دورية أكاديمية
Quantitative coronary three-dimensional geometry and its association with atherosclerotic disease burden and composition.
العنوان: | Quantitative coronary three-dimensional geometry and its association with atherosclerotic disease burden and composition. |
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المؤلفون: | A Prado GF; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Blanco PJ; Department of Mathematical and Computational Methods, National Laboratory for Scientific Computing LNCC/MCTI, Petrópolis, Brazil., Bulant CA; Pladema Institute, National University of the Center and National Scientific and Technical Research Council, CONICET, Tandil, Buenos Aires, Argentina., Ares GD; National University of Mar del Plata, Mar del Plata, Buenos Aires, Argentina., Mariani J Jr; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Caixeta A; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Almeida BO; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Garzon S; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Pinton FA; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil., Barbato E; Cardiovascular Center Aalst, OLV-Clinic, Aalst, Belgium.; Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy., Ribichini FL; Division of Cardiology, University of Verona, Verona, Italy., Toth GG; Graz University Heart Center, Medical University Graz, Graz, Austria., Mahfoud F; Department of Internal Medicine III, Cardiology, Angiology, Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany., Wijns W; The Lambe Institute for Translational Medicine and Curam, National University of Ireland, Galway, Ireland., Garcia-Garcia HM; Department of Interventional Cardiology, MedStar Washington Hospital Center, Washington, District of Columbia, USA.; Georgetown University School of Medicine, Washington, District of Columbia, USA., Lemos PA; Department of Interventional Cardiology, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.; Department of Interventional Cardiology, InCor-FMUSP, Heart Institute, University of São Paulo Medical School, São Paulo, Brazil. |
المصدر: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2023 May; Vol. 101 (6), pp. 1036-1044. Date of Electronic Publication: 2023 Apr 05. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: New York, NY : Wiley-Liss, c1999- |
مواضيع طبية MeSH: | Coronary Artery Disease*/pathology , Plaque, Atherosclerotic* , Atherosclerosis*, Humans ; Ultrasonography, Interventional/methods ; Treatment Outcome ; Coronary Angiography/methods ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/pathology ; Predictive Value of Tests |
مستخلص: | Background: Isolate features of the coronary anatomy have been associated with the pathophysiology of atherosclerotic disease. Computational methods have been described to allow precise quantification of the complex three-dimensional (3D) coronary geometry. The present study tested whether quantitative parameters that describe the spatial 3D coronary geometry is associated with the extension and composition of the underlying coronary artery disease (CAD). Methods: Patients with CAD scheduled for percutaneous intervention were investigated with coronary computed tomography angiography (CCTA), and invasive coronary angiography, and virtual histology intravascular ultrasound (IVUS-VH). For all target vessels, 3D centerlines were extracted from CCTA images and processed to quantify 23 geometric indexes, grouped into 3 main categories as follows: (i) length-based; (ii) curvature-based, torsion-based, and curvature/torsion-combined; (iii) vessel path-based. The geometric variables were compared with IVUS-VH parameters assessing the extent and composition of coronary atherosclerosis. Results: A total of 36 coronary patients (99 vessels) comprised the study population. From the 23 geometric indexes, 18 parameters were significantly (p < 0.05) associated with at least 1 IVUS-VH parameter at a univariate analysis. All three main geometric categories provided parameters significantly related with atherosclerosis variables. The 3D geometric indexes were associated with the degree of atherosclerotic extension, as well as with plaque composition. Geometric features remained significantly associated with all IVUS-VH parameters even after multivariate adjustment for clinical characteristics. Conclusions: Quantitative 3D vessel morphology emerges as a relevant factor associated with atherosclerosis in patients with established CAD. (© 2023 Wiley Periodicals LLC.) |
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فهرسة مساهمة: | Keywords: coronary artery disease; coronary computed tomography angiography; coronary geometry; geometric risk factors; intravascular ultrasound |
تواريخ الأحداث: | Date Created: 20230405 Date Completed: 20230511 Latest Revision: 20230511 |
رمز التحديث: | 20231215 |
DOI: | 10.1002/ccd.30639 |
PMID: | 37017418 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1522-726X |
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DOI: | 10.1002/ccd.30639 |