Intravascular ultrasound evidence of perivascular trauma during routine percutaneous coronary intervention

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• 作者：Akiko Maehara (1) (2)
  Gary S. Mintz (2)
  Anh B. Bui (3)
  Augusto D. Pichard (3)
  Lowell F. Satler (3)
  Ron Waksman (3)
  William O. Suddath (3)
  Kenneth M. Kent (3)
  Neil J. Weissman (3)
  
• 关键词：Perforation ; Intravascular ultrasound ; Percutaneous coronary intervention
• 刊名：The International Journal of Cardiovascular Imaging (formerly Cardiac Imaging)
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：30
• 期：5
• 页码：849-856
• 全文大小：
• 参考文献：1. Ellis SG, Ajluni S, Arnold AZ, Popma JJ, Bittl JA, Eigler NL, Cowley MJ, Raymond RE, Safian RD, Whitlow PL (1994) Increased coronary perforation in the new device era: incidence, classification, management, and outcome. Circulation 90:2725-730 CrossRef
  2. Kiernan TJ, Yan BP, Ruggiero N, Eisenberg JD, Bernal J, Cubeddu RJ, Witzke C, Don C, Cruz-Gonzalez I, Rosenfield K, Pomersantev E, Palacios I (2009) Coronary artery perforations in the contemporary interventional era. J Interv Cardiol 22:350-53 CrossRef
  3. Javaid A, Buch AN, Satler LF, Kent KM, Suddath WO, Lindsay J Jr, Pichard AD, Waksman R (2006) Management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 98:911-14 mjcard.2006.04.032" target="_blank" title="It opens in new window">CrossRef
  4. Romaguera R, Sardi G, Laynez-Carnicero A, Ben-Dor I, Maluenda G, Wakabayashi K, Hauville C, Torguson R, Xue Z, Kent KM, Satler LF, Suddath WO, Pichard AD, Lindsay J, Waksman R (2011) Outcomes of coronary arterial perforations during percutaneous coronary intervention with bivalirudin anticoagulation. Am J Cardiol 108:932-35 mjcard.2011.05.025" target="_blank" title="It opens in new window">CrossRef
  5. Shimony A, Zahger D, Van Straten M, Shalev A, Gilutz H, Ilia R, Cafri C (2009) Incidence, risk factors, management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 104:1674-677 mjcard.2009.07.048" target="_blank" title="It opens in new window">CrossRef
  6. Kini AS, Rafael OC, Sarkar K, Rajdev S, Jakkula M, Mares AM, Kaplish D, Krishnan P, Kim MC, Sharma SK (2009) Changing outcomes and treatment strategies for wire induced coronary perforations in the era of bivalirudin use. Catheter Cardiovasc Interv 74:700-07 CrossRef
  7. van Suylen RJ, Serruys PW, Simpson JB, de Feyter PJ, Strauss BH, Zondervan PE (1991) Delayed rupture of right coronary artery after directional atherectomy for bail-out. Am Heart J 121:914-16 CrossRef
  8. Ajluni SC, Glazier S, Blankenship L, O’Neill WW, Safian RD (1994) Perforations after percutaneous coronary interventions: clinical angiographic and therapeutic observations. Cathet Cardiovasc Diagn 32:206-12 CrossRef
  9. von Sohsten R, Kopistansky C, Cohen M, Kussmaul WG III (2000) Cardiac tamponade in the “new device-era: evaluation of 6999 consecutive percutaneous coronary interventions. Am Heart J 140:279-83 mhj.2000.107996" target="_blank" title="It opens in new window">CrossRef
  10. Fukutomi T, Suzuki T, Popma JJ, Hosokawa H, Yokoya K, Inada T, Hayase M, Kondo H, Ito S, Suzuki S, Itoh M (2002) Early and late clinical outcomes following coronary perforation in patients undergoing percutaneous coronary intervention. Circ J 66:349-56 CrossRef
  11. Fejka M, Dixon SR, Safian RD, O’Neill WW, Grines CL, Finta B, Marcovitz PA, Kahn JK (2002) Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol 90:1183-186 CrossRef
  12. Al-Lamee R, Ielasi A, Latib A, Godino C, Ferraro M, Mussardo M, Arioli F, Carlino M, Montorfano M, Chieffo A, Colombo A (2011) Incidence, predictors, management, immediate and long-term outcomes following grade III coronary perforation. JACC Cardiovasc Interv 4:87-5 CrossRef
  13. Hendry C, Fraser D, Eichhofer J, Mamas MA, Fath-Ordoubadi F, El-Omar M, Williams P (2012) Coronary perforation in the drug-eluting stent era: incidence, risk factors, management and outcome: the UK experience. EuroIntervention 8:79-6 CrossRef
  14. Stathopoulos IA, Kossidas K, Garratt KN (2014) Delayed perforation after percutaneous coronary intervention: rare and potentially lethal. Catheter Cardiovasc Interv 83:E45–E50 CrossRef
  15. Mintz GS, Nissen SE, Anderson WD, Bailey SR, Erbel R, Fitzgerald PJ, Pinto FJ, Rosenfield K, Siegel RJ, Tuzcu EM, Yock PG (2001) ACC Clinical Expert Consensus Document on Standards for the acquisition, measurement and reporting of intravascular ultrasound studies: a report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents (Committee to Develop a Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies [IVUS]). J Am Coll Cardiol 37:1478-492 CrossRef
  16. Di Mario C, Gorge G, Peters R, Kearney P, Pinto F, Hausmann D, von Birgelen C, Colombo A, Mudra H, Roelandt J, Erbel R (1998) Clinical application and image interpretation in intracoronary ultrasound. Study Group on Intracoronary Imaging of the Working Group of Coronary Circulation and of the Subgroup on Intravascular Ultrasound of the Working Group of Echocardiography of the European Society of Cardiology. Eur Heart J 19:207-29 CrossRef
  17. Moussa ID, Klein LW, Shah B, Mehran R, Mack MJ, Brilakis ES, Reilly JP, Zoghbi G, Holper E, Stone GW (2013) Consideration of a new definition of clinically relevant myocardial infarction after coronary revascularization: an expert consensus document from the Society for Cardiovascular Angiography and Interventions (SCAI). J Am Coll Cardiol 62:1563-570 CrossRef
  18. Pompa J, Almonacid A, Burke D (2011) Qualitative and quantitative coronary angiography. In: Topol EJ, Teirstein PS (eds) Textbook of interventional cardiology, 6th edn. Saunders, Philadelphia, PA, pp 757-75
  19. Demer LL (1991) Effect of calcification on in vivo mechanical response of rabbit arteries to balloon dilation. Circulation 83:2083-093 CrossRef
  20. Alfonso F, Macaya C, Goicolea J, Hernandez R, Segovia J, Zamorano J, Ba?uelos C, Zarco P (1994) Determinants of coronary compliance in patients with coronary artery disease: an intravascular ultrasound study. J Am Coll Cardiol 23:879-84 CrossRef
  21. Mintz GS, Popma JJ, Pichard AD, Kent KM, Satler LF, Chuang YC, Ditrano CJ, Leon MB (1995) Patterns of calcification in coronary artery disease: a statistical analysis of intravascular ultrasound and coronary angiography in 1155 lesions. Circulation 91:1959-965 CrossRef
  22. Lee RT, Kamm RD (1994) Vascular mechanics for the cardiologist. J Am Coll Cardiol 23:1289-295 CrossRef
  23. Maehara A, Mintz GS, Bui AB, Castagna MT, Walter OR, Pappas C, Pinnow EE, Pichard AD, Satler LF, Waksman R, Suddath WO, Laird JR Jr, Kent KM, Weissman NJ (2002) Incidence, morphology, angiographic findings, and outcomes of intramural hematomas after percutaneous coronary interventions: an intravascular ultrasound study. Circulation 105:2037-042 CrossRef
  24. Sluimer JC, Kolodgie FD, Bijnens AP, Maxfield K, Pacheco E, Kutys B, Duimel H, Frederik PM, van Hinsbergh VW, Virmani R, Daemen MJ (2009) Thin-walled microvessels in human coronary atherosclerotic plaques show incomplete endothelial junctions. J Am Coll Cardiol 53:1517-527 CrossRef
  
• 作者单位：Akiko Maehara (1) (2)
  Gary S. Mintz (2)
  Anh B. Bui (3)
  Augusto D. Pichard (3)
  Lowell F. Satler (3)
  Ron Waksman (3)
  William O. Suddath (3)
  Kenneth M. Kent (3)
  Neil J. Weissman (3)
  
  1. Columbia University Medical Center, New York, NY, USA
  2. Cardiovascular Research Foundation, 111 East 59th Street, 12th Floor, New York, NY, 10022, USA
  3. MedStar Health Research Institute/Washington Hospital Center, Washington, DC, USA
  
• ISSN：1573-0743

文摘

We assessed whether intravascular ultrasound (IVUS) can detect evidence of coronary perforation that is not visible by coronary angiography. Approximately 15,000 consecutive percutaneous coronary interventions (PCI) performed with IVUS guidance were reviewed retrospectively, pre- and post-PCI IVUS images were compared, and IVUS findings were compared with coronary angiography and in-hospital outcomes. We detected three distinct patterns that were not present pre-PCI and that were suggestive of perforation or perivascular trauma: perivascular blood speckle in 67?% (51/76), perivascular hematoma in 17?% (13/76), and new echolucent perivascular layer in 16?% (12/76). Angiographic appearance included perforation in 24?% (18/76), dissection in 33?% (25/76), lumen irregularity in 17?% (13/76), new stenosis in 5?% (4/76), and no abnormalities in 21?% (16/76). The site of a break in arterial wall with communication between the lumen and perivascular space could be detected in 61?% (46/76). This extended proximally and distally with equal frequency, but was primarily located within the lesion in 80?% (61/76), although the lumen was rarely compromised. Within 24?h, there were four emergent coronary artery bypass grafting procedures, one repeat PCI, and six periprocedural myocardial infarctions (defined as CK-MB ?0 times the upper limit of normal), but there were no episodes of cardiac tamponade. Although infrequent, IVUS detected three distinct patterns of post-PCI perivascular trauma suggestive of a perforation that was detected angiographically in only 24?% of cases.