Evidence map›Paper›PMID 39699844›Full record

ArticleThe international journal of cardiovascular imaging2025

Neovascularization restructuring patterns in diabetic patients with coronary in stent restenosis: an in-vivo optical coherence tomography study.

Yingqian Zhang, Hui Hui, Xiangjun Wu, Jing Jing, Lei Gao, Jie Tian, Yundai Chen

Abstract read
PubMed Publisher
In one paragraph

Article in The international journal of cardiovascular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Yingqian Zhang *Senior Department of Cardiology, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Hui Hui *CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China.
Xiangjun WuCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China.
Jing JingSenior Department of Cardiology, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Lei GaoSenior Department of Cardiology, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Jie TianCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China. jie.tian@ia.ac.cn.
Yundai ChenSenior Department of Cardiology, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China. cyundai@vip.163.com.

Funding

Capital Clinical Feature Research Project Z171100001017158National Natural Science Foundation of China 62027901National Natural Science Foundation of China 81800221National Natural Science Foundation of China 81970443National Natural Science Foundation of China U23A6011Youth Innovation Promotion Association of the Chinese Academy of Sciences 2018167
6 · The paper itself

Abstract

Patients with diabetes mellitus (DM) have an increased risk of in stent restenosis (ISR). Neovascularization (NV) is considered as a unique pathophysiology factor of ISR in diabetic patients. However, the restructuring patterns of in vivo human coronary NV and their relationship with ISR, especially in diabetic patients remain unclear. In this study, we aimed to investigate the NV structure differentiations between patients with and without DM after coronary stent implantation using optical coherence tomography (OCT). We included 136 patients with ISR (70 patients in DM group and 66 patients in non-DM group) who underwent OCT during coronary angiography follow-up. NVs were manually segmented, after which three-dimensional (3D) rendering of OCT images was conducted. NVs greater than 1 mm in length were classified as longitudinal running or coral tree types based on their 3D structures. NV structures were compared between DM and non-DM patients. The prevalence of the coral tree pattern NV in the DM group was 2.14-fold higher than in the non-DM group(p = 0.012). 47.14% of patients in the DM group and 51.51% of patients in the non-DM group presented longitudinal running NV (p = 0.610). The number of coral tree pattern NV was relatively higher in DM patients than in the non-DM patients (p = 0.019). However, the number of longitudinal running NV showed no difference between the two groups (p = 0.872). The normalized NV volume was significantly larger in the DM group (p = 0.008). Patients with coral tree pattern NV have thinner minimum fibrous cap thickness (p = 0.030). DM was the risk factor for coral tree pattern NV formation in ISR lesions after adjustment for other factors. NV with specific restructuring patterns, such as longitudinal running and coral tree patterns, can be identified in ISR lesions. NV with a coral tree pattern, characterized by higher leakiness and immaturity, is more commonly found in patients with DM and is associated with tissue instability in ISR. Accurate and feasible imaging modalities for NV might offer promising opportunities to evaluate NV and prevent progression of ISR in diabetic patients.

Indexed as

Coronary Artery DiseaseCoronary RestenosisCoronary VesselsDiabetes MellitusPercutaneous Coronary InterventionStentsTomography, Optical CoherenceAgedCoronary AngiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk FactorsDiabetes mellitusIn stent restenosisNeovascularizationOptical coherence tomography

Identifiers

What OpenQuestion holds

Textmetadata
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.