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Centemero M, Urdanetta LR, Maschiarelli I, Barreto R, Mendez CA, Delamain JH, Wolf PW, Terrível D, Feres F, Chamié D. Sinus of Valsalva Pseudoaneurysm: An Unusual Cause of Complete Heart Block. JACC Case Rep 2023; 14:101832. [PMID: 37077873 PMCID: PMC10106995 DOI: 10.1016/j.jaccas.2023.101832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 03/15/2023] [Accepted: 03/20/2023] [Indexed: 04/21/2023]
Abstract
We present a case of a young man with complete atrioventricular block and aneurysm of the right sinus of Valsalva penetrating the interventricular septum and causing severe aortic regurgitation. Chest trauma and inflammatory or infectious diseases are potential causes. Bentall-de Bono surgical repair was performed. Anatomopathologic analysis demonstrated fibrosis, hyalinization, and extensive myxoid material. (Level of Difficulty: Beginner.).
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Affiliation(s)
- Marinella Centemero
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
- Address for correspondence: Dr Marinella Centemero, Interventional Cardiology Department, Dante Pazzanese Institute of Cardiology, 500 Dr. Dante Pazzanese Avenue, Ibirapuera, São Paulo, Brazil.
| | - Luis Rafael Urdanetta
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Ibraim Maschiarelli
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Rodrigo Barreto
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Carlos Alberto Mendez
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Jose Henrique Delamain
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Plínio Whitaker Wolf
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Daniel Terrível
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Fausto Feres
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
| | - Daniel Chamié
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil
- Section of Cardiovascular Medicine, Yale School of Medicine, Yale University, New Haven, Connecticut, USA
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Freitas RAP, Tanajura LF, Mehran R, Chamié D, Chaves A, Centemero M, Braga S, Costa R, Cao D, Sousa A, Feres F, Costa JR. Ioxaglate Versus IoDixanol for the Prevention of Contrast-Induced Nephropathy: The IDPC Trial. J Invasive Cardiol 2023:JIC20230516-2. [PMID: 37220640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
BACKGROUND Despite the potential benefits of percutaneous procedures for the assessment and treatment of coronary artery disease, these interventions require the use of iodine contrast, which might lead to contrast-induced nephropathy (CIN) and increased risk of dialysis and major adverse cardiac events (MACE). AIMS We sought to compare two different iodine contrasts (low vs. iso-osmolar) for the prevention of CIN among high-risk patients. METHODS This is a single-center, randomized (1:1) trial comparing consecutive patients at high risk for CIN referred to percutaneous coronary diagnostic and/or therapeutic procedures with low (ioxaglate) vs. iso-osmolarity (iodixanol) iodine contrast. High risk was defined by the presence of at least one of the following conditions: age >70 years, diabetes mellitus, non-dialytic chronic kidney disease, chronic heart failure, cardiogenic shock, and acute coronary syndrome (ACS). The primary endpoint was the occurrence of CIN, defined as a >25% relative increase and/or >0.5 mg/dL absolute increase in creatinine (Cr) levels compared with baseline between the 2nd and 5th day after contrast media administration. RESULTS A total of 2,268 patients were enrolled. Mean age was 67 years. Diabetes mellitus (53%), non-dialytic chronic kidney disease (31%), and ACS (39%) were highly prevalent. The mean volume of contrast media was 89 ml ± 48.6. CIN occurred in 15% of all patients, with no significant difference regarding the type of contrast used (iso = 15.2% vs. low = 15.1%, P>.99). Differences were not observed in specific subgroups such as diabetics, elderly, and ACS patients. At 30-day follow-up, 13 patients in the iso-osmolarity group and 11 in low-osmolarity group required dialysis (P =.8). There were 37 (3.3%) deaths in the iso-osmolarity cohort vs. 29 (2.6%) in the low-osmolarity group (P =.4). CONCLUSION Among patients at high risk for CIN, the incidence of this complication was 15%, and independent of the use of low- or iso-osmolar contrast.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - J Ribamar Costa
- Instituto Dante Pazzanese de Cardiologia, Av. Dr Dante Pazzaensse, 500, Ibirapuera, São Paulo - SP, Brazil.
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Silva GBG, Meneguz-Moreno RA, Costa R, Chamié D, Dangas G, Manica A, Arruda JA, Sousa AGMR, Feres F, Costa JR. Serial Assessment of Coronary Artery Healing of a Biodegradable Polymer Drug-Eluting Stent at 1, 2, and 3 Months by Optical Coherence Tomography (OCT)-The REPAIR Trial. J Invasive Cardiol 2023; 35:E225-E233. [PMID: 36920890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
BACKGROUND Although first-generation drug-eluting stent (DES) devices have effectively achieved their main goal of reducing restenosis, their safety has been limited by suboptimal polymer biocompatibility, delayed stent endothelialization, and local drug toxicity, which ultimately prompted the development of new-generation DES options carrying biocompatible or even biodegradable polymers. AIMS We sought to assess the vessel-healing pattern of the novel sirolimus-eluting Inspiron DES (Scitech Medical) using serial optical coherence tomography (OCT) and assuming the hypothesis that this thin-strut (75-μm), biodegradable-polymer DES promotes a faster healing, with very early strut coverage. METHODS This is a prospective, multicenter, open-label, single-arm study enrolling 68 patients who underwent percutaneous coronary intervention guided by OCT. These patients were consecutively assigned into 3 groups. The first group had its OCT imaging follow-up performed at 3 months, the second group at 2 months, and the third group at 1 month. RESULTS Mean age was 59.5 years, 70.6% were male, 41.2% had type 2 diabetes, and 29.4% presented with acute coronary syndrome. A total of 72 lesions were treated and 1.06 stents were implanted per patient. OCT assessment of the stents at 1, 2, and 3 months showed a strut coverage of 90.41%, 93.96%, and 97.21%, respectively (P=.04). CONCLUSION The Inspiron DES showed an early strut healing pattern, with >90% of the struts covered by neointima within the first month and with almost all struts covered by the third month.
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Abhyankar A, Abizaid A, Chamié D, Patel G. Healing and early stent coverage after ultrathin strut biodegradable polymer-coated sirolimus-eluting stent implantation: SiBi optical coherence tomography study. Catheter Cardiovasc Interv 2021; 98:1335-1342. [PMID: 33247618 DOI: 10.1002/ccd.29371] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 10/03/2020] [Accepted: 10/26/2020] [Indexed: 11/09/2022]
Abstract
AIMS The aim of SiBi study was to evaluate the early vascular healing and neointimal coverage after implantation of ultrathin (60 μm) biodegradable polymer-coated Tetriflex (Sahajanand Medical Technologies Pvt. Ltd., Surat, India) sirolimus-eluting stent (SES) using optical coherence tomography (OCT) at 4 to 6 weeks after implantation. METHODS SiBi was a single-center, observational, investigator-initiated study. From January 15, 2018 to April 15, 2018, total 29 consecutive patients who had consented and underwent OCT examination at 4-6 weeks after Tetriflex SES implantation were enrolled. All OCT images were analyzed at an independent core laboratory by analysts who were blinded to patient and procedural information. RESULTS Of 29 patients, four patients were excluded, as those OCT images were technically inadequate for analysis. Therefore, 25 patients were included in final OCT analysis. Average OCT analysis was performed after 35.3 ± 5 days of Tetriflex implantation. Total 14,024 stent struts in 1,520 cross sections were analyzed. Strut tissue coverage was observed in 91.26 ± 5.53% of struts and malapposed struts were seen in 0.89 ± 1.67%. The mean neointimal hyperplasia (NIH) thickness on the covered struts was 50 ± 30 μm. CONCLUSION A large percentage of struts were found to be covered with thin layer of NIH evenly distributed along the stent length at around 1 month from stent implantation. The results of this pilot study serve as ethical and scientific backbone to conduct an adequately powered clinical trial to evaluate outcomes of short dual-antiplatelet therapy in context of ultrathin strut stent.
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Affiliation(s)
- Atul Abhyankar
- Department of Cardiology, Shree B. D. Mehta Mahavir Heart Institute, Surat, India
| | - Alexandre Abizaid
- Interventional Cardiology Department, University of São Paulo, São Paulo, Brazil
| | - Daniel Chamié
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil
| | - Gaurang Patel
- Department of Cardiology, Shree B. D. Mehta Mahavir Heart Institute, Surat, India
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Chamié D, Petraco R, Feres F. Response by Chamié et al to Letter Regarding Article, "Optical Coherence Tomography Versus Intravascular Ultrasound and Angiography to Guide Percutaneous Coronary Interventions: The iSIGHT Randomized Trial". Circ Cardiovasc Interv 2021; 14:e011004. [PMID: 34182787 DOI: 10.1161/circinterventions.121.011004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Daniel Chamié
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, Sao Paulo, Brazil (D.C., F.F.)
| | - Ricardo Petraco
- National Heart and Lung Institute, Imperial College London, United Kingdom (R.P.)
| | - Fausto Feres
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiologia, Sao Paulo, Brazil (D.C., F.F.)
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Chamié D, Petraco R. Stent type identification with optical coherence tomography: novelty in search of clinical application. EUROINTERVENTION 2021; 17:e103-e104. [PMID: 34110287 PMCID: PMC9707455 DOI: 10.4244/eijv17i2a19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Daniel Chamié
- Interventional Cardiology Department, Dante Pazzanese Institute of Cardiology, 500 Dr. Dante Pazzanese Avenue, Ibirapuera, Sao Paulo 04012-180, SP – Brazil
| | - Ricardo Petraco
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
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Chamié D, Costa JR, Damiani LP, Siqueira D, Braga S, Costa R, Seligman H, Brito F, Barreto G, Staico R, Feres F, Petraco R, Abizaid A. Optical Coherence Tomography Versus Intravascular Ultrasound and Angiography to Guide Percutaneous Coronary Interventions: The iSIGHT Randomized Trial. Circ Cardiovasc Interv 2021; 14:e009452. [PMID: 33685212 DOI: 10.1161/circinterventions.120.009452] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Daniel Chamié
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - J Ribamar Costa
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Lucas P Damiani
- Research Institute, Hospital do Coração, Sao Paulo, Brazil (L.P.D.)
| | - Dimytri Siqueira
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Sérgio Braga
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Ricardo Costa
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Henry Seligman
- International Centre for Circulatory Health, Imperial College London, United Kingdom (H.S., R.P.)
| | - Freddy Brito
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Guilherme Barreto
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Rodolfo Staico
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Fausto Feres
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
| | - Ricardo Petraco
- International Centre for Circulatory Health, Imperial College London, United Kingdom (H.S., R.P.)
| | - Alexandre Abizaid
- Invasive Cardiology Department, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil (D.C., J.R.C., D.S., S.B., R.C., F.B., G.B., R.S., F.F., A.A.)
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Verheye S, Vrolix M, Montorfano M, Zivelonghi C, Giannini F, Bedogni F, Dubois C, De Bruyne B, Costa RA, Chamié D, de Ribamar Costa J, Kereiakes DJ, Abizaid AA, Colombo A. Twelve-month clinical and imaging outcomes of the uncaging coronary DynamX bioadaptor system. EUROINTERVENTION 2020; 16:e974-e981. [PMID: 32894231 DOI: 10.4244/eij-d-20-00763] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIMS We aimed to assess the safety and efficacy of the DynamX Novolimus-Eluting Coronary Bioadaptor System, a novel device that initially acts as a second-generation drug-eluting stent, but after six months frees the vessel through uncaging elements. METHODS AND RESULTS This multicentre study enrolled 50 patients with single de novo lesions. In-device acute lumen gain was 1.61±0.34 mm, and device and procedure success was 100%. Up to 12 months, two target lesion failures occurred: both were cardiac deaths (day 255 and day 267 post procedure). No definite or probable device thrombosis was observed. Mean late lumen loss was 0.12±0.18 mm in-device and 0.11±0.16 mm in-segment. Per intravascular ultrasound, the mean device area and mean vessel area increased significantly by 5% and 3%, respectively, while the mean lumen area was maintained. Stationary optical coherence tomography in seven patients demonstrated restoration of cyclic pulsatility, with an approximate lumen area variance of 11% between systole and diastole. CONCLUSIONS The DynamX bioadaptor showed drug-eluting stent-like acute performance and safety and efficacy up to one year. Positive remodelling with an increase of vessel and device area while maintaining the mean lumen area was demonstrated. Long-term follow-up and randomised trials are required to assess the benefit of this device on events beyond one year.
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Affiliation(s)
- Stefan Verheye
- Interventional Cardiology, ZNA Cardiovascular Center Middelheim, Antwerp, Belgium
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Chamié D, Oliveira F, Braga S, Costa JR, Siqueira DAAD, Staico R, Costa R, Maldonado G, Tanajura LFL, Centemero MP, Chaves ÁJ, Abizaid ACSL, Freitas RAP, Coelho NT, Ohe LN, Abboud C, Feres F. Adapted Catheterization Laboratory Practices during the COVID-19 Pandemic: The Instituto Dante Pazzanese de Cardiologia Protocol. Arq Bras Cardiol 2020; 115:558-568. [PMID: 33027381 PMCID: PMC9363089 DOI: 10.36660/abc.20200489] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Accepted: 06/24/2020] [Indexed: 01/12/2023] Open
Affiliation(s)
- Daniel Chamié
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
| | | | - Sérgio Braga
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
| | | | | | - Rodolfo Staico
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
| | - Ricardo Costa
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
| | - Galo Maldonado
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
| | | | | | | | | | | | | | | | - Cely Abboud
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
| | - Fausto Feres
- Instituto Dante Pazzanese de Cardiologia , São Paulo , SP - Brasil
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Abhyankar A, Abizaid A, Chamié D, Rathod M. Comparison of neointimal coverage between ultrathin biodegradable polymer-coated sirolimus-eluting stents and durable polymer-coated everolimus-eluting stents: 6 months optical coherence tomography follow-up from the TAXCO study. Catheter Cardiovasc Interv 2020; 97:423-430. [PMID: 32243050 PMCID: PMC7984091 DOI: 10.1002/ccd.28833] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 01/30/2020] [Accepted: 02/25/2020] [Indexed: 12/02/2022]
Abstract
Aim The TAXCO study was designed to compare the degree of neointimal coverage and the prevalence of malapposition at 6 months subsequent to implantation of ultrathin biodegradable polymer‐coated sirolimus‐eluting stents (SES) and durable polymer‐coated everolimus‐eluting stents (EES) of thin strut thickness using optical coherence tomography (OCT). Methods The TAXCO study included a total of 42 patients who gave consent and underwent OCT examination between August 2017 and September 2017. Of 42, five patients' OCT examinations were of insufficient quality for quantitative analysis. Thus, the OCT analysis group consisted of 37 patients. Among them, 16 patients were treated with Xience (Abbott Vascular) and 21 with Tetriflex (Sahajanand Medical Technologies Pvt. Ltd., Surat, India), 6 (±1) months earlier at our institution. The OCT was performed using a C7 Dragonfly™ imaging catheter (St. Jude Medical Inc.). All OCT images were analyzed at an independent core laboratory (Cardiovascular Research Center, São Paulo, Brazil) by analysts who were blinded to patient and procedural information. Results A total of 763 crosssections (6,882 struts) were analyzed in Xience group, and 1,127 crosssections (9,968 struts) in Tetriflex group. At 6 months, on per‐lesion basis, no significant differences were observed between Xience group and Tetriflex group in mean percentage of uncovered struts (1.87 ± 3.86 vs. 2.42 ± 3.46, p = .137) and malapposed struts (0.05 ± 0.2 vs. 0.21 ± 0.69, p = .302). Strut‐level neointimal thickness also did not differ between Xience group and Tetriflex group (0.18 ± 0.12 vs. 0.14 ± 0.08 mm, p = .286). Conclusion This OCT study found no significant difference in strut coverage and neointimal thickness at 6 months after implantation of biodegradable polymer‐coated Tetriflex, when compared with durable polymer‐coated Xience.
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Affiliation(s)
- Atul Abhyankar
- Department of Cardiology, Shree B.D. Mehta Mahavir Heart InstituteSuratGujaratIndia
| | - Alexandre Abizaid
- Interventional Cardiology Department, University of São PauloSão PauloBrazil
| | - Daniel Chamié
- Invasive Cardiology Department, Dante Pazzanese Institute of CardiologySão PauloBrazil
| | - Mihir Rathod
- Department of Cardiology, Shree B.D. Mehta Mahavir Heart InstituteSuratGujaratIndia
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Chamié D, Abizaid A. Invasive Physiological Assessment: From Binary to Continuous. Arq Bras Cardiol 2020; 114:265-267. [PMID: 32215495 PMCID: PMC7077562 DOI: 10.36660/abc.20200054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Daniel Chamié
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiololgia, São Paulo, SP - Brazil
- Invasive Cardiology Department, Hospital do Coração, São Paulo, SP - Brazil
| | - Alexandre Abizaid
- Invasive Cardiology Department, Instituto Dante Pazzanese de Cardiololgia, São Paulo, SP - Brazil
- Invasive Cardiology Department, Hospital do Coração, São Paulo, SP - Brazil
- Invasive Cardiology Department, Hospital Sírio Libanês, São Paulo, SP - Brazil
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Verheye S, Costa RA, Schofer J, Ormiston JA, Maeng M, Dudek D, Skurk C, Botelho RV, Costa JR, Chamié D, Abizaid AS, Boersma E, Abizaid AA. Five-year safety and performance data of a novel third-generation novolimus-eluting bioresorbable scaffold in single de novo lesions. EUROINTERVENTION 2019; 15:685-687. [PMID: 30530403 DOI: 10.4244/eij-d-18-00292] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Ybarra LF, Szarf G, Ishikawa W, Chamié D, Caixeta A, Puri R, Perin MA. Diagnostic Accuracy of 320-Row Computed Tomography for Characterizing Coronary Atherosclerotic Plaques: Comparison with Intravascular Optical Coherence Tomography. Cardiovasc Revasc Med 2019; 21:640-646. [PMID: 31501019 DOI: 10.1016/j.carrev.2019.08.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 07/22/2019] [Accepted: 08/12/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND/PURPOSE This study sought to determine the diagnostic accuracy of 320-row computed tomography (320CT) for characterizing coronary atherosclerotic plaques in comparison with optical coherence tomography (OCT). METHODS/MATERIALS From 32 patients, 42 coronary segments were evaluated and co-registered by both 320CT and OCT. 320CT vulnerable plaque characteristics included low attenuation plaque (LAP) (<30HU), napkin-ring sign (NRS), positive remodeling (PR) and spotty calcification (SC). The presence of macrophage, neovascularization and cholesterol crystals was also determined by OCT. RESULTS Minimal lumen area was 2.78 ± 1.23 mm by OCT and 3.29 ± 1.49 mm by 320CT (p < 0.001). Noncalcified plaques were classified accordingly by both methods in 88.2% of the cases (p = 0.005). There was no association between any 320CT plaque type and OCT fibroatheroma (p = 0.62). The combination of 2 or more of the 320CT vulnerable plaque characteristics was associated with the presence of macrophage (74.2 vs. 25.8%; p = 0.034) and cholesterol crystals (85.7 vs. 14.3%; p = 0.04), but not with neovascularization (p = 0.65). The presence of all four characteristics demonstrated an accuracy of 75.1% for detecting OCT fibroatheroma. CONCLUSIONS 320CT is useful for non-invasive evaluation of calcified and noncalcified tissue characteristics of coronary atheroma. The combination of all four 320CT vulnerable plaque characteristics provided the highest accuracy for detecting fibroatheromas. SUMMARY 320CT is useful for non-invasive evaluation of calcified and noncalcified tissue characteristics of coronary atheroma. The combination of all 320CT vulnerable plaque characteristics (low attenuation plaque (<30HU), napkin-ring sign, positive remodeling and spotty calcification) provided the highest accuracy for detecting fibroatheromas compared to optical coherence tomography.
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Affiliation(s)
- Luiz F Ybarra
- London Health Science Centre, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
| | - Gilberto Szarf
- Department of Interventional Cardiology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| | - Walther Ishikawa
- Department of Interventional Cardiology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| | - Daniel Chamié
- Department of Interventional Cardiology, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil; Cardiovascular Research Center, São Paulo, SP, Brazil
| | - Adriano Caixeta
- Department of Interventional Cardiology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
| | - Rishi Puri
- Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Marco A Perin
- Department of Interventional Cardiology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
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Abhyankar A, Abizaid LC, Chamié D, Rathod M. Comparison of neointimal coverage between ultrathin biodegradable polymer-coated sirolimus-eluting stents and durable polymer-coated everolimus-eluting stents: 6 months optical coherence tomography follow-up from the TAXCO study. Indian Heart J 2018. [DOI: 10.1016/j.ihj.2018.10.183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Chevalier B, Smits PC, Carrié D, Mehilli J, Van Boven AJ, Regar E, Sawaya FJ, Chamié D, Kraaijeveld AO, Hovasse T, Vlachojannis GJ. Serial Assessment of Strut Coverage of Biodegradable Polymer Drug-Eluting Stent at 1, 2, and 3 Months After Stent Implantation by Optical Frequency Domain Imaging: The DISCOVERY 1TO3 Study (Evaluation With OFDI of Strut Coverage of Terumo New Drug Eluting Stent With Biodegradable Polymer at 1, 2, and 3 Months). Circ Cardiovasc Interv 2018; 10:CIRCINTERVENTIONS.116.004801. [PMID: 29246909 DOI: 10.1161/circinterventions.116.004801] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Accepted: 10/24/2017] [Indexed: 11/16/2022]
Abstract
BACKGROUND To assess the vessel-healing pattern of Ultimaster drug-eluting stent using optical frequency domain imaging. Our hypothesis is that biodegradable polymer-based drug-eluting technology allows complete very early strut coverage. METHODS AND RESULTS The DISCOVERY 1TO3 study (Evaluation With OFDI of Strut Coverage of Terumo New Drug Eluting Stent With Biodegradable Polymer at 1, 2, and 3 Months) is a prospective, single-arm, multicenter study. A total of 60 patients with multivessel disease requiring staged procedure at 1 month were treated with Ultimaster. Optical frequency domain imaging was acquired at baseline, 1, 2, and 3 months. The primary end point is optical frequency domain imaging-assessed strut coverage at 3 months. Mean age of patients was 67.2±9.9 years, and 73.3% were male, and 36.7% presented with acute coronary syndrome. A total of 132 lesions were treated, with average 1.4 lesions per patient treated at baseline and 1.1 lesions treated at 1 month. Strut coverage at 3 months of single implanted stents (n=71, primary end point) was 95.2±5.2% and of combined single and overlapped stents was 95.4±4.9%. Strut coverage of combined single and overlapped stents at 1 (n=49) and 2 months (n=38) was 85.1±12.7% and 87.9±10.8%, respectively. The median neointimal hyperplasia thickness was 0.04, 0.05, and 0.06 mm, whereas mean neointimal hyperplasia obstruction was 4.5±2.4%, 5.2±3.4%, and 6.6±3.3% at 1, 2, and 3 months, respectively. CONCLUSIONS Nearly complete strut coverage was observed in this complex population very early after implantation of Ultimaster drug-eluting stent. CLINICAL TRIAL REGISTRATION URL: https://www.clinicaltrials.gov. Unique identifier: NCT01844843.
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Affiliation(s)
- Bernard Chevalier
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.).
| | - Pieter C Smits
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Didier Carrié
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Julinda Mehilli
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Ad J Van Boven
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Evelyn Regar
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Fadi J Sawaya
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Daniel Chamié
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Adriaan O Kraaijeveld
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Thomas Hovasse
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
| | - Georgios J Vlachojannis
- From the Ramsay Générale de Santé, Interventional Cardiology Department, Institut Cardiovasculaire Paris Sud, Massy, France (B.C., F.J.S., T.H.); Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands (P.C.S., A.O.K., G.J.V.); Department of Cardiology, CHU Rangueil, Toulouse, France (D.C.); Department of Cardiology, Munich University Clinic, LMU Munich and Munich Heart Alliance, DZHK, Germany (J.M.); Department of Cardiology, Medisch Centrum Leeuwarden, the Netherlands (A.J.V.B.); The Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands (E.R.); and Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, Cardiovascular Research Center, Sao Paulo, Brazil (D.C.)
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Ali ZA, Karimi Galougahi K, Shlofmitz R, Maehara A, Mintz GS, Abizaid A, Chamié D, Hill J, Serruys PW, Onuma Y, Stone GW. Imaging-guided pre-dilatation, stenting, post-dilatation: a protocolized approach highlighting the importance of intravascular imaging for implantation of bioresorbable scaffolds. Expert Rev Cardiovasc Ther 2018; 16:431-440. [DOI: 10.1080/14779072.2018.1473034] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Ziad A. Ali
- Clinical Trials Center, Cardiovascular Research Foundation, New York, NY, USA
- Department of Cardiology, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA
| | - Keyvan Karimi Galougahi
- Department of Cardiology, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA
| | | | - Akiko Maehara
- Clinical Trials Center, Cardiovascular Research Foundation, New York, NY, USA
- Department of Cardiology, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA
| | - Gary S. Mintz
- Clinical Trials Center, Cardiovascular Research Foundation, New York, NY, USA
| | - Alexandre Abizaid
- Department of Cardiology, Instituto Dante Pazzanese of Cardiology, São Paulo, Brazil
| | - Daniel Chamié
- Department of Cardiology, Instituto Dante Pazzanese of Cardiology, São Paulo, Brazil
- Department of Cardiology, Cardiovascular Research Center, São Paulo, Brazil
| | - Jonathan Hill
- Department of Cardiology, King’s College, London, UK
| | | | - Yoshinobu Onuma
- Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Gregg W. Stone
- Clinical Trials Center, Cardiovascular Research Foundation, New York, NY, USA
- Department of Cardiology, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA
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Zukowski C, Maia F, Oliveira M, Mattos LA, Pontes A, Costa RA, Chamié D. Suboptimal Bifurcation Stenting: A Case When the Check Comes Late. JACC Cardiovasc Interv 2018; 11:e37-e40. [PMID: 29454725 DOI: 10.1016/j.jcin.2017.11.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Revised: 11/13/2017] [Accepted: 11/21/2017] [Indexed: 10/18/2022]
Affiliation(s)
| | | | | | | | | | - Ricardo A Costa
- Department of Interventional Cardiology, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil; Cardiovascular Research Center, São Paulo, Brazil
| | - Daniel Chamié
- Department of Interventional Cardiology, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil; Cardiovascular Research Center, São Paulo, Brazil.
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Nunes MBG, Filho AC, Alvares VRC, Meneguz-Moreno R, Lamas E, Loures V, Chamié D, Abizaid A. CKD-EPI versus Cockcroft-Gault formula for predicting contrast-induced nephropathy following percutaneous coronary intervention in patients without significant renal impairment. Rev Port Cardiol 2018; 37:25-33. [PMID: 29352692 DOI: 10.1016/j.repc.2017.05.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2016] [Revised: 03/26/2017] [Accepted: 05/05/2017] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Individuals with glomerular filtration rate (GFR) ≥60 ml/min/1.73 m2 estimated by the Cockcroft-Gault formula (CG) who undergo percutaneous coronary intervention (PCI) frequently develop contrast-induced nephropathy (CIN). This study aimed to assess whether individuals with significant renal impairment assessed by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula, but not by CG, more often develop CIN following PCI than those without renal impairment by either formula. METHODS In this cross-sectional study analyzing patients with baseline CG GFR ≥60 ml/min/1.73 m2 before PCI, subjects were divided into two groups according to CIN occurrence. Baseline CKD-EPI GFR was calculated for all patients. RESULTS We analyzed 140 patients. Baseline GFR was 87.5±21.3 and 77.1±15.0 ml/min/1.73 m2 for CG and CKD-EPI, respectively. CIN occurred in 84.6% of individuals with baseline CKD-EPI GFR <60 ml/min/1.73 m2 vs. 51.1% of those without. Males and those with higher body mass index were more likely to present baseline CKD-EPI GFR <60 ml/min/1.73 m2 (p=0.021). Non-ionic contrast agent use and baseline CKD-EPI GFR ≥60 ml/min/1.73 m2 were protective factors against CIN. Greater amounts of contrast agent and acute coronary syndrome were associated with higher CIN risk. In subjects with serum creatinine <1.0 mg/dl, GFR was more likely to be overestimated by CG, but not by CKD-EPI (sensitivity 100.0%; specificity 52.0%). CONCLUSION In patients undergoing PCI without renal dysfunction by CG, a finding of CKD-EPI GFR <60 ml/ min/1.73 m2 was associated with a higher probability of CIN, especially among men and those with higher body mass index.
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Affiliation(s)
- Mário B G Nunes
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil; Sessão de Cardiologia Intervencionista, Fundação Estadual Hospital de Clínicas Gaspar Vianna, Belém, Brasil.
| | - Antônio C Filho
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
| | - Valéria R C Alvares
- Departamento de Nefrologia, Faculdade de Medicina do Hospital das Clínicas de São Paulo, Hospital das Clínicas de São Paulo, São Paulo, Brasil
| | - Rafael Meneguz-Moreno
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
| | - Edgar Lamas
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
| | - Vitor Loures
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
| | - Daniel Chamié
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
| | - Alexandre Abizaid
- Sessão de Cardiologia Intervencionista, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
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Nunes MB, Filho AC, Alvares VR, Meneguz-Moreno R, Lamas E, Loures V, Chamié D, Abizaid A. CKD-EPI versus Cockcroft-Gault formula for predicting contrast-induced nephropathy following percutaneous coronary intervention in patients without significant renal impairment. Revista Portuguesa de Cardiologia (English Edition) 2018. [DOI: 10.1016/j.repce.2017.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Feres F, Costa RA, Siqueira D, Costa JR, Chamié D, Staico R, Chaves ÁJ, Abizaid A, Marin-Neto JA, Rassi A, Botelho R, Alves CMR, Saad JA, Mangione JA, Lemos PA, Quadros AS, Queiroga MAC, Cantarelli MJC, Figueira HR. DIRETRIZ DA SOCIEDADE BRASILEIRA DE CARDIOLOGIA E DA SOCIEDADE BRASILEIRA DE HEMODINÂMICA E CARDIOLOGIA INTERVENCIONISTA SOBRE INTERVENÇÃO CORONÁRIA PERCUTÂNEA. Arq Bras Cardiol 2017; 109:1-81. [PMID: 28792984 DOI: 10.5935/abc.20170111] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Fausto Feres
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - Ricardo A Costa
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - Dimytri Siqueira
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - J Ribamar Costa
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - Daniel Chamié
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - Rodolfo Staico
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - Áurea J Chaves
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | | | - José Antônio Marin-Neto
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Ribeirão Preto, SP - Brasil
| | - Anis Rassi
- Hospital do Coração Anis Rassi, Goiânia, GO - Brasil
| | | | | | | | - José A Mangione
- Real e Benemérita Sociedade Portuguesa de Beneficência, São Paulo, SP - Brasil
| | - Pedro A Lemos
- Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil
| | - Alexandre S Quadros
- Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Porto Alegre, RS - Brasil
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de Castro-Filho A, Lamas ES, Meneguz-Moreno RA, Staico R, Siqueira D, Costa RA, Braga SN, Costa JR, Chamié D, Abizaid A. Impact of the Occlusion Duration on the Performance of J-CTO Score in Predicting Failure of Percutaneous Coronary Intervention for Chronic Total Occlusion. J Invasive Cardiol 2017; 29:195-201. [PMID: 28570234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVES The present study examined the association between Multicenter CTO Registry in Japan (J-CTO) score in predicting failure of percutaneous coronary intervention (PCI) correlating with the estimated duration of chronic total occlusion (CTO). BACKGROUND The J-CTO score does not incorporate estimated duration of the occlusion. METHODS This was an observational retrospective study that involved all consecutive procedures performed at a single tertiary-care cardiology center between January 2009 and December 2014. RESULTS A total of 174 patients, median age 59.5 years (interquartile range [IQR], 53-65 years), undergoing CTO-PCI were included. The median estimated occlusion duration was 7.5 months (IQR, 4.0-12.0 months). The lesions were classified as easy (score = 0), intermediate (score = 1), difficult (score = 2), and very difficult (score ≥3) in 51.1%, 33.9%, 9.2%, and 5.7% of the patients, respectively. Failure rate significantly increased with higher J-CTO score (7.9%, 20.3%, 50.0%, and 70.0% in groups with J-CTO scores of 0, 1, 2, and ≥3, respectively; P<.001). There was no significant difference in success rate according to estimated duration of occlusion (P=.63). Indeed, J-CTO score predicted failure of CTO-PCI independently of the estimated occlusion duration (P=.24). Areas under receiver-operating characteristic curves were computed and it was observed that for each occlusion time period, the discriminatory capacity of the J-CTO score in predicting CTO-PCI failure was good, with a C-statistic >0.70. CONCLUSION The estimated duration of occlusion had no influence on the J-CTO score performance in predicting failure of PCI in CTO lesions. The probability of failure was mainly determined by grade of lesion complexity.
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Affiliation(s)
- Antonio de Castro-Filho
- Instituto Dante Pazzanese de Cardiologia, Dante Pazzanese Av., n. 500, 04012-909, Sao Paulo, Brazil.
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Tenekecioglu E, Serruys PW, Onuma Y, Costa R, Chamié D, Sotomi Y, Yu TB, Abizaid A, Liew HB, Santoso T. Randomized Comparison of Absorb Bioresorbable Vascular Scaffold and Mirage Microfiber Sirolimus-Eluting Scaffold Using Multimodality Imaging. JACC Cardiovasc Interv 2017; 10:1115-1130. [PMID: 28527768 DOI: 10.1016/j.jcin.2017.03.015] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 02/10/2017] [Accepted: 03/09/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The primary objective of this study was to evaluate the safety and effectiveness of the Mirage (Manli Cardiology, Singapore) bioresorbable microfiber sirolimus-eluting scaffold compared with the Absorb (Abbott Vascular, Santa Clara, California) bioresorbable vascular scaffold in the treatment of stenotic target lesions located in native coronary arteries, ranging from ≥2.25 to ≤4.0 mm in diameter. Secondary objectives were to establish the medium-term safety, effectiveness, and performance of the Mirage device. BACKGROUND The current generation of bioresorbable scaffolds has several limitations, such as thick square struts with large footprints that preclude their deep embedment into the vessel wall, resulting in protrusion into the lumen with microdisturbance of flow. The Mirage sirolimus-eluting bioresorbable microfiber scaffold is designed to address these concerns. METHODS In this prospective, single-blind trial, 60 patients were randomly allocated in a 1:1 ratio to treatment with a Mirage sirolimus-eluting bioresorbable microfiber scaffold or an Absorb bioresorbable vascular scaffold. The clinical endpoints were assessed at 30 days and at 6 and 12 months. In-device angiographic late loss at 12 months was quantified. Secondary optical coherence tomographic endpoints were assessed post-scaffold implantation at 6 and 12 months. RESULTS Median angiographic post-procedural in-scaffold minimal luminal diameters of the Mirage and Absorb devices were 2.38 mm (interquartile range [IQR]: 2.06 to 2.62 mm) and 2.55 mm (IQR: 2.26 to 2.71 mm), respectively; the effect size (d) was -0.29. At 12 months, median angiographic in-scaffold minimal luminal diameters of the Mirage and Absorb devices were not statistically different (1.90 mm [IQR: 1.57 to 2.31 mm] vs. 2.29 mm [IQR: 1.74 to 2.51 mm], d = -0.36). At 12-month follow-up, median in-scaffold late luminal loss with the Mirage and Absorb devices was 0.37 mm (IQR: 0.08 to 0.72 mm) and 0.23 mm (IQR: 0.15 to 0.37 mm), respectively (d = 0.20). On optical coherence tomography, post-procedural diameter stenosis with the Mirage was 11.2 ± 7.1%, which increased to 27.4 ± 12.4% at 6 months and remained stable (31.8 ± 12.9%) at 1 year, whereas the post-procedural optical coherence tomographic diameter stenosis with the Absorb was 8.4 ± 6.6%, which increased to 16.6 ± 8.9% and remained stable (21.2 ± 9.9%) at 1-year follow-up (Mirage vs. Absorb: dpost-procedure = 0.41, d6 months = 1.00, d12 months = 0.92). Angiographic median in-scaffold diameter stenosis was significantly different between study groups at 12 months (28.6% [IQR: 21.0% to 40.7%] for the Mirage, 18.2% [IQR: 13.1% to 31.6%] for the Absorb, d = 0.39). Device- and patient-oriented composite endpoints were comparable between the 2 study groups. CONCLUSIONS At 12 months, angiographic in-scaffold late loss was not statistically different between the Mirage and Absorb devices, although diameter stenosis on angiography and on optical coherence tomography was significantly higher with the Mirage than with the Absorb. The technique of implantation was suboptimal for both devices, and future trials should incorporate optical coherence tomographic guidance to allow optimal implantation and appropriate assessment of the new technology, considering the novel mechanical properties of the Mirage.
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Affiliation(s)
- Erhan Tenekecioglu
- Department of Interventional Cardiology, Erasmus University Medical Center, Thoraxcenter, Rotterdam, the Netherlands
| | - Patrick W Serruys
- Department of Interventional Cardiology, Erasmus University Medical Center, Thoraxcenter, Rotterdam, the Netherlands; Department of Cardiology, Imperial College, London, United Kingdom.
| | - Yoshinobu Onuma
- Department of Interventional Cardiology, Erasmus University Medical Center, Thoraxcenter, Rotterdam, the Netherlands
| | - Ricardo Costa
- Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, São Paulo, Brazil
| | - Daniel Chamié
- Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, São Paulo, Brazil
| | - Yohei Sotomi
- Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Alexander Abizaid
- Department of Invasive Cardiology, Institute Dante Pazzanese of Cardiology, São Paulo, Brazil
| | - Houng-Bang Liew
- Department of Cardiology, Queen Elizabeth Hospital II, Sabah, Malaysia
| | - Teguh Santoso
- Department of Internal Medicine, Faculty of Medicine, Dr. Cipto Mangunkusumo and Medistra Hospitals, University of Indonesia, Jakarta, Indonesia
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Collet C, Corral J, Cavalcante R, Tateishi H, Belzarez O, Ribamar Costa J, Costa R, Chamié D, Onuma Y, de Winter R, Abizaid A, Serruys P. Pressure-mediated versus pharmacologic treatment of radial artery spasm during cardiac catheterisation: a randomised pilot study. EUROINTERVENTION 2017; 12:e2212-e2218. [DOI: 10.4244/eij-d-16-00868] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Chamié D, Garcia-Garcia H, Costa RA, Onuma Y, Abizaid A, Serruys PW. Role of invasive imaging in acute and long-term assessment of bioresorbable scaffold technology. Catheter Cardiovasc Interv 2016; 88:38-53. [PMID: 27797463 DOI: 10.1002/ccd.26815] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Accepted: 10/01/2016] [Indexed: 11/11/2022]
Abstract
Fully bioresorbable scaffolds (BRS) represent a novel approach for the percutaneous treatment of coronary artery stenosis, providing temporary vessel scaffolding with drug-eluting capability during the restenosis-prone phase of the vascular healing. Beyond this initial critical period, when mechanical scaffolding support is no longer necessary, the device is bioresorbed, restoring the normal vascular physiology with the aim to eliminate the long-term safety concerns related to permanent metallic implants. Nonetheless, current BRS technology suffers from limited mechanical properties as compared to available metallic platforms, requiring careful attention to lesion preparation, accurate vessel sizing, and implantation technique. Intravascular imaging has played an important role in providing knowledge on the acute effects after BRS deployment, and it helped refine the current technique of BRS implantation. In addition, extensive work with multiple intravascular imaging modalities have also contributed to the understanding of the unique dynamic vascular changes that are experienced in the treated segment from post-implantation up to complete device bioresorption. In this manuscript, we review the role of invasive imaging modalities-from angiography to sound- and light-based techniques-to guide BRS implantation procedures, to assess its acute results postimplantation, and the changes experienced in the long-term until complete bioresorption has ensued. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Daniel Chamié
- Department of Interventional Cardiology, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil. .,Cardiovascular Research Center, Sao Paulo, Brazil.
| | - Hector Garcia-Garcia
- Department of Interventional Cardiology, MedStar Heart and Vascular Institute, Washington, DC
| | - Ricardo A Costa
- Department of Interventional Cardiology, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil.,Cardiovascular Research Center, Sao Paulo, Brazil
| | - Yoshinobu Onuma
- Department of Interventional Cardiology, Erasmus University Medical Center, Thoraxcenter, Rotterdam, The Netherlands.,Cardialysis BV, Rotterdam, The Netherlands
| | - Alexandre Abizaid
- Department of Interventional Cardiology, Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil.,Cardiovascular Research Center, Sao Paulo, Brazil.,Hospital Israelita Albert Einstein, Sao Paulo, Brazil
| | - Patrick W Serruys
- NHLI, Imperial College London, International Centre for Circulatory Health, London, United Kingdom
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Abizaid A, Costa RA, Schofer J, Ormiston J, Maeng M, Witzenbichler B, Botelho RV, Costa JR, Chamié D, Abizaid AS, Castro JP, Morrison L, Toyloy S, Bhat V, Yan J, Verheye S. Serial Multimodality Imaging and 2-Year Clinical Outcomes of the Novel DESolve Novolimus-Eluting Bioresorbable Coronary Scaffold System for the Treatment of Single De Novo Coronary Lesions. JACC Cardiovasc Interv 2016; 9:565-74. [DOI: 10.1016/j.jcin.2015.12.004] [Citation(s) in RCA: 65] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Revised: 11/23/2015] [Accepted: 12/01/2015] [Indexed: 10/22/2022]
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Scheller B, Chamié D, Mangner N, Hoffmann S, Bonaventura K, Clever YP, Fontaine T, Costa JD, Gershony G, Kelsch B, Kutschera M, Genereux P, Cremers B, Speck U, Abizaid A. TCT-414 A Novel Drug-Coated Scoring Balloon for the Treatment of Coronary In-Stent Restenosis: Two Years Follow-up Results from the PATENT-C First in Human Trial. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Verheye S, Schofer J, Maeng M, Witzenbichler B, Botelho R, Ormiston JA, Costa RA, Costa JD, Chamié D, Castro JP, Abizaid A, John Y, Bbhat V, Morrison L, Toyloy S, Abizaid A. TCT-17 Prospective, Multi-Center Evaluation of the DESolve Novolimus-Eluting Bioresorbable Coronary Scaffold: Imaging Outcomes and 3-Year Clinical and Imaging Results. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Costa RA, Liew HB, Abizaid A, de Ribamar Costa J, Chamié D, Abizaid A, Castro JP, Serruys PW, Santoso T. TCT-546 6-Month Angiographic Results of the Novel MIRAGE Microfiber Sirolimus-Eluting Bioresorbable Vascular Scaffold - A Quantitative Coronary Angiography Analysis from the Prospective, Randomized MIRAGE Clinical Trial. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.563] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Silva DT, Costa JD, de Castro Filho A, Jatene T, Filho EM, Rodas PQ, Santos EM, Costa RA, Siqueira DA, Maldonado G, Chamié D, Abizaid A, Sousa A, Sousa JE. TCT-640 MGuard TM Stent Reduces Early Adverse Events In Saphenous Vein Graft Percutaneous Coronary Intervention. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Filho EM, Chamié D, Silva DT, Jatene T, Costa JD, Siqueira DA, Costa RA, Abizaid A, Abizaid A, Sousa A, Sousa JE. TCT-389 Reproducibility of Intracoronary Frequency-Domain Optical Coherence Tomography Quantitative Analysis Using Two Different Software Packages. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Costa JR, Oliveira BA, Abizaid A, Costa R, Perin M, Abizaid A, Chamié D, Fernando Tanajura L, Sousa A, Sousa JEM. Clinical, angiographic, and intravascular ultrasound results of the VestSaync II trial. Catheter Cardiovasc Interv 2014; 84:1073-9. [DOI: 10.1002/ccd.24909] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Revised: 02/11/2013] [Accepted: 02/26/2013] [Indexed: 11/10/2022]
Affiliation(s)
- J. Ribamar Costa
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - Breno A. Oliveira
- Department of Invasive Cardiology; Hospital Santa Marcelina; São Paulo Brasil
| | - Alexandre Abizaid
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - Ricardo Costa
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - Marco Perin
- Department of Invasive Cardiology; Hospital Santa Marcelina; São Paulo Brasil
| | - Andréa Abizaid
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - Daniel Chamié
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - Luiz Fernando Tanajura
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - Amanda Sousa
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
| | - J. Eduardo M.R. Sousa
- Department of Invasive Cardiology; Instituto Dante Pazzanese de Cardiologia; São Paulo Brasil
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Nascimento BR, de Sousa MR, Demarqui FN, Chamié D, Marcolino MS, Biondi-Zoccai G, Boersma E, Ribeiro ALP, Costa MA. Factors associated with progression of coronary artery disease measured by intravascular ultrasound: systematic review and meta-analysis. Int J Cardiol 2014; 174:816-8. [PMID: 24801090 DOI: 10.1016/j.ijcard.2014.04.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 04/12/2014] [Indexed: 02/05/2023]
Affiliation(s)
- Bruno R Nascimento
- Serviço de Cardiologia e Cirurgia Cardiovascular do Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Departamento de Clínica Médica da Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Programa de Pós-graduação em Ciências Aplicadas à Saúde do Adulto, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Marcos Roberto de Sousa
- Serviço de Cardiologia e Cirurgia Cardiovascular do Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Programa de Pós-graduação em Ciências Aplicadas à Saúde do Adulto, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Fábio N Demarqui
- Instituto de Ciências Exatas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Daniel Chamié
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center, and Case Western Reserve University, Cleveland, USA
| | - Milena S Marcolino
- Serviço de Cardiologia e Cirurgia Cardiovascular do Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Departamento de Clínica Médica da Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Giuseppe Biondi-Zoccai
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Italy
| | - Eric Boersma
- Erasmus University Medical Centre, Thoraxcenter, Rotterdam, the Netherlands
| | - Antônio L P Ribeiro
- Serviço de Cardiologia e Cirurgia Cardiovascular do Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Departamento de Clínica Médica da Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Programa de Pós-graduação em Ciências Aplicadas à Saúde do Adulto, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Marco A Costa
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center, and Case Western Reserve University, Cleveland, USA.
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Souza RA, Costa RA, Verheye S, Schofer J, Costa JD, Chamié D, Abizaid A, John Y, Bbhat V, Morrison L, Toyloy S, Abizaid A. TCT-419 Side branch patency after implantation of the novel DESolve bioresorbable vascular scaffold system in the treatment of de novo coronary lesions. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Costa JD, Schofer J, Verheye S, Toyloy S, Chamié D, Bbhat V, Costa RA, Witzenbichler B, Morrison L, Yan J, Sousa A, Sousa JE, Abizaid A. TCT-596 Early Vascular Restoration following treatment of single de-novo coronary artery lesions with the DESolve Nx Novolimus Eluting Bioresorbable Coronary Scaffold System (NEBCSS) at 6 months: Insights from the Serial IVUS analysis of the pivotal, prospective, multicentre, DESolve NX Trial. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Mehanna E, Bezerra HG, Prabhu D, Brandt E, Chamié D, Yamamoto H, Attizzani GF, Tahara S, Van Ditzhuijzen N, Fujino Y, Kanaya T, Stefano G, Wang W, Gargesha M, Wilson D, Costa MA. Volumetric characterization of human coronary calcification by frequency-domain optical coherence tomography. Circ J 2013; 77:2334-2340. [PMID: 23782524 PMCID: PMC4422196 DOI: 10.1253/circj.cj-12-1458] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/24/2023]
Abstract
BACKGROUND Coronary artery calcification (CAC) presents unique challenges for percutaneous coronary intervention. Calcium appears as a signal-poor region with well-defined borders by frequency-domain optical coherence tomography (FD-OCT). The objective of this study was to demonstrate the accuracy of intravascular FD-OCT to determine the distribution of CAC. METHODS AND RESULTS Cadaveric coronary arteries were imaged using FD-OCT at 100-μm frame interval. Arteries were subsequently frozen, sectioned and imaged at 20-μm intervals using the Case Cryo-Imaging automated system(TM). Full volumetric co-registration between FD-OCT and cryo-imaging was performed. Calcium area, calcium-lumen distance (depth) and calcium angle were traced on every cross-section; volumetric quantification was performed offline. In total, 30 left anterior descending arteries were imaged: 13 vessels had a total of 55 plaques with calcification by cryo-imaging; FD-OCT identified 47 (85%) of these plaques. A total of 1,285 cryo-images were analyzed and compared with corresponding co-registered 257 FD-OCT images. Calcium distribution, represented by the mean depth and the mean calcium angle, was similar, with excellent correlation between FD-OCT and cryo-imaging respectively (mean depth: 0.25±0.09 vs. 0.26±0.12mm, P=0.742; R=0.90), (mean angle: 35.33±21.86° vs. 39.68±26.61°, P=0.207; R=0.90). Calcium volume was underestimated in large calcifications (3.11±2.14 vs. 4.58±3.39mm(3), P=0.001) in OCT vs. cryo respectively. CONCLUSIONS Intravascular FD-OCT can accurately characterize CAC distribution. OCT can quantify absolute calcium volume, but may underestimate calcium burden in large plaques with poorly defined abluminal borders.
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Affiliation(s)
- Emile Mehanna
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Hiram G. Bezerra
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - David Prabhu
- Department of Biomedical Engineering Case Western Reserve University 10900 Euclid Avenue Cleveland, OH, 44106
| | - Eric Brandt
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Daniel Chamié
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Hirosada Yamamoto
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Guilherme F. Attizzani
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Satoko Tahara
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Nienke Van Ditzhuijzen
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Yusuke Fujino
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Tomoaki Kanaya
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Gregory Stefano
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Wei Wang
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
| | - Madhusudhana Gargesha
- Department of Biomedical Engineering Case Western Reserve University 10900 Euclid Avenue Cleveland, OH, 44106
| | - David Wilson
- Department of Biomedical Engineering Case Western Reserve University 10900 Euclid Avenue Cleveland, OH, 44106
| | - Marco A. Costa
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center Case Western Reserve University 11100 Euclid Avenue Cleveland, OH 44106
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Fujino Y, Bezerra HG, Attizzani GF, Wang W, Yamamoto H, Chamié D, Kanaya T, Mehanna E, Tahara S, Nakamura S, Costa MA. Frequency-domain optical coherence tomography assessment of unprotected left main coronary artery disease-a comparison with intravascular ultrasound. Catheter Cardiovasc Interv 2013; 82:E173-83. [DOI: 10.1002/ccd.24843] [Citation(s) in RCA: 62] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2012] [Revised: 11/14/2012] [Accepted: 01/21/2013] [Indexed: 11/12/2022]
Affiliation(s)
| | - Hiram G. Bezerra
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Guilherme F. Attizzani
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Wei Wang
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Hirosada Yamamoto
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Daniel Chamié
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Tomoaki Kanaya
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Emile Mehanna
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
| | - Satoko Tahara
- Department of Cardiology; New Tokyo Hospital; Chiba; Japan
| | - Sunao Nakamura
- Department of Cardiology; New Tokyo Hospital; Chiba; Japan
| | - Marco A. Costa
- Harrington Heart and Vascular Institute; University Hospitals Case Medical Center; Case Western Reserve University; Cleveland; Ohio
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Staico R, Costa MA, Chamié D, Bezerra H, Armaganijan LV, Costa RA, Costa JR, Siqueira D, Centemero M, Chaves Á, Tanajura LF, Abizaid A, Feres F, Sousa JEMR, Sousa AGMR. Very long-term follow-up of strut apposition and tissue coverage with Biolimus A9 stents analyzed by optical coherence tomography. Int J Cardiovasc Imaging 2013; 29:977-88. [DOI: 10.1007/s10554-013-0188-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Accepted: 01/25/2013] [Indexed: 11/24/2022]
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Ribamar Costa J, Abizaid A, Sousa A, Siqueira D, Chamié D, Feres F, Costa R, Staico R, Maldonado G, Centemero M, Tanajura LF, Viana R, Chaves Á, Abizaid A, Sousa JE. Serial greyscale and radiofrequency intravascular ultrasound assessment of plaque modification and vessel geometry at proximal and distal edges of bare metal and first-generation drug-eluting stents. EUROINTERVENTION 2012; 8:225-34. [PMID: 22717925 DOI: 10.4244/eijv8i2a36] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Little is known about the correlation between modifications in plaque composition at stent edges and the changes in vessel geometry. This study sought to evaluate, by serial greyscale intravascular ultrasound (IVUS) and Virtual Histology intravascular ultrasound (VH-IVUS), the modifications in plaque composition at the edges of drug-eluting and bare metal stents and the correlation of these findings with changes in the measurements of vessel, lumen and plaque area at those segments. METHODS AND RESULTS Single-centre, prospective and randomised (1:1) evaluation of 40 patients with acute coronary syndrome treated with bare metal (Driver; Medtronic, Santa Clara, CA, USA; n=20 patients) or drug-eluting stents (Cypher; Cordis, Miami Lakes, FL, USA; n=20 patients). IVUS and VH-IVUS assessments were done post-procedure and at nine months. Primary endpoint included the modification in vessel, lumen and plaque area and in the composition of the plaque in the mean time between the baseline and follow-up procedure. At the proximal edge of the vessel treated with the Cypher stent, a trend toward positive vessel remodelling (D=+0.6 mm², p=0.06) was observed while at the distal edge, less plaque growth (D=+0.2 mm² vs. D=+1.1 mm², p<0.001), resulted in a larger lumen area at follow-up. By VH, there was a marked reduction in the percentage of fibrotic tissue and necrotic core at the edges of both stents and a positive correlation was seen between increase in percentage of fibro-fatty component and increase in plaque area (r=0.78, p=0.01). CONCLUSION Patients treated with drug-eluting stents (DES) experienced less plaque growth, especially at the distal edge of the stents. Modifications in plaque composition, with increase in fibrofatty tissue component, may partially explain these findings.
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Affiliation(s)
- J Ribamar Costa
- Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.
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Attizzani GF, Bezerra HG, Chamié D, Fujino Y, Spognardi AM, Stanley JRL, Yamamoto H, Mehanna E, Wang W, Carlyle WC, McClain JB, Costa MA. Serial Evaluation of Vascular Response After Implantation of a New Sirolimus-Eluting Stent With Bioabsorbable Polymer (MISTENT): an optical coherence tomography and histopathological study. J Invasive Cardiol 2012; 24:560-568. [PMID: 23117309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Novel vascular scaffolds aim at equipoise between safety and efficacy. Intravascular optical coherence tomography (OCT) allows in-vivo serial assessment of stent-vessel interactions with high resolution and frequent sampling and may complement histology assessment. We investigated the vascular response to a novel absorbable coating sirolimus-eluting stent (AC-SES) by means of serial OCT and histology evaluation in a porcine model. METHODS One AC-SES and one bare-metal stent (BMS) were implanted in separate coronary arteries of three Yucatan mini-swine. Serial OCT was performed post procedure and at 3-, 28-, 90-, and 180-day follow-up. Normalized optical density (NOD) was used for the assessment of tissue response over time. Histological evaluation was performed at day 180. RESULTS A total of 6408 stent struts were analyzed. OCT revealed 100% of struts covered at 28 days, and a significant difference in NOD from 3 to 28 days (0.64 ± 0.07 vs 0.71 ± 0.05, respectively; P<.001) in the AC-SES group. Neointimal thickness was 0.14 ± 0.08 mm, 0.17 ± 0.11 mm, and 0.16 ± 0.09 mm in the AC-SES group and 0.18 ± 0.10 mm, 0.14 ± 0.09 mm, and 0.10 ± 0.08 mm in the BMS group, while rates of uncovered struts were 0%, 0%, and 3.1% and 1.4%, 7.8%, and 21.5%, respectively, at 28, 90, and 180 days. Minimal inflammation and a mature endothelialization were demonstrated in both groups by histology. CONCLUSION OCT serial assessment of vascular response suggested NIH maturation 28 days following AC-SES implantation in pigs. These findings, coupled with histological demonstration of low inflammation scores and complete endothelial coverage as measured at 180 days, suggest a satisfactory healing response to AC-SES.
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Affiliation(s)
- Guilherme F Attizzani
- Harrington Heart and Vascular Institute, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106 USA
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Stefano GT, Bezerra HG, Mehanna E, Yamamoto H, Fujino Y, Wang W, Attizzani G, Chamié D, Simon DI, Costa MA. Unrestricted utilization of frequency domain optical coherence tomography in coronary interventions. Int J Cardiovasc Imaging 2012; 29:741-52. [DOI: 10.1007/s10554-012-0135-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2012] [Accepted: 09/25/2012] [Indexed: 12/01/2022]
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Costa J, Ormiston J, Abizaid A, Stewart J, Chamié D, Webster M, Yan J, Baht V, Morrison L, Toyloy S, Verheye S. TCT-298 Six-month Intravascular Ultrasound Analysis of the DESolve FIM Trial with a Novel PLLA-based Fully Biodegradable Drug-eluting Scaffold. J Am Coll Cardiol 2012. [DOI: 10.1016/j.jacc.2012.08.322] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Collet CA, Costa JR, Abizaid A, Chamié D, Staico R, Costa R, Siquera D, Obregon J, Feres F, Sousa A, Sousa JE. Assessing the temporal course of neointimal hyperplasia formation after different generations of drug-eluting stents. JACC Cardiovasc Interv 2012; 4:1067-74. [PMID: 22017930 DOI: 10.1016/j.jcin.2011.07.010] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2011] [Revised: 07/12/2011] [Accepted: 07/21/2011] [Indexed: 11/25/2022]
Abstract
OBJECTIVES This study sought to assess the temporal course of neointimal hyperplasia (NIH) formation following implantation of 2 different generations of drug-eluting stents (DES). BACKGROUND The amount of NIH following DES implantation correlates with the potency of the antiproliferative drug, its kinetic release, as well as some individual characteristics, as the presence of diabetes mellitus (DM). Recently, some publications have suggested a continuous growth of NIH following DES, which in some cases, might result in late "catch-up." METHODS Twenty-five patients with single, de novo lesions were treated with sirolimus-eluting stents (SES) (n = 12) and biolimus-eluting stents (BES) (n = 13) and underwent intravascular ultrasound evaluation immediately after the procedure and at 9-month and 5-year follow-ups. The primary endpoint was the comparison of the percentage of NIH obstruction between mid- and long-term follow-up. RESULTS Mean age was 59 years and 28% of patients had DM. Overall, the percentage of NIH obstruction significantly increased from 9 months to 5 years (1.3% at first follow-up vs. 4.8% at second follow-up, p = 0.002). There was no significant difference in the variation of vessel volume (Δ = -0.70 mm(3)/mm BES vs. Δ = 0.18 mm(3)/mm SES, p = 0.56), lumen volume (Δ = 0.40 mm(3)/mm BES vs. Δ = -0.05 mm(3)/mm SES, p = 0.71), and percentage of NIH obstruction (Δ = 3.0% BES vs. Δ = 3.8% SES, p = 0.55) among DES. However, diabetic patients had a marked NIH increase along the years (NIH volume at second follow-up: 10.15 mm(3) DM vs. 5.11 mm(3) non-DM, p = 0.028). CONCLUSIONS The present serial intravascular ultrasound assessment supports the occurrence of continuous NIH growth following different generations of DES. These findings seem to be particularly more pronounced among patients with DM.
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Oliveira MSD, Bomfim Araujo Martins K, Ribamar Costa J, Abizaid A, Stadler J, Alberto Mattos L, Chamié D, Siqueira D, Costa R, Staico R, Feres F, Sousa AG, Eduardo Sousa J. Impact on Renal Function of Rosuvastatin Preload Prior to Elective Percutaneous Coronary Intervention in Chronic Statin Users. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/s2214-1235(15)30069-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
The pathophysiology of acute coronary syndromes has long been associated with atherosclerotic plaque rupture. Inflammation, thinning, and disruption of the fibrous cap have been implicated with the final processes leading to plaque rupture, but confirmation of these mechanisms of coronary thrombosis in humans has been hampered by the lack of imaging methods with sufficient resolution to resolve fibrous cap characterization and thickness in vivo. Intravascular optical coherence tomography (OCT) provides images with micron-level axial and lateral resolution, enabling detailed visualization of micro-structural changes of the arterial wall. The present article provides an overview of the potential role of OCT in identifying and characterizing fibrous cap morphology, thickness, and inflammation in human coronary plaques.
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Affiliation(s)
- Daniel Chamié
- Division of Cardiology, Harrington-McLaughlin Heart and Vascular Institute, University Hospitals Case Medical Center, Case Western Reserve School of Medicine, 11100 Euclid Avenue, Lakeside 3001, Cleveland, OH 44106 USA
| | - Zhao Wang
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH USA
| | - Hiram Bezerra
- Division of Cardiology, Harrington-McLaughlin Heart and Vascular Institute, University Hospitals Case Medical Center, Case Western Reserve School of Medicine, 11100 Euclid Avenue, Lakeside 3001, Cleveland, OH 44106 USA
| | - Andrew M. Rollins
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH USA
| | - Marco A. Costa
- Division of Cardiology, Harrington-McLaughlin Heart and Vascular Institute, University Hospitals Case Medical Center, Case Western Reserve School of Medicine, 11100 Euclid Avenue, Lakeside 3001, Cleveland, OH 44106 USA
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Collet CA, Costa JR, Chamié D, Sousa A, Staico R, Costa RA, Siqueira D, Obregon J, Feres F, Abizaid A, Sousa JE. VERY LATE (5 YEARS) ARTERIAL RESPONSE COMPARISON BETWEEN DURABLE POLYMER SIROLIMUS-ELUTING STENT AND BIODEGRADABLE POLYMER BIOLIMUSA9-ELUTING STENT. J Am Coll Cardiol 2011. [DOI: 10.1016/s0735-1097(11)61759-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Stefano GT, Bezerra HG, Attizzani G, Chamié D, Mehanna E, Yamamoto H, Costa MA. Utilization of frequency domain optical coherence tomography and fractional flow reserve to assess intermediate coronary artery stenoses: conciliating anatomic and physiologic information. Int J Cardiovasc Imaging 2011; 27:299-308. [PMID: 21409535 PMCID: PMC3984934 DOI: 10.1007/s10554-011-9847-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 02/19/2011] [Indexed: 02/07/2023]
Abstract
Fractional flow reserve (FFR) and intravascular imaging respectively provide hemodynamic and anatomical assessments of angiographic intermediate stenoses. Frequency domain optical coherence tomography (FD-OCT) is a promising high-resolution imaging modality, but its clinical use in determining severity of coronary disease has yet to be determined. There, we set out to determine the role of FD-OCT to complement FFR in the evaluation of intermediate coronary artery stenoses. FD-OCT was planned in 176 consecutive interventional procedures at our institution to delineate the proper use of FD-OCT in clinical practice. The decision to use other invasive assessments was at the discretion of the operator. This report describes an early series of the 14 patients who underwent FFR of 18 target stenoses in addition to FD-OCT. FD-OCT was successfully performed without complications in all cases. Fractional flow reserve was <0.80 in four patients, with minimal lumen areas and reference vessel diameters ranging from 1.03 to 3.47 mm(2) and 2.60 to 2.94 mm by FD-OCT, respectively. FD-OCT was important to rule out plaque rupture, erosion and thrombosis and to help guide decision to defer PCI in six patients with acute coronary syndrome and FFR > 0.80. FD-OCT was also valuable to guide PCI strategy in tandem lesions with an FFR < 0.80. This initial experience with FD-OCT suggests a potential complementary role of physiological and anatomical assessment to guide decision making in complex clinical scenarios. Future investigations are warranted to validate these findings and define the role of FD-OCT in assessing intermediate lesions.
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Affiliation(s)
- Gregory T Stefano
- Harrington-McLaughlin Heart and Vascular Institute, Cardiovascular Imaging Core Laboratory, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106-5038, USA
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Chamié D, Abizaid A, Costa JR, Feres F, Almiro da Silva JF, Mattos LAP, Staico R, Costa RA, Abizaid A, Tanajura LFL, Sousa AGMR, Sousa JE. Serial angiographic and intravascular ultrasound evaluation to interrogate the presence of late “catch-up” phenomenon after cypher® sirolimus-eluting stent implantation. Int J Cardiovasc Imaging 2010; 27:867-74. [DOI: 10.1007/s10554-010-9723-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2010] [Accepted: 09/29/2010] [Indexed: 10/18/2022]
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Chamié D, Costa JR, Abizaid A, Feres F, Staico R, Devito F, Costa RA, Abizaid A, Tanajura LF, Sousa AG, Fitzgerald PJ, Whitbourn RJ, Sousa JE. Serial Angiography and Intravascular Ultrasound: Results of the SISC Registry (Stents In Small Coronaries). JACC Cardiovasc Interv 2010; 3:191-202. [DOI: 10.1016/j.jcin.2009.11.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2009] [Revised: 11/03/2009] [Accepted: 11/13/2009] [Indexed: 10/19/2022]
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Collet CA, Costa Jr. JR, Feres F, Gama G, Costa R, Sanchez A, Siqueira D, Chamié D, Borghi T, Staico R, Tanajura LF, Sousa AGMR, Abizaid A, Sousa JE. Stent com liberação de everolimus vs. stent com liberação de zotarolimus na prática clínica do mundo real. ACTA ACUST UNITED AC 2010. [DOI: 10.1590/s2179-83972010000400008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Chamié D, Abizaid A, Júnior JRC, Feres F, Abizaid A, Staico R, Costa R, Mattos LAP, Sousa AG, Sousa JE. The revascular active percutaneous interventional device for coronary total occlusions study. Catheter Cardiovasc Interv 2008; 72:156-63. [DOI: 10.1002/ccd.21560] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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