Analysis of 1 year virtual histology changes in coronary plaque located behind the struts of the everolimus eluting bioresorbable vascular scaffold
Identifieur interne : 006229 ( Main/Exploration ); précédent : 006228; suivant : 006230Analysis of 1 year virtual histology changes in coronary plaque located behind the struts of the everolimus eluting bioresorbable vascular scaffold
Auteurs : Salvatore Brugaletta [Espagne] ; Josep Gomez-Lara ; Hector M. Garcia-Garcia [Pays-Bas] ; Jung Ho Heo ; Vasim Farooq ; Robert J. Van Geuns ; Bernard Chevalier [France] ; Stephan Windecker [Suisse] ; Dougal Mcclean [Nouvelle-Zélande] ; Leif Thuesen [Danemark] ; Robert Whitbourn [Australie] ; Ian Meredith [Australie] ; Cecile Dorange [Belgique] ; Susan Veldhof [Belgique] ; Richard Rapoza [États-Unis] ; John A. Ormiston [Nouvelle-Zélande] ; Patrick W. SerruysSource :
- The International Journal of Cardiovascular Imaging [ 1569-5794 ] ; 2011.
Abstract
Serial intravascular ultrasound virtual histology (IVUS-VH) after implantation of metallic stents has been unable to show any changes in the composition of the scaffolded plaque overtime. The everolimus-eluting ABSORB scaffold potentially allows for the formation of new fibrotic tissue on the scaffolded coronary plaque during bioresorption. We examined the 12 month IVUS-VH changes in composition of the plaque behind the struts (PBS) following the implantation of the ABSORB scaffold. Using IVUS-VH and dedicated software, the composition of the PBS was analyzed in all patients from the ABSORB Cohort B2 trial, who were imaged with a commercially available IVUS-VH console (s5i system, Volcano Corporation, Rancho Cordova, CA, USA), immediately post-ABSORB implantation and at 12 month follow-up. Paired IVUS-VH data, recorded with s5i system, were available in 17 patients (18 lesions). The analysis demonstrated an increase in mean PBS area (2.39 ± 1.85 mm2 vs. 2.76 ± 1.79 mm2,
Url:
DOI: 10.1007/s10554-011-9981-4
PubMed: 22108907
PubMed Central: 3463791
Affiliations:
- Australie, Belgique, Danemark, Espagne, France, Nouvelle-Zélande, Pays-Bas, Suisse, États-Unis
- Californie, Canton de Berne, Catalogne, Hollande-Méridionale, Victoria (État)
- Barcelone, Berne, Melbourne, Rotterdam
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Analysis of 1 year virtual histology changes in coronary plaque located behind the struts of the everolimus eluting bioresorbable vascular scaffold</title><author><name sortKey="Brugaletta, Salvatore" sort="Brugaletta, Salvatore" uniqKey="Brugaletta S" first="Salvatore" last="Brugaletta">Salvatore Brugaletta</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Cardiology, Thorax Institute Hospital Clinic, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Cardiology, Thorax Institute Hospital Clinic, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Gomez Lara, Josep" sort="Gomez Lara, Josep" uniqKey="Gomez Lara J" first="Josep" last="Gomez-Lara">Josep Gomez-Lara</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Garcia Garcia, Hector M" sort="Garcia Garcia, Hector M" uniqKey="Garcia Garcia H" first="Hector M." last="Garcia-Garcia">Hector M. Garcia-Garcia</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">Cardialysis B.V., Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Cardialysis B.V., Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Heo, Jung Ho" sort="Heo, Jung Ho" uniqKey="Heo J" first="Jung Ho" last="Heo">Jung Ho Heo</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Farooq, Vasim" sort="Farooq, Vasim" uniqKey="Farooq V" first="Vasim" last="Farooq">Vasim Farooq</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Van Geuns, Robert J" sort="Van Geuns, Robert J" uniqKey="Van Geuns R" first="Robert J." last="Van Geuns">Robert J. 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Garcia-Garcia</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">Cardialysis B.V., Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Cardialysis B.V., Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Heo, Jung Ho" sort="Heo, Jung Ho" uniqKey="Heo J" first="Jung Ho" last="Heo">Jung Ho Heo</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Farooq, Vasim" sort="Farooq, Vasim" uniqKey="Farooq V" first="Vasim" last="Farooq">Vasim Farooq</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Van Geuns, Robert J" sort="Van Geuns, Robert J" uniqKey="Van Geuns R" first="Robert J." last="Van Geuns">Robert J. Van Geuns</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author><author><name sortKey="Chevalier, Bernard" sort="Chevalier, Bernard" uniqKey="Chevalier B" first="Bernard" last="Chevalier">Bernard Chevalier</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Institut Cardiovasculaire Paris Sud, Massy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Institut Cardiovasculaire Paris Sud, Massy</wicri:regionArea><wicri:noRegion>Massy</wicri:noRegion><wicri:noRegion>Massy</wicri:noRegion></affiliation></author><author><name sortKey="Windecker, Stephan" sort="Windecker, Stephan" uniqKey="Windecker S" first="Stephan" last="Windecker">Stephan Windecker</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Bern University Hospital, Bern, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Bern University Hospital, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Mcclean, Dougal" sort="Mcclean, Dougal" uniqKey="Mcclean D" first="Dougal" last="Mcclean">Dougal Mcclean</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Chrischurch Hospital, Christchurch, New Zealand</nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Chrischurch Hospital, Christchurch</wicri:regionArea><wicri:noRegion>Christchurch</wicri:noRegion></affiliation></author><author><name sortKey="Thuesen, Leif" sort="Thuesen, Leif" uniqKey="Thuesen L" first="Leif" last="Thuesen">Leif Thuesen</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Skejby Sygehus, Aarhus University Hospital, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Skejby Sygehus, Aarhus University Hospital, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Whitbourn, Robert" sort="Whitbourn, Robert" uniqKey="Whitbourn R" first="Robert" last="Whitbourn">Robert Whitbourn</name><affiliation wicri:level="1"><nlm:aff id="Aff8">St Vincents Hospital, Fitzroy, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>St Vincents Hospital, Fitzroy</wicri:regionArea><wicri:noRegion>Fitzroy</wicri:noRegion></affiliation></author><author><name sortKey="Meredith, Ian" sort="Meredith, Ian" uniqKey="Meredith I" first="Ian" last="Meredith">Ian Meredith</name><affiliation wicri:level="3"><nlm:aff id="Aff9">Monash Cardiovascular Research Centre, Melbourne, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Monash Cardiovascular Research Centre, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Dorange, Cecile" sort="Dorange, Cecile" uniqKey="Dorange C" first="Cecile" last="Dorange">Cecile Dorange</name><affiliation wicri:level="1"><nlm:aff id="Aff10">Abbott Vascular, Diegem, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Abbott Vascular, Diegem</wicri:regionArea><wicri:noRegion>Diegem</wicri:noRegion></affiliation></author><author><name sortKey="Veldhof, Susan" sort="Veldhof, Susan" uniqKey="Veldhof S" first="Susan" last="Veldhof">Susan Veldhof</name><affiliation wicri:level="1"><nlm:aff id="Aff10">Abbott Vascular, Diegem, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Abbott Vascular, Diegem</wicri:regionArea><wicri:noRegion>Diegem</wicri:noRegion></affiliation></author><author><name sortKey="Rapoza, Richard" sort="Rapoza, Richard" uniqKey="Rapoza R" first="Richard" last="Rapoza">Richard Rapoza</name><affiliation wicri:level="2"><nlm:aff id="Aff11">Abbott Vascular, Santa Clara, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Abbott Vascular, Santa Clara</wicri:cityArea></affiliation></author><author><name sortKey="Ormiston, John A" sort="Ormiston, John A" uniqKey="Ormiston J" first="John A." last="Ormiston">John A. Ormiston</name><affiliation wicri:level="1"><nlm:aff id="Aff12">Department of Cardiology, Auckland City Hospital, Auckland, New Zealand</nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Cardiology, Auckland City Hospital, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Serruys, Patrick W" sort="Serruys, Patrick W" uniqKey="Serruys P" first="Patrick W." last="Serruys">Patrick W. Serruys</name><affiliation><nlm:aff id="Aff1">Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, ‘s Gravendijkwal 230, 3015 Rotterdam, CE The Netherlands</nlm:aff><wicri:noCountry code="subfield">CE The Netherlands</wicri:noCountry></affiliation></author></analytic><series><title level="j">The International Journal of Cardiovascular Imaging</title><idno type="ISSN">1569-5794</idno><idno type="eISSN">1875-8312</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Serial intravascular ultrasound virtual histology (IVUS-VH) after implantation of metallic stents has been unable to show any changes in the composition of the scaffolded plaque overtime. The everolimus-eluting ABSORB scaffold potentially allows for the formation of new fibrotic tissue on the scaffolded coronary plaque during bioresorption. We examined the 12 month IVUS-VH changes in composition of the plaque behind the struts (PBS) following the implantation of the ABSORB scaffold. Using IVUS-VH and dedicated software, the composition of the PBS was analyzed in all patients from the ABSORB Cohort B2 trial, who were imaged with a commercially available IVUS-VH console (s5i system, Volcano Corporation, Rancho Cordova, CA, USA), immediately post-ABSORB implantation and at 12 month follow-up. Paired IVUS-VH data, recorded with s5i system, were available in 17 patients (18 lesions). The analysis demonstrated an increase in mean PBS area (2.39 ± 1.85 mm<sup>2</sup> vs. 2.76 ± 1.79 mm<sup>2</sup>, <italic>P</italic> = 0.078) and a reduction in the mean lumen area (6.37 ± 0.90 mm<sup>2</sup> vs. 5.98 ± 0.97 mm<sup>2</sup>, <italic>P</italic> = 0.006). Conversely, a significant decrease of 16 and 30% in necrotic core (NC) and dense calcium (DC) content, respectively, were evident (median % NC from 43.24 to 36.06%, <italic>P</italic> = 0.016; median % DC from 20.28 to 11.36%, <italic>P</italic> = 0.002). Serial IVUS-VH analyses of plaque located behind the ABSORB struts at 12-month demonstrated an increase in plaque area with a decrease in its NC and DC content. Larger studies are required to investigate the clinical impact of these findings.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moses, Jw" uniqKey="Moses J">JW Moses</name></author><author><name sortKey="Leon, Mb" uniqKey="Leon M">MB Leon</name></author><author><name sortKey="Popma, Jj" uniqKey="Popma J">JJ Popma</name></author><author><name sortKey="Fitzgerald, Pj" uniqKey="Fitzgerald P">PJ Fitzgerald</name></author><author><name sortKey="Holmes, Dr" uniqKey="Holmes D">DR Holmes</name></author><author><name sortKey="O Haughnessy, C" uniqKey="O Haughnessy C">C O’Shaughnessy</name></author><author><name sortKey="Caputo, Rp" uniqKey="Caputo R">RP Caputo</name></author><author><name sortKey="Kereiakes, Dj" uniqKey="Kereiakes D">DJ Kereiakes</name></author><author><name sortKey="Williams, Do" uniqKey="Williams D">DO Williams</name></author><author><name sortKey="Teirstein, Ps" uniqKey="Teirstein P">PS 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uniqKey="Kilpatrick D">DL Kilpatrick</name></author><author><name sortKey="Meyer, Gr" uniqKey="Meyer G">GR Meyer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martinet, W" uniqKey="Martinet W">W Martinet</name></author><author><name sortKey="Verheye, S" uniqKey="Verheye S">S Verheye</name></author><author><name sortKey="Meyer, Gr" uniqKey="Meyer G">GR Meyer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boyle, Jj" uniqKey="Boyle J">JJ Boyle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Onuma, Y" uniqKey="Onuma Y">Y Onuma</name></author><author><name sortKey="Serruys, Pw" uniqKey="Serruys P">PW Serruys</name></author><author><name sortKey="Perkins, Le" uniqKey="Perkins L">LE Perkins</name></author><author><name sortKey="Okamura, T" uniqKey="Okamura T">T Okamura</name></author><author><name sortKey="Gonzalo, N" uniqKey="Gonzalo N">N Gonzalo</name></author><author><name sortKey="Garcia Garcia, Hm" uniqKey="Garcia Garcia H">HM Garcia-Garcia</name></author><author><name sortKey="Regar, E" uniqKey="Regar E">E Regar</name></author><author><name sortKey="Kamberi, M" uniqKey="Kamberi M">M Kamberi</name></author><author><name sortKey="Powers, Jc" uniqKey="Powers J">JC Powers</name></author><author><name sortKey="Rapoza, R" uniqKey="Rapoza R">R Rapoza</name></author><author><name sortKey="Beusekom, H" uniqKey="Beusekom H">H Beusekom</name></author><author><name sortKey="Giessen, W" uniqKey="Giessen W">W Giessen</name></author><author><name sortKey="Virmani, R" uniqKey="Virmani R">R Virmani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hong, Mk" uniqKey="Hong M">MK Hong</name></author><author><name sortKey="Park, Dw" uniqKey="Park D">DW Park</name></author><author><name sortKey="Lee, Cw" uniqKey="Lee C">CW Lee</name></author><author><name sortKey="Lee, Sw" uniqKey="Lee S">SW Lee</name></author><author><name sortKey="Kim, Yh" uniqKey="Kim Y">YH Kim</name></author><author><name sortKey="Kang, Dh" uniqKey="Kang D">DH Kang</name></author><author><name sortKey="Song, Jk" uniqKey="Song J">JK Song</name></author><author><name sortKey="Kim, Jj" uniqKey="Kim J">JJ Kim</name></author><author><name sortKey="Park, Sw" uniqKey="Park S">SW Park</name></author><author><name sortKey="Park, Sj" uniqKey="Park S">SJ Park</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>Belgique</li><li>Danemark</li><li>Espagne</li><li>France</li><li>Nouvelle-Zélande</li><li>Pays-Bas</li><li>Suisse</li><li>États-Unis</li></country><region><li>Californie</li><li>Canton de Berne</li><li>Catalogne</li><li>Hollande-Méridionale</li><li>Victoria (État)</li></region><settlement><li>Barcelone</li><li>Berne</li><li>Melbourne</li><li>Rotterdam</li></settlement></list><tree><noCountry><name sortKey="Farooq, Vasim" sort="Farooq, Vasim" uniqKey="Farooq V" first="Vasim" last="Farooq">Vasim Farooq</name><name sortKey="Gomez Lara, Josep" sort="Gomez Lara, Josep" uniqKey="Gomez Lara J" first="Josep" last="Gomez-Lara">Josep Gomez-Lara</name><name sortKey="Heo, Jung Ho" sort="Heo, Jung Ho" uniqKey="Heo J" first="Jung Ho" last="Heo">Jung Ho Heo</name><name sortKey="Serruys, Patrick W" sort="Serruys, Patrick W" uniqKey="Serruys P" first="Patrick W." last="Serruys">Patrick W. Serruys</name><name sortKey="Van Geuns, Robert J" sort="Van Geuns, Robert J" uniqKey="Van Geuns R" first="Robert J." last="Van Geuns">Robert J. Van Geuns</name></noCountry><country name="Espagne"><region name="Catalogne"><name sortKey="Brugaletta, Salvatore" sort="Brugaletta, Salvatore" uniqKey="Brugaletta S" first="Salvatore" last="Brugaletta">Salvatore Brugaletta</name></region></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Garcia Garcia, Hector M" sort="Garcia Garcia, Hector M" uniqKey="Garcia Garcia H" first="Hector M." last="Garcia-Garcia">Hector M. Garcia-Garcia</name></region></country><country name="France"><noRegion><name sortKey="Chevalier, Bernard" sort="Chevalier, Bernard" uniqKey="Chevalier B" first="Bernard" last="Chevalier">Bernard Chevalier</name></noRegion></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Windecker, Stephan" sort="Windecker, Stephan" uniqKey="Windecker S" first="Stephan" last="Windecker">Stephan Windecker</name></region></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Mcclean, Dougal" sort="Mcclean, Dougal" uniqKey="Mcclean D" first="Dougal" last="Mcclean">Dougal Mcclean</name></noRegion><name sortKey="Ormiston, John A" sort="Ormiston, John A" uniqKey="Ormiston J" first="John A." last="Ormiston">John A. Ormiston</name></country><country name="Danemark"><noRegion><name sortKey="Thuesen, Leif" sort="Thuesen, Leif" uniqKey="Thuesen L" first="Leif" last="Thuesen">Leif Thuesen</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Whitbourn, Robert" sort="Whitbourn, Robert" uniqKey="Whitbourn R" first="Robert" last="Whitbourn">Robert Whitbourn</name></noRegion><name sortKey="Meredith, Ian" sort="Meredith, Ian" uniqKey="Meredith I" first="Ian" last="Meredith">Ian Meredith</name></country><country name="Belgique"><noRegion><name sortKey="Dorange, Cecile" sort="Dorange, Cecile" uniqKey="Dorange C" first="Cecile" last="Dorange">Cecile Dorange</name></noRegion><name sortKey="Veldhof, Susan" sort="Veldhof, Susan" uniqKey="Veldhof S" first="Susan" last="Veldhof">Susan Veldhof</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Rapoza, Richard" sort="Rapoza, Richard" uniqKey="Rapoza R" first="Richard" last="Rapoza">Richard Rapoza</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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