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Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro.

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Presentation on theme: "Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro."— Presentation transcript:

1 Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography by Daisuke Matsumoto, Junya Shite, Toshiro Shinke, Hiromasa Otake, Yusuke Tanino, Daisuke Ogasawara, Takahiro Sawada, Oscar Luis Paredes, Ken-ichi Hirata, and Mitsuhiro Yokoyama EHJ Volume 28(8):961-967 April 19, 2007 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

2 Classification of SES strut conditions by OCT. (A) Well-apposed with neointimal coverage. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

3 Distribution of percentage of neointimal area (%NA) determined by IVUS at the site of minimum lumen area of SES at 6-month follow-up. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

4 Representative cross-sectional images of SES at 6-month follow-up obtained at the same distance from a major side branch by IVUS and OCT. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

5 Distribution of the thickness of neointima (NI) on SES struts. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

6 Distribution of SES strut condition. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

7 Factors predisposing SES malapposition. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

8 OCT images of SES malapposition occurring at CTO site (left panel) and at SES overlapping site (middle panel), and well-apposed SES in bare metal stent (BMS) restenosis (right panel). Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

9 A case with thrombus (Th) presumed to have developed due to malapposed (Mal) struts in SES. Angiogram and OCT scanning. Daisuke Matsumoto et al. Eur Heart J 2007;28:961-967 © The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

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