https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=29607984&retmode=xml&tool=Litmetric&email=readroberts32@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09 296079842019101720241210
1347-48208272018Jun25Circulation journal : official journal of the Japanese Circulation SocietyCirc JAssessment of Second- and Third-Generation Drug-Eluting Stents on Chronic Coronary Angioscopy - Multicenter Study on Intra-Coronary AngioScopy After Stent (MICASA) Prospective Data Analysis.183018351830-183510.1253/circj.CJ-17-1396The vascular response, in terms of quality and quantity, of the second- and third-generation drug-eluting stents (2G- and 3G-DES, respectively) was assessed prospectively on coronary angioscopy (CAS).The Multicenter study on Intra-Coronary AngioScopy After Stent (MICASA) is a multicenter CAS registry. A total of 107 DES (71 2G- and 36 3G-DES) were prospectively observed on CAS 8.7±2.7 months after percutaneous coronary intervention. Neointimal coverage (NC) grade was evaluated using a 4-point grading scale, from 0 (no coverage) to 3 (complete coverage). Plaque yellow color (YC) was also assessed using a 4-point grading system, from 0 (white) to 3 (bright yellow). Max-NC (2G-DES vs. 3G-DES: 2.14±0.68 vs. 2.44±0.73, P=0.023); min-NC (1.07±0.48 vs. 1.39±0.60, P=0.002), and dominant-NC (1.57±0.69 vs. 2.08±0.84, P=0.002) were significantly higher and the YC grade (1.23±0.82 vs. 0.86±0.76, P=0.031) significantly lower in the 3G-DES group than in the 2G-DES group. There was no significant difference in the presence of thrombus (28.2% vs. 22.2%, P=0.51) between the 2G- and 3G-DES groups.The higher NC grade and lower YC grade in 3G-DES than in 2G-DES might be associated with better long-term clinical outcome, which remains to be determined in future studies.MiyoshiToruTDepartment of Cardiology, Ehime Prefectural Imabari Hospital.MatsuokaHiroshiHDepartment of Cardiology, Ehime Prefectural Imabari Hospital.KawakamiHideoHDepartment of Cardiology, Ehime Prefectural Imabari Hospital.DaiKazuokiKDepartment of Cardiology, Hiroshima City Hospital.SatoTetsuyaTDepartment of Cardiology, Okayama Red Cross Hospital.WatanabeKoukiKDepartment of Cardiology, Saiseikai Matsuyama Hospital.IshiharaMasaharuMDivision of Coronary Heart Disease, Department of Internal Medicine, Hyogo College of Medicine.engJournal ArticleMulticenter Study20180330
JapanCirc J1011376831346-9843IMAgedColorCoronary AngiographymethodsCoronary Artery Diseasediagnostic imagingDrug-Eluting StentsstandardsFemaleHumansMaleMiddle AgedNeointimaPercutaneous Coronary InterventionProspective StudiesTreatment OutcomeCoronary angioscopySecond-generation drug-eluting stentThird-generation drug-eluting stent
20184360201910186020184360ppublish2960798410.1253/circj.CJ-17-1396