Evidence map›Paper›PMID 33891606›Full record

Trial reportPloS one2021

Association between in-stent neointimal characteristics and native coronary artery disease progression.

Hae Won Jung, Chewan Lim, Han Joon Bae, Jung-Hee Lee, Yong-Joon Lee, Jung-Sun Kim, Seung-Jun Lee, Sung-Jin Hong, Chul-Min Ahn, Byeong-Keuk Kim and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Hae Won JungDepartment of Cardiology, Daegu Catholic University Medical Center, Daegu, Korea.
Chewan LimSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-4730-7475
Han Joon BaeDepartment of Cardiology, Daegu Catholic University Medical Center, Daegu, Korea.ORCID 0000-0001-7212-9979
Jung-Hee LeeDivision of Cardiology, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.
Yong-Joon LeeSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jung-Sun KimSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-2263-3274
Seung-Jun LeeSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Sung-Jin HongSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Chul-Min AhnSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Byeong-Keuk KimSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Young-Guk KoSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Donghoon ChoiSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Myeong-Ki HongSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-2090-2031
Yangsoo JangSeverance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KRDaegu Catholic University Medical Center · KRYeungnam University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe prognosis of stented lesions differs according to in-stent neointimal characteristics on optical coherence tomography (OCT). In particular, patients who show in-stent heterogeneous neointima are associated with a higher incidence of target lesion revascularization (TLR) compared with those who show in-stent non-heterogeneous neointima. However, the relationship between in-stent neointimal characteristics and native coronary atherosclerosis progression has not been clearly elucidated. The study aimed to investigate the relationship between in-stent neointimal characteristics and progression of native atherosclerosis.

methodsThe neointimal characteristics of 377 patients with 377 drug-eluting stents (DESs) were quantitatively and qualitatively assessed using OCT. The OCT-based neointima was categorized as homogeneous (n = 207), heterogeneous (n = 93), and layered (n = 77). The relationship of non-target lesion revascularization (non-TLR) with neointimal characteristics was evaluated after OCT examination of the stents.

resultsAfter a median follow-up duration of 40.0 months, patients with heterogeneous neointima showed significantly higher non-TLR rates than those with homogeneous neointima and tended to have higher non-TLR rates than those with layered neointima (heterogeneous vs. homogeneous:14.0% vs. 8.7%, p = 0.046; heterogeneous vs. layered neointima:14.0% vs. 7.8%, p = 0.152). Multivariate analysis showed that the independent determinants for non-TLR were heterogeneous neointima (HR: 2.237, 95% CI: 1.023-4.890, p = 0.044) and chronic kidney disease (hazard ratio [HR]: 8.730, 95% CI: 2.175-35.036, p = 0.002).

conclusionsThe heterogeneous neointima in DES-treated lesions was associated with a higher incidence of non-TLR and target lesion failure. This finding suggests that the neointimal pattern may reflect the progression of the native lesion.

Indexed as

Drug-Eluting StentsPercutaneous Coronary InterventionAgedCoronary Artery DiseaseDisease ProgressionFemaleHumansMaleMiddle AgedNeointimaPrognosis

Identifiers

PMID33891606
PMCPMC8064742
OpenAlexW3154079166

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.