Image in Cardiology
Assessment of bioabsorbable scaffolds by multislice computed tomography angiography
Avaliação de stents bioabsorvíveis por angiografia por tomografia computadorizada multidetetores
Rita Faria
, Ricardo Ladeiras-Lopes, Nuno Bettencourt, Nuno Ferreira, Alberto Rodrigues, Vasco Gama
Corresponding author
Serviço de Cardiologia1, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Multislice computed tomography angiography: volume rendering (B) and maximum intensity projection reconstructions (C), revealing the radiopaque indicators (arrows) at the edges of the scaffold. Virtual histology technique showing the non-calcified atherosclerotic plaque (arrows) excluded by the stent (D).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Even with recent advances in computed tomography (CT) imaging of coronary stents, blooming is still an important limitation in the assessment of stents. Recently, the introduction of bioabsorbable radiolucent scaffolds has allowed almost unrestricted imaging of the stent lumen.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 68-year-old man with a history of coronary artery disease was admitted with non-ST-elevation myocardial infarction. Coronary angiography revealed 95% stenosis of the proximal left anterior descending artery (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A1). The patient underwent percutaneous coronary intervention with implantation of a 3.5 mm×18 mm bioabsorbable everolimus-eluting poly(lactic acid) scaffold (Abbott Vascular, Santa Clara, CA) (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A2). As part of a prospective study, 64-slice CT angiography (SOMATOM Sensation 64 scanner, Siemens, Forchheim, Germany) was performed at the first month follow-up. Radiopaque indicators (arrows) at the edges of the scaffold were the only discernible traces on volume-rendered imaging (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B) and in maximum intensity projection reconstructions (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Virtual histology (Aquarius workstation, TeraRecon Inc., San Mateo, CA) showed the non-calcified atherosclerotic plaque (arrows) excluded by the stent (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D). Cross-sectional in-stent lumen areas were measured, with a minimal lumen area of 5.54 mm<span class="elsevierStyleSup">2</span>. No significant lumen loss was detected.</p><p id="par0020" class="elsevierStylePara elsevierViewall">This case illustrates the new opportunities generated by the use of novel bioabsorbable scaffolds. CT angiography indications may expand to the follow-up of smaller stented vessels and new insights into the process of atherosclerotic healing after stenting can be expected.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-01-27" "fechaAceptado" => "2014-02-02" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Faria R, Ladeiras-Lopes R, Bettencourt N, Ferreira N, Rodrigues A, Gama V. Avaliação de <span class="elsevierStyleItalic">stents</span> bioabsorvíveis por angiografia por tomografia computadorizada multidetetores 2014. Rev Port Cardiol. 2014;33:575–576.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1355 "Ancho" => 1300 "Tamanyo" => 254526 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronary angiography, showing significant left anterior descending stenosis (A1) and angiographic outcome after placement of a bioabsorbable scaffold (A2). Multislice computed tomography angiography: volume rendering (B) and maximum intensity projection reconstructions (C), revealing the radiopaque indicators (arrows) at the edges of the scaffold. Virtual histology technique showing the non-calcified atherosclerotic plaque (arrows) excluded by the stent (D).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003300000009/v1_201410030041/S2174204914002189/v1_201410030041/en/main.assets" "Apartado" => array:4 [ "identificador" => "28321" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in Cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/21742049/0000003300000009/v1_201410030041/S2174204914002189/v1_201410030041/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/&text=false" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002189?idApp=UINPBA00004E" ]
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| 2016 August | 9 | 3 | 12 |
| 2016 July | 12 | 3 | 15 |
| 2016 June | 15 | 3 | 18 |
| 2016 May | 12 | 3 | 15 |
| 2016 April | 23 | 2 | 25 |
| 2016 March | 24 | 4 | 28 |
| 2016 February | 28 | 21 | 49 |
| 2016 January | 21 | 10 | 31 |
| 2015 December | 24 | 3 | 27 |
| 2015 November | 26 | 11 | 37 |
| 2015 October | 30 | 11 | 41 |
| 2015 September | 25 | 6 | 31 |
| 2015 August | 27 | 7 | 34 |
| 2015 July | 18 | 9 | 27 |
| 2015 June | 12 | 0 | 12 |
| 2015 May | 23 | 5 | 28 |
| 2015 April | 21 | 6 | 27 |
| 2015 March | 16 | 6 | 22 |
| 2015 February | 20 | 4 | 24 |
| 2015 January | 29 | 4 | 33 |
| 2014 December | 43 | 13 | 56 |
| 2014 November | 23 | 11 | 34 |
| 2014 October | 65 | 14 | 79 |
Show all