지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 880 - 889 (10page)
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초록· 키워드
오류제보하기
Previous pathologic, intravascular imaging, and clinical studies have investigated the association between adverse cardiac events and stent malapposition, including acute stent malapposition (ASM, that is detected at index procedure) and late stent malapposition (LSM, that is detected during follow-up) that can be further classified into late-persistent stent malapposition (LPSM, ASM that remains at follow-up) or late-acquired stent malapposition (LASM, newly developed stent malapposition at follow-up that was not present immediately after index stent implantation). ASM has not been associated with adverse cardiac events compared with non-ASM, even in lesions with large-sized malapposition. The clinical outcomes of LSM may depend on its subtype. The recent intravascular ultrasound studies with long-term follow-up have consistently demonstrated that LASM steadily increased the risk of thrombotic events in patients with first-generation drug-eluting stents (DESs). This association has not yet been identified in LPSM. Accordingly, it is reasonable that approaches to stent malapposition should be based on its relationship with clinical outcomes. ASM may be tolerable after successful stent implantation, whereas prolonged anti-thrombotic medications and/or percutaneous interventions to modify LASM may be considered in selected patients with first-generation DESs. However, these treatments are still questionable due to lack of firm evidences.
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참고문헌 (50)
참고문헌 신청
Attizzani GF / 2014 / Mechanisms, pathophysiology, and clinical aspects of incomplete stent apposition / J Am Coll Cardiol 63:1355~1367
Mintz GS / 2001 / American College of Cardiology clinical expert consensus document on standards for acquisition, measurement and reporting of intravascular ultrasound studies(IVUS). a report of the American College of Cardiology task force on clinical expert consensus documents / J Am Coll Cardiol 37:1478~1492
Tearney GJ / 2012 / Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies : a report from the International Working Group for Intravascular Optical Coherence Tomography Standardization and Validation / J Am Coll Cardiol 59:1058~1072
Lee SY / 2018 / Early follow-up optical coherence tomographic findings of significant drug-eluting stent malapposition / Circ Cardiovasc Interv 11:e007192
Im E / 2014 / Incidences, predictors, and clinical outcomes of acute and late stent malapposition detected by optical coherence tomography after drug-eluting stent implantation / Circ Cardiovasc Interv 7:88~96
Mintz GS / 2001 / American College of Cardiology clinical expert consensus document on standards for acquisition, measurement and reporting of intravascular ultrasound studies(IVUS). a report of the American College of Cardiology task force on clinical expert consensus documents / J Am Coll Cardiol 37:1478~1492
Tearney GJ / 2012 / Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies : a report from the International Working Group for Intravascular Optical Coherence Tomography Standardization and Validation / J Am Coll Cardiol 59:1058~1072
Lee SY / 2018 / Early follow-up optical coherence tomographic findings of significant drug-eluting stent malapposition / Circ Cardiovasc Interv 11:e007192
Im E / 2014 / Incidences, predictors, and clinical outcomes of acute and late stent malapposition detected by optical coherence tomography after drug-eluting stent implantation / Circ Cardiovasc Interv 7:88~96
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