Top

Cardiovascular Intervention and Therapeutics

Published in:

Open Access 01-10-2020 | Original Article

Comparison of diagnostic performance in assessing the rewiring position into a jailed side branch between online 3D reconstruction systems version 1.1 and 1.2 derived from optical frequency domain imaging

Authors: Tatsuhiro Fujimura, Takayuki Okamura, Kazuki Furuya, Yosuke Miyazaki, Hitoshi Takenaka, Hiroki Tateishi, Tetsuro Oda, Mamoru Mochizuki, Hitoshi Uchinoumi, Takashi Nishimura, Jutaro Yamada, Masafumi Yano

Published in: Cardiovascular Intervention and Therapeutics | Issue 4/2020

Abstract

The three-dimensional reconstruction of optical coherence tomography and optical frequency domain imaging (3D-OCT/OFDI) helps optimize bifurcation percutaneous coronary interventions (PCIs) with side branch (SB) dilatation by identifying the optimal rewiring position. 3D-OCT/OFDI’s diagnostic performance for assessing the rewiring position into a jailed SB is unknown. We retrospectively evaluated the diagnostic performances of a conventional (ver. 1.1) and a new (ver. 1.2) online 3D-OFDI reconstruction system based on an offline 3D reconstruction system’s performance. We analyzed 45 patients’ 52 OFDI pullbacks with main vessel stenting followed by rewiring into a jailed SB for coronary bifurcation lesions. We counted the undetected stent struts in the polygon of confluence as the stent detection performance. We assessed the diagnostic agreement regarding the rewiring position into a jailed SB by the three 3D reconstruction systems. The percentage of undetected struts and the diagnostic agreement of ver.1.2 were significantly better than those of ver.1.1 [5.1 ± 5.1% vs. 30.2 ± 14.2%; p < 0.0001, and 94.2% (49/52) vs. 76.9% (40/52); p = 0.0120]. The new online 3D-OFDI reconstruction system provides better diagnostic performance than the conventional online system for assessing the rewiring position into a jailed SB.

Okamura T, Onuma Y, Yamada J, Iqbal J, Tateishi H, Nao T, et al. 3D optical coherence tomography: new insights into the process of optimal rewiring of side branches during bifurcational stenting. EuroIntervention. 2014;10:907–15. https://doi.org/10.4244/EIJV10I8A157.CrossRefPubMed

Hikichi Y, Umezu M, Node K, Iwasaki K. Reduction in incomplete stent apposition area caused by jailed struts after single stenting at left main bifurcation lesions: micro-CT analysis using a three-dimensional elastic bifurcated coronary artery model. Cardiovasc Interv Ther. 2017;32(1):12–7. https://doi.org/10.1007/s12928-016-0380-6.CrossRefPubMed

Fujimura T, Okamura T, Tateishi H, Nakamura T, Yamada J, Oda T, et al. Serial changes in the side-branch ostial area after main-vessel stenting with kissing balloon inflation for coronary bifurcation lesions, assessed by 3D optical coherence tomography. Eur Heart J Cardiovasc Imaging. 2018;19:1117–25. https://doi.org/10.1093/ehjci/jex213.CrossRefPubMed

Okamura T, Nagoshi R, Fujimura T, Murasato Y, Yamawaki M, Ono S, et al. Impact of guidewire recrossing point into stent jailed side branch for optimal kissing balloon dilatation—corelab 3D optical coherence tomography analysis. EuroIntervention. 2018;13:e1785–93. https://doi.org/10.4244/EIJ-D-17-00591.CrossRefPubMed

Okamura T, Serruys PW, Regar E. Cardiovascular flashlight. The fate of bioresorbable struts located at a side branch ostium: Serial three-dimensional optical coherence tomography assessment. Eur Heart J. 2010;31:2179. https://doi.org/10.1093/eurheartj/ehq175.CrossRefPubMed

Tearney GJ, Waxman S, Shishkov M, Vakoc BJ, Suter MJ, Freilich MI, et al. Three-dimensional coronary artery microscopy by intracoronary optical frequency domain imaging. JACC Cardiovasc Imaging. 2008;1:752–61. https://doi.org/10.1016/j.jcmg.2008.06.007.CrossRefPubMedPubMedCentral

Farooq V, Serruys PW, Heo JH, Gogas BD, Okamura T, Gomez-Lara J, et al. New insights into the coronary artery bifurcation hypothesis-generating concepts utilizing 3-dimensional optical frequency domain imaging. JACC Cardiovasc Interv. 2011;4:921–31. https://doi.org/10.1016/j.jcin.2011.06.004.CrossRefPubMed

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.CrossRef

Okamura T, Onuma Y, Garcia-Garcia HM, Bruining N, Serruys PW. High-speed intracoronary optical frequency domain imaging: implications for three-dimensional reconstruction and quantitative analysis. EuroIntervention. 2012;7:1216–26. https://doi.org/10.4244/EIJV7I10A194.CrossRefPubMed

10.

Nakao F, Ueda T, Nishimura S, Uchinoumi H, Kanemoto M, Tanaka N, Fujii T. Novel and quick coronary image analysis by instant stent-accentuated three-dimensional optical coherence tomography system in catheterization laboratory. Cardiovasc Interv Ther. 2013;28(3):235–41. https://doi.org/10.1007/s12928-013-0161-4.CrossRefPubMed

11.

Lassen JF, Holm NR, Banning A, Burzotta F, Lefevre T, Chieffo A, et al. Percutaneous coronary intervention for coronary bifurcation disease: 11th consensus document from the European Bifurcation Club. EuroIntervention. 2016;12:38–46. https://doi.org/10.4244/EIJV12I1A7.CrossRefPubMed

12.

Lassen JF, Burzotta F, Banning AP, Lefevre T, Darremont O, Hildick-Smith D, et al. Percutaneous coronary intervention for the left main stem and other bifurcation lesions: 12th consensus document from the European Bifurcation Club. EuroIntervention. 2018;13:1540–53. https://doi.org/10.4244/EIJ-D-17-00622.CrossRefPubMed

13.

Alegria-Barrero E, Foin N, Chan PH, Syrseloudis D, Lindsay AC, Dimopolous K, et al. Optical coherence tomography for guidance of distal cell recrossing in bifurcation stenting: choosing the right cell matters. EuroIntervention. 2012;8:205–13. https://doi.org/10.4244/EIJV8I2A34.CrossRefPubMed

14.

Sgueglia GA, Chevalier B. Kissing balloon inflation in percutaneous coronary interventions. JACC Cardiovasc Interv. 2012;5:803–11. https://doi.org/10.1016/j.jcin.2012.06.005.CrossRefPubMed

15.

Foin N, Torii R, Alegria E, Sen S, Petraco R, Nijjer S, et al. Location of side branch access critically affects results in bifurcation stenting: insights from bench modeling and computational flow simulation. Int J Cardiol. 2013;168:3623–8. https://doi.org/10.1016/j.ijcard.2013.05.036.CrossRefPubMed

16.

Nagoshi R, Okamura T, Murasato Y, Fujimura T, Yamawaki M, Ono S, et al. Feasibility and usefulness of three-dimensional optical coherence tomography guidance for optimal side branch treatment in coronary bifurcation stenting. Int J Cardiol. 2018;250:270–4. https://doi.org/10.1016/j.ijcard.2017.09.197.CrossRefPubMed

17.

Yamada R, Okura H, Kume T, Fukuhara K, Koyama T, Higa T, Neishi Y, Yoshida K, Uemura S. Impact of stent platform on longitudinal stent deformation: an in vivo frequency domain optical coherence tomography study. Cardiovasc Interv Ther. 2017;32(3):199–205. https://doi.org/10.1007/s12928-016-0403-3.CrossRefPubMed

18.

Zhong M, Tang B, Zhao Q, Cheng J, Jin Q, Fu S. Should kissing balloon inflation after main vessel stenting be routine in the one-stent approach? A systematic review and meta-analysis of randomized trials. PLoS One. 2018;13:e0197580. https://doi.org/10.1371/journal.pone.0197580.CrossRefPubMedPubMedCentral

19.

Ozaki Y, Okumura M, Ismail TF, Naruse H, Hattori K, Kan S, et al. The fate of incomplete stent apposition with drug-eluting stents: an optical coherence tomography-based natural history study. Eur Heart J. 2010;31:1470–6. https://doi.org/10.1093/eurheartj/ehq066.CrossRefPubMed

20.

Cook S, Eshtehardi P, Kalesan B, Raber L, Wenaweser P, Togni M, et al. Impact of incomplete stent apposition on long-term clinical outcome after drug-eluting stent implantation. Eur Heart J. 2012;33:1334–43. https://doi.org/10.1093/eurheartj/ehr484.CrossRefPubMed

21.

Hariki H, Shinke T, Otake H, Shite J, Nakagawa M, Inoue T, et al. Potential benefit of final kissing balloon inflation after single stenting for the treatment of bifurcation lesions. Circ J. 2013;77:1193–201. https://doi.org/10.1253/circj.CJ-12-0848.CrossRefPubMed

22.

Foin N, Gutierrez-Chico JL, Nakatani S, Torii R, Bourantas CV, Sen S, et al. Incomplete stent apposition causes high shear flow disturbances and delay in neointimal coverage as a function of strut to wall detachment distance: implications for the management of incomplete stent apposition. Circ Cardiovasc Interv. 2014;7:180–9. https://doi.org/10.1161/CIRCINTERVENTIONS.113.000931.CrossRefPubMed

Title: Comparison of diagnostic performance in assessing the rewiring position into a jailed side branch between online 3D reconstruction systems version 1.1 and 1.2 derived from optical frequency domain imaging
Authors: Tatsuhiro Fujimura
Takayuki Okamura
Kazuki Furuya
Yosuke Miyazaki
Hitoshi Takenaka
Hiroki Tateishi
Tetsuro Oda
Mamoru Mochizuki
Hitoshi Uchinoumi
Takashi Nishimura
Jutaro Yamada
Masafumi Yano
Publication date: 01-10-2020
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 4/2020
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-019-00629-2

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of diagnostic performance in assessing the rewiring position into a jailed side branch between online 3D reconstruction systems version 1.1 and 1.2 derived from optical frequency domain imaging

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2020

Clinical outcomes of patients treated using very short duration dual antiplatelet therapy after implantation of biodegradable-polymer drug-eluting stents: rationale and design of a prospective multicenter REIWA registry

Transitional changes of acetylcholine spasm provocation test procedures

Access-site complications of transradial percutaneous coronary intervention using sheathless guiding catheters for acute coronary syndrome: a prospective cohort study with radial ultrasound follow-up

Correction to: Clinical use of physiological lesion assessment using pressure guidewires: an expert consensus document of the Japanese Association of Cardiovascular Intervention and Therapeutics

Angioscopic findings during balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension

Correction to: Efficacy of optical frequency‑domain imaging in detecting peripheral artery disease: a single‑center open‑label, single‑arm study protocol

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page