Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Diagnostic Value of Intraluminal Stent Enhancement in Estimating Coronary In-Stent Restenosis Publisher



Nogourani MK1 ; Moradi M1 ; Khajouei AS2 ; Farghadani M1 ; Eshaghian A1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Clinical Imaging Science Published:2020


Abstract

Objective: In-stent restenosis (ISR) diagnosis is among the most serious complications of patients undergone stent implantation. Although coronary computed tomography angiography (CCTA) has been widely used for ISR assessing, stent narrow lumen and presence of stent's struts artifacts have limited its efficacy. The use of quantitative techniques may provide more valuable findings for ISR diagnosis. The aim of this study is to assess the predictive value of a quantitative technique of ISR estimation based on stent intraluminal enhancement derived from CCTA. Materials and Methods: In the current study, 40 patients with the previous history of coronary artery diseases (CADs) and coronary stent placement who reexperienced CAD symptoms and referred for CCTA were assessed in 2017-2018. Stent intraluminal “enhancement value” (EV) was measured using calcium score and post-contrast images of CCTA. The cutoff point was determined using conventional invasive coronary angiography as the gold standard. Results: Total numbers of 58 stents were evaluated, in which stent intraluminal enhancement was assessed in initial, middle, and end sites of stent, achieved cutoff points for more than 50% of ISR were 204, 168, and 204 Hounsfield units, respectively. These cutoff points had diagnostic value of 77.5% for initial part, 86% for midpart, and 81% for end part, respectively. Conclusion: The use of quantitative method of stent intraluminal EV for ISR estimation has better diagnostic value in comparison to qualitative techniques that can help better clinical decision making. Moreover, measurements of this method are somewhat easier and also secondary artifacts of stent struts and calcified plaques would be eliminated. © 2020 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science
Related Docs
View other Related Docs
1. Association of High Level of Hs-Crp With In-Stent Restenosis: A Case-Control Study, Cardiovascular Revascularization Medicine (2019)
2. The Association Between Epicardial Fat Thickness in Echocardiography and Coronary Restenosis in Drug Eluting Stents, ARYA Atherosclerosis (2011)
3. Preprocedural C-Reactive Protein Predictive Value in Angiographic In-Stent Restenosis After Coronary Stent Placement in Patients With Stable Angina, Archives of Medical Science (2009)
4. Stent Underexpansion in Angiographic Guided Percutaneous Coronary Intervention, Despite Adjunctive Balloon Post-Dilatation, in Drug Eluting Stent Era, ARYA Atherosclerosis (2014)
5. The Effects of Bare Metal Versus Drug-Eluting Stent Implantation on Circulating Endothelial Cells Following Percutaneous Coronary Intervention, Journal of Research in Medical Sciences (2011)
6. Diagnostic Performance of 64-Row Coronary Ct Angiography in Detecting Significant Stenosis As Compared With Conventional Invasive Coronary Angiography, ARYA Atherosclerosis (2013)
7. Utilization of Coronary Computed Tomography Angiography for Rapid Risk Stratification in Emergency Chest Pain Units, Journal of Research in Medical Sciences (2014)
8. Late Clinical Events of Drug Eluting Versus Bare Metal Stenting; Opces' Ancillary Study, Pakistan Journal of Medical Sciences (2013)
Experts (# of related papers)
View all Related Experts
Maryam Moradi (11)
Alireza Khosravi (10)
Other Related Docs
9. The Value of Coronary Computed Tomography Angiography in Patients With a High Calcium Score, Journal of Tehran University Heart Center (2023)
10. Evaluation of the Relationship Between the Characteristics and Dimensions of Calcified Plaques and Coronary Artery Stenosis in Patients Undergoing Coronary Computed Tomography Angiography, Iranian Journal of Radiology (2023)
11. The Relationship Between Epicardial and Peripheral Fat Thicknesses With Coronary Stenosis in Patients Undergoing Multislice Computed Tomography Angiography Referring to Alzahra Hospital, Isfahan, Iran, During 2014-2015, Journal of Isfahan Medical School (2019)
12. Prognostic Value of Normal and Non-Obstructive Coronary Artery Disease Based on Ct Angiography Findings. a 12 Month Follow up Study, Journal of Cardiovascular and Thoracic Research (2019)
13. The Correlation Between Early Complications of Percutaneous Coronary Intervention and High Sensitive C-Reactive Protein, ARYA Atherosclerosis (2013)
14. Coronary Artery Calcification—Does It Predict the Cad-Rads Category?, Emergency Radiology (2022)
15. Prognostic Value of Coronary Artery Calcium Score for Determination of Presence and Severity of Coronary Artery Disease, Polish Journal of Radiology (2017)
16. Investigating the Effects of the Kv Assist Technique on Image Quality and the Reduction of Effective Dose and Carcinogenic Risk of Coronary Computed Tomography Angiography, Journal of Isfahan Medical School (2021)
17. The Five-Year Trend of Coronary Artery Diseases Based on Angiography Results in Central Part of Iran, Iranian Heart Journal (2012)
18. Is Subcutaneous Fat Tissue Associated With Coronary Artery Disease?, Iranian Journal of Endocrinology and Metabolism (2012)
19. The Prevalence of Coronary Artery Disease in an Urban Population in Isfahan, Iran, Acta Cardiologica (1999)
20. Association Between St-Segment Changes in Lead Avr and Angiographic Findings, Syntax Score, Short-Term and Intermediate Outcomes in Patients With Acute Coronary Syndrome: A Pilot Study, ARYA Atherosclerosis (2024)
21. Vascular Deformation in Human Atherosclerotic Carotid Artery Evaluated by 2D Analysis of Ultrasonography, Vascular (2020)
22. Does Lipoprotein (A) Level Have a Predictive Value in Restenosis After Coronary Stenting?, International Journal of Preventive Medicine (2011)
23. The Effect of Contrast Dye Injection and Balloon Inflation on Qtc and Qtc Dispersion in 12 Leads Surface Ekg During Ptca, ARYA Atherosclerosis (2011)
24. Epicardial Fat Thickness and Severity of Coronary Heart Disease in Patients With Diabetes Mellitus Type Ii, ARYA Atherosclerosis (2018)
25. Influences of Adaptive Statistical Iterative Reconstruction on Image Quality and Dose Reduction in Coronary Computed Tomography Angiography, Journal of Isfahan Medical School (2017)
26. Association Between Brachial Flow‑Mediated Dilation and Calcium Score in Patients With Symptomatic Cad, International Journal of Preventive Medicine (2023)
27. Correlation of Echocardiographic Epicardial Fat Thickness With Severity of Coronary Artery Disease-An Observational Study; [Koroner Arter Hastaliginin Siddeti Ile Ekokardiyografik Epikardiyal Yag Kalinliginin Iliskisi-Gozlemsel Bir Calisma], Anadolu Kardiyoloji Dergisi (2012)
28. Qt Dispersion and Age; Independent Predictors of Restenosis After Percutaneous Coronary Intervention, Reviews on Recent Clinical Trials (2017)
29. Correlation Between Body Fat Distribution, Plasma Lipids and Apolipoproteins With the Severity of Coronary Involvement in Patients With Stable Angina, ARYA Atherosclerosis (2011)
30. Circulating C1q/Tnf-Related Protein-12 Levels Are Associated With the Severity of Coronary Artery Disease, Cytokine (2021)
31. Comparison of Epicardial Fat Thickness in Patients With Acute Coronary Syndrome or Chronic Stable Angina and Normal Individuals, Journal of Isfahan Medical School (2012)
32. Value of Coronary Artery Calcium Scoring in Iranian Patients Suspected to Coronary Artery Disease, Acta Medica Iranica (2015)
33. Analysis of Traditional Risk Factors on St-Segment Elevation Myocardial Infarction Characteristics; [بررسی عوامل خطر سنتی مرتبط با ویژگیهای بالینی بیماران انفارکتوس میوکارد با بالارونده قطعه St], Journal of Isfahan Medical School (2024)
34. Evaluation of the Coronary Angiography Results in Patients Referred to Cardiac Centers in Isfahan City, Iran, Journal of Isfahan Medical School (2017)
35. Evaluating Value of Positive T Wave in Lead V1 and Tv1 > Tv6 Pattern in Predicting Significant Coronary Artery Disease in Patients Undergoing Coronary Angiography, ARYA Atherosclerosis (2021)
36. A Cross- Sectional Study on the Association Between Lifestyle Factors and Coronary Artery Stenosis Severity Among Adults Living in Central Iran: A Protocol for the Iranian- Cardio Study, ARYA Atherosclerosis (2024)
37. Determination of Characteristics and Data Elements Requirements in National Acute Coronary Syndrome Registries for Postdischarge Follow-Up, Current Problems in Cardiology (2023)
38. Su‐E‐I‐51: Investigation of Absorbed Dose to the Skin, Eyes and Thyroid of Patients During Ct Angiography and Comparison With Conventional Angiography, Medical Physics (2012)
39. Comparison of Clinical and Angiographic Findings Between Stable Angina Patients With and Without Coronary Tortuosity, Journal of Isfahan Medical School (2012)
40. Machine Learning-Based Interpretation of Non-Contrast Feature Tracking Strain Analysis and T1/T2 Mapping for Assessing Myocardial Viability, Scientific Reports (2025)
41. Severe Left Main Coronary Artery Stenosis As the First Finding in Newly Diagnosed Chronic Coronary Syndrome: Incidence and Clinical Predictors, Angiology (2025)
42. Evaluating the Impact of Fractional Flow Reserve-Guided Percutaneous Coronary Intervention in Intermediate Coronary Artery Lesions on the Mode of Treatment and Their Outcomes: An Iranian Experie, ARYA Atherosclerosis (2015)
43. Medical Therapy Versus Percutaneous Coronary Intervention or Coronary Artery Bypass Graft in Stable Coronary Artery Disease; a Systematic Review and Meta-Analysis of Randomized Clinical Trials, ARYA Atherosclerosis (2022)
44. The Impact of Generic Form of Clopidogrel on Cardiovascular Events in Patients With Coronary Artery Stent: Results of the Opces Study, Journal of Research in Medical Sciences (2011)
45. Comparison of Body Mass Index and Waist/Height Ratio in Predicting Definite Coronary Artery Disease, Annals of Nutrition and Metabolism (2009)
46. Evaluation of Thoracic Extracardiac Findings in Patients Undergoing Multidetector Computed Tomography Coronary Angiography in Alzahra Hospital, Isfahan, Iran, During 2014-2015, Journal of Isfahan Medical School (2017)
47. Blood Group Types and Clinical, Procedural, and Adverse Outcomes in St-Elevated Myocardial Infarction Patients: A 3-Year Cohort in Iran, Journal of Research in Medical Sciences (2023)
48. Coronary Artery Disease Detection Using Computational Intelligence Methods, Knowledge-Based Systems (2016)
49. Immediate Results and Six-Month Outcomes After Percutaneous Coronary Intervention in a Referral Heart Center in Isfahan, Iran, ARYA Atherosclerosis (2011)
50. The Association Between Genetic Polymorphisms of the Interleukin-10, Tumor Necrosis Factor-Alpha, and Annexin A5 Gene Loci and Restenosis After Percutaneous Coronary Angioplasty and Stenting, Journal of Research in Medical Sciences (2019)