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Intravascular Ultrasound Analysis of Intraplaque Versus Subintimal Tracking in Percutaneous Intervention for Coronary Chronic Total Occlusions and Association With Procedural Outcomes

Overview of attention for article published in JACC: Cardiovascular Interventions, May 2017
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Title
Intravascular Ultrasound Analysis of Intraplaque Versus Subintimal Tracking in Percutaneous Intervention for Coronary Chronic Total Occlusions and Association With Procedural Outcomes
Published in
JACC: Cardiovascular Interventions, May 2017
DOI 10.1016/j.jcin.2017.02.043
Pubmed ID
Authors

Lei Song, Akiko Maehara, Matthew T. Finn, Sanjog Kalra, Jeffrey W. Moses, Manish A. Parikh, Ajay J. Kirtane, Michael B. Collins, Tamim M. Nazif, Khady N. Fall, Raja Hatem, Ming Liao, Tiffany Kim, Philip Green, Ziad A. Ali, Candido Batres, Martin B. Leon, Gary S. Mintz, Dimitri Karmpaliotis

Abstract

Using intravascular ultrasound (IVUS), the authors compared outcomes by observed wire position (intraplaque vs. subintimal) achieved during successful chronic total occlusion (CTO) lesion treatment. Recent successes in CTO percutaneous coronary intervention (PCI) have used both intraluminal and subintimal wire tracking to improve procedural success. IVUS may be used to determine the course of wire tracking after crossing a CTO. From March 2014 to March 2016, data were collected into a single-center database from 219 patients undergoing CTO PCI with concomitant IVUS imaging. IVUS-visualized wire tracking patterns were then retrospectively examined. Clinical outcomes with a composite in-hospital cardiovascular endpoint of all-cause death, periprocedural myocardial infarction, and in-hospital target lesion revascularization were analyzed along with IVUS-detected vascular injury. Of the 524 lesions assessed, 219 patients with successfully recanalized CTO lesions had adequate IVUS imaging and were included. Subintimal tracking was detected in 52.1% of overall cases (86.7% dissection re-entry, 27.9% wire escalation). Minimal stent area of the CTO segment and prevalence of significant edge dissection were similar in the 2 groups. In the subintimal tracking group, there was a higher rate of the composite endpoint, mostly driven by periprocedural myocardial infarction. Subintimal tracking was associated with significantly greater IVUS-detected vascular injury, angiographic dye staining/extravasation, and branch occlusion. IVUS-detected subintimal tracking is observed in approximately one-half of all successful CTO PCI cases and is associated with an expected higher, yet acceptable, event rate with no difference in minimal stent area or edge dissection among patients undergoing contemporary hybrid CTO PCI.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 15%
Student > Master 6 15%
Student > Ph. D. Student 4 10%
Student > Postgraduate 3 8%
Other 3 8%
Other 5 13%
Unknown 12 31%
Readers by discipline Count As %
Medicine and Dentistry 21 54%
Engineering 3 8%
Nursing and Health Professions 2 5%
Sports and Recreations 1 3%
Business, Management and Accounting 1 3%
Other 0 0%
Unknown 11 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 January 2018.
All research outputs
#22,778,604
of 25,394,764 outputs
Outputs from JACC: Cardiovascular Interventions
#3,720
of 4,034 outputs
Outputs of similar age
#284,257
of 324,659 outputs
Outputs of similar age from JACC: Cardiovascular Interventions
#80
of 82 outputs
Altmetric has tracked 25,394,764 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,034 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.2. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 82 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.