TY  - BOOK
AU  - Garcia-Garcia, Hector M
TI  - The influence of coronary plaque morphology assessed by optical coherence tomography on final microvascular function after stenting in patients with ST-elevation myocardial infarction
SN  - 0954-6928
PY  - 2017///
KW  - *Angioplasty, Balloon, Coronary/is [Instrumentation]
KW  - *Coronary Circulation
KW  - *Coronary Vessels/dg [Diagnostic Imaging]
KW  - *Microcirculation
KW  - *Plaque, Atherosclerotic
KW  - *ST Elevation Myocardial Infarction/th [Therapy]
KW  - *Stents
KW  - *Tomography, Optical Coherence
KW  - Aged
KW  - Angioplasty, Balloon, Coronary/ae [Adverse Effects]
KW  - Cardiac Catheterization
KW  - Coronary Angiography
KW  - Coronary Vessels/pa [Pathology]
KW  - Coronary Vessels/pp [Physiopathology]
KW  - Electrocardiography
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Predictive Value of Tests
KW  - Prospective Studies
KW  - ST Elevation Myocardial Infarction/dg [Diagnostic Imaging]
KW  - ST Elevation Myocardial Infarction/pa [Pathology]
KW  - ST Elevation Myocardial Infarction/pp [Physiopathology]
KW  - Time Factors
KW  - Treatment Outcome
KW  - Vascular Resistance
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online from MWHC library: February 2000 - present
N2  - CONCLUSION: IMR measured before stenting is independent of the appearances of the culprit coronary plaque within the infarct-related artery. IMR after stenting, and more importantly, the change in IMR after stenting, reflect the degree of distal embolization during stent implantation; OBJECTIVES: The index of microcirculatory resistance (IMR) provides a reproducible assessment of the status of coronary microvasculature in patients with ST-elevation myocardial infarction (STEMI). Frequency-domain optical coherence tomography (FD-OCT) enables detailed assessment of the morphology of coronary plaque.We sought to determine the influence of the initial culprit coronary plaque anatomy within the infarct-related artery on IMR after stenting in STEMI; PATIENTS AND METHODS: In 25 STEMI patients IMR was measured immediately before and after stent implantation. FD-OCT imaging was performed at the same time points and atherothrombotic volume (ATV) before stenting, prolapsed+floating ATV after stenting and DELTAATV was measured using three different strategies; RESULTS: There were no relationships between preprocedural IMR and FD-OCT parameters. Prestenting IMR was related only to pain to wire time (P: 0.02). Irrespective of the method adopted, the final IMR was related to prestenting ATV (p: 0.44, P: 0.03 for method I, p: 0.48, P: 0.02 for method II and p: 0.30, P: 0.06 for method III) and DELTAATV (p: 0.41, P: 0.04 for method II and p: 0.44, P: 0.03 for method III)
UR  - https://dx.doi.org/10.1097/MCA.0000000000000458
ER  -