The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지
DOI QR코드

DOI QR Code

Optimization of Stent Deployment by Intravascular Ultrasound

  • Yoon, Hyuck-Jun (Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Hur, Seung-Ho (Department of Internal Medicine, Keimyung University Dongsan Medical Center)
  • Published : 2012.03.01
⟨ Previous Next ⟩

Abstract

Intravascular ultrasound (IVUS) is a useful diagnostic method that provides valuable information in addition to angiography regarding the coronary vessel lumen, dimensions, plaque burden, and characteristics. The major use of IVUS in coronary intervention is to guide interventional strategies and assess optimal stent deployment. Since the introduction of the drug-eluting stent (DES), concerns about restenosis have decreased. However, high-risk lesion subsets are being routinely treated with DESs, and the incidence of suboptimal results after stent deployment, such as stent underexpansion, incomplete stent apposition, edge dissection, geographic miss, and the risk of stent thrombosis, have correspondingly increased. Thus, optimization of stent deployment under IVUS guidance may be clinically important. In this review, we focus on the potential role of IVUS in stent optimization during percutaneous coronary intervention and its clinical benefits.

Keywords

References

  1. Nissen SE, Gurley JC, Grines CL, et al. Intravascular ultrasound assessment of lumen size and wall morphology in normal subjects and patients with coronary artery disease. Circulation 1991;84:1087-1099. https://doi.org/10.1161/01.CIR.84.3.1087
  2. Nissen SE, Gurley JC. Application of intravascular ultrasound for detection and quantitation of coronary atherosclerosis. Int J Card Imaging 1991;6:165-177. https://doi.org/10.1007/BF01797849
  3. Waller BF, Pinkerton CA, Slack JD. Intravascular ultrasound: a histological study of vessels during life: the new 'gold standard' for vascular imaging. Circulation 1992;85:2305-2310. https://doi.org/10.1161/01.CIR.85.6.2305
  4. Schiele F, Meneveau N, Seronde MF, et al. Medical costs of intravascular ultrasound optimization of stent deployment: results of the multicenter randomized 'REStenosis after Intravascular ultrasound STenting' (RESIST) study. Int J Cardiovasc Intervent 2000;3:207-213. https://doi.org/10.1080/14628840050515957
  5. Smith SC Jr, Feldman TE, Hirshfeld JW Jr, et al. ACC/AHA/ SCAI 2005 Guideline Update for Percutaneous Coronary Intervention- summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention). Circulation 2006;113:156-175. https://doi.org/10.1161/CIRCULATIONAHA.105.557561
  6. Nakamura S, Colombo A, Gaglione A, et al. Intracoronary ultrasound observations during stent implantation. Circulation 1994;89:2026-2034. https://doi.org/10.1161/01.CIR.89.5.2026
  7. Gorge G, Haude M, Ge J, et al. Intravascular ultrasound after low and high inflation pressure coronary artery stent implantation. J Am Coll Cardiol 1995;26:725-730. https://doi.org/10.1016/0735-1097(95)00211-L
  8. Mudra H, Klauss V, Blasini R, et al. Ultrasound guidance of Palmaz-Schatz intracoronary stenting with a combined intravascular ultrasound balloon catheter. Circulation 1994;90:1252-1261. https://doi.org/10.1161/01.CIR.90.3.1252
  9. Brodie BR, Cooper C, Jones M, Fitzgerald P, Cummins F; Postdilatation Clinical Compartative Study (POSTIT) Investigators. Is adjunctive balloon postdilatation necessary after coronary stent deployment? Final results from the POSTIT trial. Catheter Cardiovasc Interv 2003;59:184-192. https://doi.org/10.1002/ccd.10474
  10. de Ribamar Costa J Jr, Mintz GS, Carlier SG, et al. Intravascular ultrasound assessment of drug-eluting stent expansion. Am Heart J 2007;153:297-303. https://doi.org/10.1016/j.ahj.2006.08.026
  11. Alfonso F, Goicolea J, Hernandez R, et al. Arterial perforation during optimization of coronary stents using high-pressure balloon inflations. Am J Cardiol 1996;78:1169-1172. https://doi.org/10.1016/S0002-9149(96)90075-2
  12. Mintz GS, Weissman NJ. Intravascular ultrasound in the drugeluting stent era. J Am Coll Cardiol 2006;48:421-429. https://doi.org/10.1016/j.jacc.2006.04.068
  13. Cook S, Wenaweser P, Togni M, et al. Incomplete stent apposition and very late stent thrombosis after drug-eluting stent implantation. Circulation 2007;115:2426-2434. https://doi.org/10.1161/CIRCULATIONAHA.106.658237
  14. Hwang CW, Wu D, Edelman ER. Physiological transport forces govern drug distribution for stent-based delivery. Circulation 2001;104:600-605. https://doi.org/10.1161/hc3101.092214
  15. Papafaklis MI, Chatzizisis YS, Naka KK, Giannoglou GD, Michalis LK. Drug-eluting stent restenosis: Effect of drug type, release kinetics, hemodynamics and coating strategy. Pharmacol Ther 2011 Dec 22 [Epub]. http://dx.doi.org/10.1016/j.pharmthera.2011.12.006.
  16. Hwang CW, Edelman ER. Arterial ultrastructure influences transport of locally delivered drugs. Circ Res 2002;90:826-832. https://doi.org/10.1161/01.RES.0000016672.26000.9E
  17. Windecker S, Meier B. Late coronary stent thrombosis. Circulation 2007;116:1952-1965. https://doi.org/10.1161/CIRCULATIONAHA.106.683995
  18. Kume T, Waseda K, Ako J, et al. Intravascular ultrasound assessment of postprocedural incomplete stent apposition. J Invasive Cardiol 2012;24:13-16.
  19. Fitzgerald PJ, Oshima A, Hayase M, et al. Final results of the Can Routine Ultrasound Influence Stent Expansion (CRUISE) study. Circulation 2000;102:523-530. https://doi.org/10.1161/01.CIR.102.5.523
  20. Uren NG, Schwarzacher SP, Metz JA, et al. Predictors and outcomes of stent thrombosis: an intravascular ultrasound registry. Eur Heart J 2002;23:124-132. https://doi.org/10.1053/euhj.2001.2707
  21. Doi H, Maehara A, Mintz GS, et al. Impact of post-intervention minimal stent area on 9-month follow-up patency of paclitaxeleluting stents: an integrated intravascular ultrasound analysis from the TAXUS IV, V, and VI and TAXUS ATLAS Workhorse, Long Lesion, and Direct Stent Trials. JACC Cardiovasc Interv 2009;2:1269-1275. https://doi.org/10.1016/j.jcin.2009.10.005
  22. Hong MK, Mintz GS, Lee CW, et al. Intravascular ultrasound predictors of angiographic restenosis after sirolimus-eluting stent implantation. Eur Heart J 2006;27:1305-1310. https://doi.org/10.1093/eurheartj/ehi882
  23. Cheneau E, Leborgne L, Mintz GS, et al. Predictors of subacute stent thrombosis: results of a systematic intravascular ultrasound study. Circulation 2003;108:43-47. https://doi.org/10.1161/01.CIR.0000078636.71728.40
  24. Fujii K, Carlier SG, Mintz GS, et al. Stent underexpansion and residual reference segment stenosis are related to stent thrombosis after sirolimus-eluting stent implantation: an intravascular ultrasound study. J Am Coll Cardiol 2005;45:995-998. https://doi.org/10.1016/j.jacc.2004.12.066
  25. Kimura M, Mintz GS, Carlier S, et al. Outcome after acute incomplete sirolimus-eluting stent apposition as assessed by serial intravascular ultrasound. Am J Cardiol 2006;98:436-442. https://doi.org/10.1016/j.amjcard.2006.02.050
  26. Hong MK, Lee CW, Kim JH, et al. Impact of various intravascular ultrasound criteria for stent optimization on the sixmonth angiographic restenosis. Catheter Cardiovasc Interv 2002;56:178-183. https://doi.org/10.1002/ccd.10205
  27. Albiero R, Rau T, Schluter M, et al. Comparison of immediate and intermediate-term results of intravascular ultrasound versus angiography-guided Palmaz-Schatz stent implantation in matched lesions. Circulation 1997;96:2997-3005. https://doi.org/10.1161/01.CIR.96.9.2997
  28. Hoffmann R, Mintz GS, Mehran R, et al. Intravascular ultrasound predictors of angiographic restenosis in lesions treated with Palmaz-Schatz stents. J Am Coll Cardiol 1998;31:43-49. https://doi.org/10.1016/S0735-1097(98)80842-5
  29. Kasaoka S, Tobis JM, Akiyama T, et al. Angiographic and intravascular ultrasound predictors of in-stent restenosis. J Am Coll Cardiol 1998;32:1630-1635. https://doi.org/10.1016/S0735-1097(98)00404-5
  30. Moussa I, Moses J, Di Mario C, et al. Does the specific intravascular ultrasound criterion used to optimize stent expansion have an impact on the probability of stent restenosis? Am J Cardiol 1999;83:1012-1017. https://doi.org/10.1016/S0002-9149(99)00006-5
  31. Blasini R, Neumann FJ, Schmitt C, Bokenkamp J, Schomig A. Comparison of angiography and intravascular ultrasound for the assessment of lumen size after coronary stent placement: impact of dilation pressures. Cathet Cardiovasc Diagn 1997;42:113-119. https://doi.org/10.1002/(SICI)1097-0304(199710)42:2<113::AID-CCD2>3.0.CO;2-G
  32. Moses JW, Leon MB, Popma JJ, et al. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 2003;349:1315-1323. https://doi.org/10.1056/NEJMoa035071
  33. Colombo A, Drzewiecki J, Banning A, et al. Randomized study to assess the effectiveness of slow- and moderate-release polymer-based paclitaxel-eluting stents for coronary artery lesions. Circulation 2003;108:788-794. https://doi.org/10.1161/01.CIR.0000086926.62288.A6
  34. Park SJ, Kim YH, Park DW, et al. Impact of intravascular ultrasound guidance on long-term mortality in stenting for unprotected left main coronary artery stenosis. Circ Cardiovasc Interv 2009;2:167-177. https://doi.org/10.1161/CIRCINTERVENTIONS.108.799494
  35. Kim SH, Kim YH, Kang SJ, et al. Long-term outcomes of intravascular ultrasound-guided stenting in coronary bifurcation lesions. Am J Cardiol 2010;106:612-618. https://doi.org/10.1016/j.amjcard.2010.04.016
  36. Mintz GS, Painter JA, Pichard AD, et al. Atherosclerosis in angiographically "normal" coronary artery reference segments: an intravascular ultrasound study with clinical correlations. J Am Coll Cardiol 1995;25:1479-1485. https://doi.org/10.1016/0735-1097(95)00088-L
  37. Weissman NJ, Palacios IF, Nidorf SM, Dinsmore RE, Weyman AE. Three-dimensional intravascular ultrasound assessment of plaque volume after successful atherectomy. Am Heart J 1995;130:413-419. https://doi.org/10.1016/0002-8703(95)90345-3
  38. Morino Y, Tamiya S, Masuda N, et al. Intravascular ultrasound criteria for determination of optimal longitudinal positioning of sirolimus-eluting stents. Circ J 2010;74:1609-1616. https://doi.org/10.1253/circj.CJ-10-0025
  39. de Jaegere P, Mudra H, Figulla H, et al. Intravascular ultrasound- guided optimized stent deployment: Immediate and 6 months clinical and angiographic results from the Multicenter Ultrasound Stenting In Coronaries Study (MUSIC Study). Eur Heart J 1998;19:1214-1223. https://doi.org/10.1053/euhj.1998.1012
  40. Russo RJ, Silva PD, Teirstein PS, et al. A randomized controlled trial of angiography versus intravascular ultrasound-directed bare-metal coronary stent placement (the AVID Trial). Circ Cardiovasc Interv 2009;2:113-123. https://doi.org/10.1161/CIRCINTERVENTIONS.108.778647
  41. Oemrawsingh PV, Mintz GS, Schalij MJ, Zwinderman AH, Jukema JW, van der Wall EE. Intravascular ultrasound guidance improves angiographic and clinical outcome of stent implantation for long coronary artery stenoses: final results of a randomized comparison with angiographic guidance (TULIP Study). Circulation 2003;107:62-67. https://doi.org/10.1161/01.CIR.0000043240.87526.3F
  42. Mudra H, di Mario C, de Jaegere P, et al. Randomized comparison of coronary stent implantation under ultrasound or angiographic guidance to reduce stent restenosis (OPTICUS Study). Circulation 2001;104:1343-1349. https://doi.org/10.1161/hc3701.096064
  43. Casella G, Klauss V, Ottani F, Siebert U, Sangiorgio P, Bracchetti D. Impact of intravascular ultrasound-guided stenting on long-term clinical outcome: a meta-analysis of available studies comparing intravascular ultrasound-guided and angiographically guided stenting. Catheter Cardiovasc Interv 2003;59:314-321. https://doi.org/10.1002/ccd.10537
  44. Parise H, Maehara A, Stone GW, Leon MB, Mintz GS. Metaanalysis of randomized studies comparing intravascular ultrasound versus angiographic guidance of percutaneous coronary intervention in pre-drug-eluting stent era. Am J Cardiol 2011;107:374-382. https://doi.org/10.1016/j.amjcard.2010.09.030
  45. Jakabcin J, Spacek R, Bystron M, et al. Long-term health outcome and mortality evaluation after invasive coronary treatment using drug eluting stents with or without the IVUS guidance. Randomized control trial: HOME DES IVUS. Catheter Cardiovasc Interv 2010;75:578-583. https://doi.org/10.1002/ccd.22244
  46. Colombo A, Caussin C, Presbitero P, Chieffo A. AVIO: a prospective, randomized trial of intravascular-ultrasound guided compared to angiography guided stent implantation in complex coronary lesions [abstract]. J Am Coll Cardiol 2010;56:xvii.
  47. Roy P, Steinberg DH, Sushinsky SJ, et al. The potential clinical utility of intravascular ultrasound guidance in patients undergoing percutaneous coronary intervention with drug-eluting stents. Eur Heart J 2008;29:1851-1857. https://doi.org/10.1093/eurheartj/ehn249
  48. Okabe T, Mintz GS, Buch AN, et al. Intravascular ultrasound parameters associated with stent thrombosis after drug-eluting stent deployment. Am J Cardiol 2007;100:615-620. https://doi.org/10.1016/j.amjcard.2007.03.072
  49. Choi SY, Witzenbichler B, Maehara A, et al. Intravascular ultrasound findings of early stent thrombosis after primary percutaneous intervention in acute myocardial infarction: a Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction (HORIZONS-AMI) substudy. Circ Cardiovasc Interv 2011;4:239-247. https://doi.org/10.1161/CIRCINTERVENTIONS.110.959791
  50. Sonoda S, Morino Y, Ako J, et al. Impact of final stent dimensions on long-term results following sirolimus-eluting stent implantation: serial intravascular ultrasound analysis from the sirius trial. J Am Coll Cardiol 2004;43:1959-1963. https://doi.org/10.1016/j.jacc.2004.01.044
  51. Takebayashi H, Kobayashi Y, Mintz GS, et al. Intravascular ultrasound assessment of lesions with target vessel failure after sirolimus-eluting stent implantation. Am J Cardiol 2005;95:498-502. https://doi.org/10.1016/j.amjcard.2004.10.020
  52. Hong MK, Park SW, Lee NH, et al. Long-term outcomes of minor dissection at the edge of stents detected with intravascular ultrasound. Am J Cardiol 2000;86:791-795, A9. https://doi.org/10.1016/S0002-9149(00)01085-7
  53. Liu X, Tsujita K, Maehara A, et al. Intravascular ultrasound assessment of the incidence and predictors of edge dissections after drug-eluting stent implantation. JACC Cardiovasc Interv 2009;2:997-1004.
  54. Park SM, Kim JS, Ko YG, et al. Angiographic and intravascular ultrasound follow up of paclitaxel- and sirolimus-eluting stent after poststent high-pressure balloon dilation: from the poststent optimal stent expansion trial. Catheter Cardiovasc Interv 2011;77:15-21. https://doi.org/10.1002/ccd.22635
  55. Hur SH, Kang SJ, Kim YH, et al. Impact of intravascular ultrasound- guided percutaneous coronary intervention on longterm clinical outcomes in a real world population. Catheter Cardiovasc Interv 2011 Jul 29 [Epub]. http://dx.doi.org/10.1002/ccd.23279.

Cited by

  1. The impact of the ambulance with the physician (the Doctor Car) to the primary percutaneous coronary intervention for the ST-elevation myocardial infarction vol.19, pp.1, 2012, https://doi.org/10.7793/jcoron.19.500
  2. Clinical and Angiographic Outcomes with Everolimus Eluting Stents for the Treatment of Cardiac Allograft Vasculopathy vol.27, pp.1, 2012, https://doi.org/10.1111/joic.12071
  3. Comparison of longitudinal geometric measurement in human coronary arteries between frequency-domain optical coherence tomography and intravascular ultrasound vol.30, pp.2, 2012, https://doi.org/10.1007/s10554-013-0330-7
  4. Ischemia-guided Revascularization for Stable Ischemic Heart Disease vol.87, pp.6, 2012, https://doi.org/10.3904/kjm.2014.87.6.675
  5. Design Optimisation of Coronary Artery Stent Systems vol.44, pp.2, 2012, https://doi.org/10.1007/s10439-015-1373-9
  6. Usefulness of Frequency Domain Optical Coherence Tomography Compared with Intravascular Ultrasound as a Guidance for Percutaneous Coronary Intervention vol.29, pp.2, 2016, https://doi.org/10.1111/joic.12276
  7. Computer-aided detection of intracoronary stent in intravascular ultrasound sequences : Computer-aided detection of intracoronary stent in intravascular ultrasound sequences vol.43, pp.10, 2012, https://doi.org/10.1118/1.4962927
  8. Co‐registration of angiography and intravascular ultrasound images through image‐based device tracking vol.88, pp.7, 2012, https://doi.org/10.1002/ccd.26340
  9. Small side branch compromise related to main vessel stenting : A retrospective cohort study comparing different treatment strategies vol.97, pp.35, 2018, https://doi.org/10.1097/md.0000000000011961
  10. Impact of Malapposed and Overlapping Stents on Hemodynamics: A 2D Parametric Computational Fluid Dynamics Study vol.9, pp.8, 2021, https://doi.org/10.3390/math9080795