Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2011-7-11
pubmed:abstractText
Coronary computed tomography angiography (CTA) can assess plaque characteristics and plaque size noninvasively. The purpose of this study was to investigate whether coronary CTA before percutaneous coronary intervention (PCI) can predict the no-reflow phenomenon during PCI. Seventy-eight patients [acute coronary syndrome (ACS) = 43, stable angina pectoris (SAP) = 35, male/female = 72/6, age: 65 ± 10 years] who underwent 16- or 64-slice CTA in the 4 weeks before PCI were enrolled. The low attenuation plaque size on CTA was compared between patients with (NR+) and without the no-reflow phenomenon (NR-). No-reflow phenomenon was observed in 11 patients, including 10 patients with ACS and 1 patient with SAP. Low attenuation plaque was detected in 9 (82%) NR(+) lesions and 35 (52%) NR(-) lesions. The length of low attenuation plaque was significantly longer in NR(+) than in NR(-) patients (9.0 ± 6.5 vs. 1.6 ± 2.7 mm, p < 0.0001). On step-wise regression analysis, ACS (p = 0.036, 95% CI = 0.009-0.258) and the presence of low attenuation plaque with a length >4.7 mm (p < 0.001, 95% CI = 0.447-0.778) were significant independent predictors of NR(-) no-reflow phenomenon. Low attenuation plaque with lesion length of >4.7 mm on coronary CTA and ACS were the significant predictors for the no-reflow phenomenon during PCI. Coronary CTA assessment before PCI would be useful to predict coronary events during PCI in advance.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1615-2573
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
363-9
pubmed:meshHeading
pubmed-meshheading:21057798-Acute Coronary Syndrome, pubmed-meshheading:21057798-Aged, pubmed-meshheading:21057798-Angina Pectoris, pubmed-meshheading:21057798-Angioplasty, Balloon, Coronary, pubmed-meshheading:21057798-Chi-Square Distribution, pubmed-meshheading:21057798-Coronary Angiography, pubmed-meshheading:21057798-Coronary Artery Disease, pubmed-meshheading:21057798-Female, pubmed-meshheading:21057798-Humans, pubmed-meshheading:21057798-Japan, pubmed-meshheading:21057798-Male, pubmed-meshheading:21057798-Middle Aged, pubmed-meshheading:21057798-No-Reflow Phenomenon, pubmed-meshheading:21057798-Predictive Value of Tests, pubmed-meshheading:21057798-Prospective Studies, pubmed-meshheading:21057798-Regression Analysis, pubmed-meshheading:21057798-Risk Assessment, pubmed-meshheading:21057798-Risk Factors, pubmed-meshheading:21057798-Tomography, X-Ray Computed, pubmed-meshheading:21057798-Treatment Outcome
pubmed:year
2011
pubmed:articleTitle
Prediction of the no-reflow phenomenon during percutaneous coronary intervention using coronary computed tomography angiography.
pubmed:affiliation
Department of Cardiology, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan.
pubmed:publicationType
Journal Article