Download - Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Transcript
Page 1: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography

by Daisuke Matsumoto, Junya Shite, Toshiro Shinke, Hiromasa Otake, Yusuke Tanino, Daisuke Ogasawara, Takahiro Sawada, Oscar Luis Paredes, Ken-ichi Hirata,

and Mitsuhiro Yokoyama

EHJVolume 28(8):961-967

April 19, 2007

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 2: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Classification of SES strut conditions by OCT. (A) Well-apposed with neointimal coverage.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 3: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Distribution of percentage of neointimal area (%NA) determined by IVUS at the site of minimum lumen area of SES at 6-month follow-up.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 4: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Representative cross-sectional images of SES at 6-month follow-up obtained at the same distance from a major side branch by IVUS and OCT.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 5: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Distribution of the thickness of neointima (NI) on SES struts.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 6: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Distribution of SES strut condition.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 7: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

Factors predisposing SES malapposition.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 8: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

OCT images of SES malapposition occurring at CTO site (left panel) and at SES overlapping site (middle panel), and well-apposed SES in bare metal stent (BMS) restenosis (right panel).

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]

Page 9: Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

A case with thrombus (Th) presumed to have developed due to malapposed (Mal) struts in SES. Angiogram and OCT scanning.

Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: [email protected]