Incidence and angiographic predictors of side branch occlusion following high-pressure intracoronary stenting

Aliabadi, Darius; Tilli, Frank V.; Bowers, Thomas A.; Benzuly, Keith H.; Safian, Robert D.; Goldstein, James A.; Grines, Cindy L.; O’Neill, William W.

doi:10.1016/s0002-9149(97)00591-2

Cited by 157 publications

(116 citation statements)

References 13 publications

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“…In the coronary circulation, location of atherosclerotic plaque close to a branch ostium increases the risk of branch occlusion following angioplasty and stent placement. 57 By determining the location of intracranial atherosclerotic plaque relative to branch ostia in individual patients, VW-MR imaging may be useful when estimating the risk of intracranial angioplasty. 58 …”

Section: To Determine the Location Of Atherosclerotic Plaque Relativementioning

confidence: 99%

Intracranial Vessel Wall MRI: Principles and Expert Consensus Recommendations of the American Society of Neuroradiology

Mandell

Mossa‐Basha

Qiao

et al. 2016

AJNR Am J Neuroradiol

488

456

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SUMMARY:Intracranial vessel wall MR imaging is an adjunct to conventional angiographic imaging with CTA, MRA, or DSA. The technique has multiple potential uses in the context of ischemic stroke and intracranial hemorrhage. There remain gaps in our understanding of intracranial vessel wall MR imaging findings and research is ongoing, but the technique is already used on a clinical basis at many centers. This article, on behalf of the Vessel Wall Imaging Study Group of the American Society of Neuroradiology, provides expert consensus recommendations for current clinical practice. ABBREVIATIONS: RCVS ϭ reversible cerebral vasoconstriction syndrome; VW-MR imaging ϭ vessel wall MR imaging

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Section: To Determine the Location Of Atherosclerotic Plaque Relativementioning

confidence: 99%

Intracranial Vessel Wall MRI: Principles and Expert Consensus Recommendations of the American Society of Neuroradiology

Mandell

Mossa‐Basha

Qiao

et al. 2016

AJNR Am J Neuroradiol

488

456

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“…However, several causes have been suggested such as coronary spasms, thrombus formation, atheromatous plaque thromboembolism, dissection and snow-plow effects. [6][7][8] The relationship between the size of the side branches and the rate of side branch compromise has varied. Pan et al 5) reported a higher frequency of side branch compromise in the side branches that were more than 1 mm.…”

Section: )5)mentioning

confidence: 99%

Comparison of the Clinical and Angiographic Outcomes of Compromised Side Branches (Stent Jail) after Percutaneous Coronary Intervention between Sirolimus-Eluting Stents and Paclitaxel-Eluting Stents

Lee

et al. 2007

Korean Circ J

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Background and Objectives: Drug-eluting stents (DES) have been used worldwide for conducting safe and effective percutaneous coronary intervention (PCI) for treating coronary artery disease. However, the DES might cause a higher frequency of an acute side branch occlusion or stent jails near the target lesion after PCI than that with using bare metal stents (BMS). This may be due to the eluted drug or the thick stent struts. We evaluated the clinical and angiographic outcomes of compromised side branches (stent jail) after PCI and the frequency of side branch occlusion or stent jails between sirolimus-eluting stents (SES) and paclitaxel-eluting stents (PES). Subjects and Methods: We analyzed the clinical results and angiographic findings of 47 patients who were treated with a SES and 45 patients who were treated with a PES. We only analyzed the left anterior descending artery (LAD) and its side branches that were more than one millimeter in diameter. Side branch occlusion was defined as the development of total occlusion or a reduction of the thrombolysis in myocardial infarction (TIMI) flow more than grade 1 after stenting. The peak cardiac enzyme levels were measured. We evaluated the clinical outcomes in the hospital and at the 6 month follow up. Results: There were no significant differences of the baseline clinical demographics between the SES and the PES groups. The total length and diameter of the implanted stents were 42.85±15.3 mm vs. 41.68±13.3 mm (p=0.93) and 3.09±0.3 mm vs. 3.1±0.2 mm (p=0.69) in the SES group and PES group, respectively. On average, the number of side branches of the LAD were 2.00±0.9 vs. 2.13±0.8 and on angiography after stenting, side branch occlusion and reduction of the TIMI developed in 8.51% vs. 13.33% (p=0.46) and 17% vs. 15% (p=0.88) of the SES group and PES group, respectively. The laboratory data showed that the peak creatine kinase-MB (CK-MB) and troponin-I levels were 13.5±31 U/L vs. 15.6±33 U/L (p=0.77) and 6.3±15 ng/mL vs. 5.42±9 ng/mL (p=0.77), respectively. There were no clinical in-hospital events for either group. There were no statistically significant differences in major adverse cardiac events (MACEs) at the 6-month follow up (4.3% vs. 8.9%, respectively). Conclusion: The clinical and angiographic outcomes of compromised side branches (stent jail) after PCI and the frequency of side branch occlusion or stent jails between SES and PES were similar. (Korean Circ J 2007;37: [630][631][632][633][634]

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“…Substantive role of distal LMCA BA on procedural side branch (SB) occlusion and patients' outcome is controversial [19,20,26]. Previous studies have found that LMCA distal BA > 70° carries higher risk of SB occlusion than distal BA < 70° [1]. COBIS II Registry demonstrated that preprocedural stenosis ≥ 50% in SB and proximal main vessel, SB lesion length and acute coronary syndrome are independent predictor of increased risk of SB occlusion and LMCA PCI is independent predictor of decreased risk of SB occlusion [13].…”

Section: Discussionmentioning

confidence: 99%

Anatomic assessment of the left main bifurcation and dynamic bifurcation angles using computed tomography angiography

et al. 2017

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Incidence and angiographic predictors of side branch occlusion following high-pressure intracoronary stenting

Cited by 157 publications

References 13 publications

Intracranial Vessel Wall MRI: Principles and Expert Consensus Recommendations of the American Society of Neuroradiology

Intracranial Vessel Wall MRI: Principles and Expert Consensus Recommendations of the American Society of Neuroradiology

Comparison of the Clinical and Angiographic Outcomes of Compromised Side Branches (Stent Jail) after Percutaneous Coronary Intervention between Sirolimus-Eluting Stents and Paclitaxel-Eluting Stents

Anatomic assessment of the left main bifurcation and dynamic bifurcation angles using computed tomography angiography

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