The correlation between lipid volume in the target lesion, measured by integrated backscatter intravascular ultrasound, and post-procedural myocardial infarction in patients with elective stent implantation

Tadayuki Uetani, Tetsuya Amano, Hirohiko Ando, Kiminobu Yokoi, Kosuke Arai, Masataka Kato, Nobuyuki Marui, Michio Nanki, Tatsuaki Matsubara, Hideki Ishii, Hideo Izawa, Toyoaki Murohara

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Abstract

Aims: The aim of this study was to perform quantitative analysis of the plaques of target lesions by integrated backscatter intravascular ultrasound (IB-IVUS) and to investigate the association between these data and the risk of post-procedural myocardial injury after stenting. Methods and results: One hundred and fourteen consecutive patients who received elective stent implantations following IB-IVUS analysis were enrolled. The volume of each plaque component (lipid, fibrous, and calcified) was calculated for the target lesion. Creatine kinase-MB (CK-MB) and troponin-T (TnT) were also evaluated 18 h after procedure. We defined a post-procedural TnT level higher than three times the normal limit as a post-procedural myocardial injury. Lipid, fibrous, and calcified volumes were greater in patients with myocardial injury than in those without myocardial injury. Lipid and fibrous volumes correlated with post-procedural cardiac biomarkers, and the lipid volume fraction (lipid volume/total plaque volume) also correlated with post-procedural TnT and CK-MB. The fibrous volume fraction for plaques was found to be inversely correlated with post-procedural TnT and CK-MB. Hence, lipid volume and volume fraction were concluded to be independent predictors of post-procedural myocardial injury. Conclusion: A larger plaque volume and lipid-rich plaque may be indicative of embolic events after stent implantation, resulting in myocardial injury.

Original languageEnglish
Pages (from-to)1714-1720
Number of pages7
JournalEuropean Heart Journal
Volume29
Issue number14
DOIs
Publication statusPublished - 01-07-2008

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Stents
Myocardial Infarction
Troponin T
Lipids
MB Form Creatine Kinase
Wounds and Injuries
Biomarkers

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Uetani, Tadayuki ; Amano, Tetsuya ; Ando, Hirohiko ; Yokoi, Kiminobu ; Arai, Kosuke ; Kato, Masataka ; Marui, Nobuyuki ; Nanki, Michio ; Matsubara, Tatsuaki ; Ishii, Hideki ; Izawa, Hideo ; Murohara, Toyoaki. / The correlation between lipid volume in the target lesion, measured by integrated backscatter intravascular ultrasound, and post-procedural myocardial infarction in patients with elective stent implantation. In: European Heart Journal. 2008 ; Vol. 29, No. 14. pp. 1714-1720.
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The correlation between lipid volume in the target lesion, measured by integrated backscatter intravascular ultrasound, and post-procedural myocardial infarction in patients with elective stent implantation. / Uetani, Tadayuki; Amano, Tetsuya; Ando, Hirohiko; Yokoi, Kiminobu; Arai, Kosuke; Kato, Masataka; Marui, Nobuyuki; Nanki, Michio; Matsubara, Tatsuaki; Ishii, Hideki; Izawa, Hideo; Murohara, Toyoaki.

In: European Heart Journal, Vol. 29, No. 14, 01.07.2008, p. 1714-1720.

Research output: Contribution to journalArticle

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T1 - The correlation between lipid volume in the target lesion, measured by integrated backscatter intravascular ultrasound, and post-procedural myocardial infarction in patients with elective stent implantation

AU - Uetani, Tadayuki

AU - Amano, Tetsuya

AU - Ando, Hirohiko

AU - Yokoi, Kiminobu

AU - Arai, Kosuke

AU - Kato, Masataka

AU - Marui, Nobuyuki

AU - Nanki, Michio

AU - Matsubara, Tatsuaki

AU - Ishii, Hideki

AU - Izawa, Hideo

AU - Murohara, Toyoaki

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Y1 - 2008/7/1

N2 - Aims: The aim of this study was to perform quantitative analysis of the plaques of target lesions by integrated backscatter intravascular ultrasound (IB-IVUS) and to investigate the association between these data and the risk of post-procedural myocardial injury after stenting. Methods and results: One hundred and fourteen consecutive patients who received elective stent implantations following IB-IVUS analysis were enrolled. The volume of each plaque component (lipid, fibrous, and calcified) was calculated for the target lesion. Creatine kinase-MB (CK-MB) and troponin-T (TnT) were also evaluated 18 h after procedure. We defined a post-procedural TnT level higher than three times the normal limit as a post-procedural myocardial injury. Lipid, fibrous, and calcified volumes were greater in patients with myocardial injury than in those without myocardial injury. Lipid and fibrous volumes correlated with post-procedural cardiac biomarkers, and the lipid volume fraction (lipid volume/total plaque volume) also correlated with post-procedural TnT and CK-MB. The fibrous volume fraction for plaques was found to be inversely correlated with post-procedural TnT and CK-MB. Hence, lipid volume and volume fraction were concluded to be independent predictors of post-procedural myocardial injury. Conclusion: A larger plaque volume and lipid-rich plaque may be indicative of embolic events after stent implantation, resulting in myocardial injury.

AB - Aims: The aim of this study was to perform quantitative analysis of the plaques of target lesions by integrated backscatter intravascular ultrasound (IB-IVUS) and to investigate the association between these data and the risk of post-procedural myocardial injury after stenting. Methods and results: One hundred and fourteen consecutive patients who received elective stent implantations following IB-IVUS analysis were enrolled. The volume of each plaque component (lipid, fibrous, and calcified) was calculated for the target lesion. Creatine kinase-MB (CK-MB) and troponin-T (TnT) were also evaluated 18 h after procedure. We defined a post-procedural TnT level higher than three times the normal limit as a post-procedural myocardial injury. Lipid, fibrous, and calcified volumes were greater in patients with myocardial injury than in those without myocardial injury. Lipid and fibrous volumes correlated with post-procedural cardiac biomarkers, and the lipid volume fraction (lipid volume/total plaque volume) also correlated with post-procedural TnT and CK-MB. The fibrous volume fraction for plaques was found to be inversely correlated with post-procedural TnT and CK-MB. Hence, lipid volume and volume fraction were concluded to be independent predictors of post-procedural myocardial injury. Conclusion: A larger plaque volume and lipid-rich plaque may be indicative of embolic events after stent implantation, resulting in myocardial injury.

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