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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9505439 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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