The Application of Optical Coherence Tomography after the Stent Implantation in Patients with the Acute Coronary Syndrome

Jie FANG; Xuefeng GUANG; Xiaofeng LIN; Hailong DAI; Tongxi ZUO; Qi LAI

doi:10.12259/j.issn.2095-610X.S20230921

Volume 44 Issue 9

Sep. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(9): 69-74

Jie FANG, Xuefeng GUANG, Xiaofeng LIN, Hailong DAI, Tongxi ZUO, Qi LAI. The Application of Optical Coherence Tomography after the Stent Implantation in Patients with the Acute Coronary Syndrome[J]. Journal of Kunming Medical University, 2023, 44(9): 69-74. doi: 10.12259/j.issn.2095-610X.S20230921

Citation:

Jie FANG, Xuefeng GUANG, Xiaofeng LIN, Hailong DAI, Tongxi ZUO, Qi LAI. The Application of Optical Coherence Tomography after the Stent Implantation in Patients with the Acute Coronary Syndrome[J]. Journal of Kunming Medical University, 2023, 44(9): 69-74. doi: 10.12259/j.issn.2095-610X.S20230921

Citation:

Jie FANG, Xuefeng GUANG, Xiaofeng LIN, Hailong DAI, Tongxi ZUO, Qi LAI. The Application of Optical Coherence Tomography after the Stent Implantation in Patients with the Acute Coronary Syndrome[J]. Journal of Kunming Medical University, 2023, 44(9): 69-74. doi: 10.12259/j.issn.2095-610X.S20230921

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The Application of Optical Coherence Tomography after the Stent Implantation in Patients with the Acute Coronary Syndrome

doi: 10.12259/j.issn.2095-610X.S20230921

Dept. of Cardiology，Yan'an Hospital Affiliated to Kunming Medical University， Kunming Yunnan 650051，China

Received Date: 2023-05-09
Available Online: 2023-09-14
Publish Date: 2023-09-30

Abstract

Abstract

Objective To investigate the effect of OCT after the stent implantation in patients with the Acute Coronary Syndrome （ACS）. Methods 172 patients with the ACS admitted to Yan’an Hospital Affiliated to Kunming Medical University from June 2019 to August 2022 were included in this study. They were treated with PPCI and accepted the assessment of OCT after the stent implantation. According to the result of OCT, they were treated with different methods. These 172 patients were matched with other 172 patients guided by CAG alone from PPCI patient database in order of 1∶1 by propensity score．The effects of the two strategies on the following treatment methods, the incidence of no-reflow phenomenon （NRP） and 6-month clinical follow-up results were compared and evaluated. Results 56 patients in the OCT guidance group had the incomplete stent expansion, 78 patients had the poor stent adhesion, and 18 patients had the stent edge dissection. The number of balloon dilation and placement of the second stent in the OCT guided group was significantly higher than that in the CAG guided group （P < 0.05）, and the incidence of no reflow phenomenon in the OCT guided group was significantly lower than that in the CAG guided group （P < 0.05）. The incidence of recurrent acute myocardial infarction and retarget vessel revascularization in the OCT guided group was lower than that in the CAG guided group （P < 0.05）. Conclusion OCT examination can accurately identify whether ACS patients have the poor stent adhesion, incomplete stent expansion, and presence or absence of the stent edge dissection immediately after the stent placement. Based on the evaluation results, different follow-up treatment strategies are formulated, significantly reducing the possibility of recent adverse events related to the stent placement in ACS patients after PPCI surgery, and achieving personalized and precise treatment of ACS patients’ PPCI.
- Acute coronary syndrome,
- Optical coherence tomography,
- Primary percutaneous coronary intervention（PPCI）,
- Stent underexpansion,
- Stent malapposition,
- Dissections

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References(22)

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