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http://doi.org/10.25358/openscience-168
Autoren: | Boeder, Niklas F. Weissner, Melissa Blachutzik, Florian Ullrich, Helen Anadol, Remzi Tröbs, Monique Münzel, Thomas Hamm, Christian W. Dijkstra, Jouke Achenbach, Stephan Nef, Holger M. Gori, Tommaso |
Titel: | Incidental finding of strut malapposition is a predictor of late and very late thrombosis in coronary bioresorbable scaffolds |
Online-Publikationsdatum: | 8-Jul-2019 |
Erscheinungsdatum: | 2019 |
Sprache des Dokuments: | Englisch |
Zusammenfassung/Abstract: | Malapposition is a common finding in stent and scaffold thrombosis (ScT). Evidence from studies with prospective follow-up, however, is scarce. We hypothesized that incidental observations of strut malapposition might be predictive of late ScT during subsequent follow-up. One hundred ninety-seven patients were enrolled in a multicentre registry with prospective follow-up. Optical coherence tomography (OCT), performed in an elective setting, was available in all at 353 (0–376) days after bioresorbable scaffold (BRS) implantation. Forty-four patients showed evidence of malapposition that was deemed not worthy of intervention. Malapposition was not associated with any clinical or procedural parameter except for a higher implantation pressure (p = 0.0008). OCT revealed that malapposition was associated with larger vessel size, less eccentricity (all p < 0.01), and a tendency for more uncovered struts (p = 0.06). Late or very late ScT was recorded in seven of these patients 293 (38–579) days after OCT. OCT-diagnosed malapposition was a predictor of late and very late scaffold thrombosis (p < 0.001) that was independent of the timing of diagnosis. We provide evidence that an incidental finding of malapposition—regardless of the timing of diagnosis of the malapposition—during an elective exam is a predictor of late and very late ScT. Our data provide a rationale to consider prolonged dual antiplatelet therapy if strut malapposition is observed. |
DDC-Sachgruppe: | 610 Medizin 610 Medical sciences |
Veröffentlichende Institution: | Johannes Gutenberg-Universität Mainz |
Organisationseinheit: | FB 04 Medizin |
Veröffentlichungsort: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-168 |
URN: | urn:nbn:de:hebis:77-publ-591366 |
Version: | Published version |
Publikationstyp: | Zeitschriftenaufsatz |
Nutzungsrechte: | CC BY |
Informationen zu den Nutzungsrechten: | https://creativecommons.org/licenses/by/4.0/ |
Zeitschrift: | Journal of Clinical Medicine 8 5 |
Seitenzahl oder Artikelnummer: | Art. 580 |
Verlag: | MDPI |
Verlagsort: | Basel |
Erscheinungsdatum: | 2019 |
ISSN: | 2077-0383 |
URL der Originalveröffentlichung: | http://dx.doi.org/10.3390/jcm8050580 |
DOI der Originalveröffentlichung: | 10.3390/jcm8050580 |
Enthalten in den Sammlungen: | JGU-Publikationen |
Dateien zu dieser Ressource:
Datei | Beschreibung | Größe | Format | ||
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59136.pdf | 661.34 kB | Adobe PDF | Öffnen/Anzeigen |