, Karol, Sabatowski, Karol, Malinowski, Krzysztof Piotr, Rzeszutko, Łukasz, Chyrchel, Michał, Bryniarski, Leszek, Surdacki, Andrzej, Bartuś, Krzysztof, Januszek, Rafał
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505439/
https://www.ncbi.nlm.nih.gov/pubmed/36143904
http://dx.doi.org/10.3390/medicina58091227
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author Bartuś, Stanisław
Siłka, Wojciech
Kasprzycki, Karol
Sabatowski, Karol
Malinowski, Krzysztof Piotr
Rzeszutko, Łukasz
Chyrchel, Michał
Bryniarski, Leszek
Surdacki, Andrzej
Bartuś, Krzysztof
Januszek, Rafał
author_facet Bartuś, Stanisław
Siłka, Wojciech
Kasprzycki, Karol
Sabatowski, Karol
Malinowski, Krzysztof Piotr
Rzeszutko, Łukasz
Chyrchel, Michał
Bryniarski, Leszek
Surdacki, Andrzej
Bartuś, Krzysztof
Januszek, Rafał
author_sort Bartuś, Stanisław
collection PubMed
description Introduction: Optical coherence tomography (OCT) intravascular imaging including the latest version Ultreon™ 1.0 Software (Abbott Vascular, Santa Clara, CA, USA), not only improve patients prognosis, but also facilitates improved percutaneous coronary intervention (PCI). Objectives: The aim of the study was to compare procedure related decision making, procedural indices, clinical outcomes according to the extent of stent expansion and assess risk factors of underexpansion in patients treated with PCI using OCT. Methods: The study comprised 100 patients, which were divided in groups according to the extent of stent expansion: <90 (29 patients) and ≥90% (71 patients). Comparison of OCT parameters, selected clinical and procedural characteristics was performed between groups. We assessed clinical outcomes during the follow-up: major adverse cardiovascular events and risk factors of stent underexpansion. Results: Patients from the stent underexpansion group were treated more often in the past with percutaneous peripheral interventions (p = 0.02), no other significant differences being noted in general characteristics, procedural characteristics or clinical outcomes comparing both groups. Significant predictors of stent underexpansion assessed by simple linear univariable analysis included: hypercholesterolemia, obstructive bronchial diseases and treatment with inhalators, family history of cardiovascular disease, PCI of other than the left main coronary artery, stent and drug-eluting stent implantation, PCI without drug-eluting balloon, paclitaxel antimitotic agent, greater maximal stent diameter and lower mean Euroscore II value. Univariable logistic regression analysis revealed a correlation between stent underexpansion and greater creatinine serum concentration before [OR: 0.97, 95%CI: 0.95–0.99, p = 0.01)] and after PCI [OR: 0.98, 95%CI: 0.96–0.99, p = 0.02)]. Conclusions: Based on the presented analysis, the degree of stent expansion is not related to the selected procedural, OCT imaging indices and clinical outcomes. Logistic regression analysis confirmed such a relationship for creatinine level.
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spelling pubmed-95054392022-09-24 Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases Bartuś, Stanisław Siłka, Wojciech Kasprzycki, Karol Sabatowski, Karol Malinowski, Krzysztof Piotr Rzeszutko, Łukasz Chyrchel, Michał Bryniarski, Leszek Surdacki, Andrzej Bartuś, Krzysztof Januszek, Rafał Medicina (Kaunas) Article Introduction: Optical coherence tomography (OCT) intravascular imaging including the latest version Ultreon™ 1.0 Software (Abbott Vascular, Santa Clara, CA, USA), not only improve patients prognosis, but also facilitates improved percutaneous coronary intervention (PCI). Objectives: The aim of the study was to compare procedure related decision making, procedural indices, clinical outcomes according to the extent of stent expansion and assess risk factors of underexpansion in patients treated with PCI using OCT. Methods: The study comprised 100 patients, which were divided in groups according to the extent of stent expansion: <90 (29 patients) and ≥90% (71 patients). Comparison of OCT parameters, selected clinical and procedural characteristics was performed between groups. We assessed clinical outcomes during the follow-up: major adverse cardiovascular events and risk factors of stent underexpansion. Results: Patients from the stent underexpansion group were treated more often in the past with percutaneous peripheral interventions (p = 0.02), no other significant differences being noted in general characteristics, procedural characteristics or clinical outcomes comparing both groups. Significant predictors of stent underexpansion assessed by simple linear univariable analysis included: hypercholesterolemia, obstructive bronchial diseases and treatment with inhalators, family history of cardiovascular disease, PCI of other than the left main coronary artery, stent and drug-eluting stent implantation, PCI without drug-eluting balloon, paclitaxel antimitotic agent, greater maximal stent diameter and lower mean Euroscore II value. Univariable logistic regression analysis revealed a correlation between stent underexpansion and greater creatinine serum concentration before [OR: 0.97, 95%CI: 0.95–0.99, p = 0.01)] and after PCI [OR: 0.98, 95%CI: 0.96–0.99, p = 0.02)]. Conclusions: Based on the presented analysis, the degree of stent expansion is not related to the selected procedural, OCT imaging indices and clinical outcomes. Logistic regression analysis confirmed such a relationship for creatinine level. MDPI 2022-09-05 /pmc/articles/PMC9505439/ /pubmed/36143904 http://dx.doi.org/10.3390/medicina58091227 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bartuś, Stanisław
Siłka, Wojciech
Kasprzycki, Karol
Sabatowski, Karol
Malinowski, Krzysztof Piotr
Rzeszutko, Łukasz
Chyrchel, Michał
Bryniarski, Leszek
Surdacki, Andrzej
Bartuś, Krzysztof
Januszek, Rafał
Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases
title Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases
title_full Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases
title_fullStr Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases
title_full_unstemmed Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases
title_short Experience with Optical Coherence Tomography Enhanced by a Novel Software (Ultreon™ 1.0 Software)—The First One Hundred Cases
title_sort experience with optical coherence tomography enhanced by a novel software (ultreon™ 1.0 software)—the first one hundred cases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505439/
https://www.ncbi.nlm.nih.gov/pubmed/36143904
http://dx.doi.org/10.3390/medicina58091227
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