Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-168
Full metadata record
DC FieldValueLanguage
dc.contributor.authorBoeder, Niklas F.-
dc.contributor.authorWeissner, Melissa-
dc.contributor.authorBlachutzik, Florian-
dc.contributor.authorUllrich, Helen-
dc.contributor.authorAnadol, Remzi-
dc.contributor.authorTröbs, Monique-
dc.contributor.authorMünzel, Thomas-
dc.contributor.authorHamm, Christian W.-
dc.contributor.authorDijkstra, Jouke-
dc.contributor.authorAchenbach, Stephan-
dc.contributor.authorNef, Holger M.-
dc.contributor.authorGori, Tommaso-
dc.date.accessioned2019-07-08T11:32:39Z-
dc.date.available2019-07-08T13:32:39Z-
dc.date.issued2019-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/170-
dc.description.abstractMalapposition 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.en_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin-
dc.language.isoeng-
dc.rightsCC BYde_DE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/-
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleIncidental finding of strut malapposition is a predictor of late and very late thrombosis in coronary bioresorbable scaffoldsen_GB
dc.typeZeitschriftenaufsatzde_DE
dc.identifier.urnurn:nbn:de:hebis:77-publ-591366-
dc.identifier.doihttp://doi.org/10.25358/openscience-168-
jgu.type.dinitypearticle-
jgu.type.versionPublished versionen_GB
jgu.type.resourceText-
jgu.organisation.departmentFB 04 Medizin-
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleJournal of Clinical Medicine-
jgu.journal.volume8-
jgu.journal.issue5-
jgu.pages.alternativeArt. 580-
jgu.publisher.year2019-
jgu.publisher.nameMDPI-
jgu.publisher.placeBasel-
jgu.publisher.urihttp://dx.doi.org/10.3390/jcm8050580-
jgu.publisher.issn2077-0383-
jgu.organisation.placeMainz-
jgu.subject.ddccode610-
opus.date.accessioned2019-07-08T11:32:39Z-
opus.date.modified2020-03-16T11:29:38Z-
opus.date.available2019-07-08T13:32:39-
opus.subject.dfgcode00-000-
opus.organisation.stringFB 04: Medizin: Zentrum für Kardiologiede_DE
opus.identifier.opusid59136-
opus.institute.number0466-
opus.metadataonlyfalse-
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_GB
opus.affiliatedMünzel, Thomas-
jgu.publisher.doi10.3390/jcm8050580
jgu.organisation.rorhttps://ror.org/023b0x485
Appears in collections:JGU-Publikationen

Files in This Item:
  File Description SizeFormat
Thumbnail
59136.pdf661.34 kBAdobe PDFView/Open