Evidence map›Paper›PMID 39778546›Full record

ArticleCardiology2025

In vivo Predictors of Focal Type In-Stent Restenosis: A Clinical, Angiographical, and Optical Coherence Tomography Study.

Guanxue Xu, Youcheng Shen, Changpei Liu, Zhijiang Liu, Wei Zhang, Jidong Rong, Ning Gu, Changyin Shen, Panke Chen, Chancui Deng and 5 more

Abstract read
In one paragraph

Article in Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Guanxue Xu
Youcheng ShenDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China, 1874659228@qq.com.
Changpei LiuDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Zhijiang LiuDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Wei ZhangDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Jidong RongDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Ning GuDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Changyin ShenDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Panke ChenDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Chancui DengDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Xi WangDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Shuangya YangDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Qianhang XiaZunyi Medical University, Zunyi, China.
Guanxue XuDepartment of Cardiology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, China.
Bei ShiDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFew studies have evaluated different patterns of in-stent restenosis by optical coherence tomography (OCT). This study aimed to identify in vivo predictors for focal restenosis in patients with in-stent restenosis (ISR).

methodsThe study recruited patients with ISR who underwent OCT examination in the Cardiology Department of the Affiliated Hospital of Zunyi Medical University from October 2018 to December 2022. Based on the angiographic classification of ISR lesions, the patients were divided into two groups: the focal group (n = 58) and the non-focal group (n = 158).

resultsThe white blood cell count was higher in the non-focal group than those in focal type (7.8 ± 3.0 vs. 6.6 ± 2.1, p = 0.007). The prevalence of lipid-rich plaque was higher in patients with focal ISR (65.5% vs. 42.4%, p = 0.003). The occurrence of red thrombus (27.8% vs. 12.1%, p = 0.016) and white thrombus (41.1% vs. 24.1%, p = 0.021) was higher in the non-focal group. Multivariate analysis showed that low-density lipoprotein cholesterol C (odds ratio [OR]: 3.341, 95% confidence interval [CI]: 1.714-9.784, p = 0.046) was independently associated with focal restenosis. While white blood cell count (OR: 0.814, 95% CI: 0.657-0.913, p = 0.047) and stent malapposition (OR: 0.228, 95% CI: 0.057-0.896, p = 0.037) were independently associated with non-focal restenosis.

conclusionThere were significant differences in clinical baselines and OCT identified morphological characteristics in patients between focal and non-focal groups. Low-density lipoprotein cholesterol C was independently associated with focal restenosis. White blood cell count and stent malapposition were correlated with non-focal restenosis.

Indexed as

Coronary RestenosisPercutaneous Coronary InterventionStentsTomography, Optical CoherenceAgedCholesterol, LDLCoronary AngiographyFemaleHumansLeukocyte CountMaleMiddle AgedRisk FactorsCholesterol, LDLFocal restenosisIn-stent restenosisOptical coherence tomographyPredictors

Identifiers

PMID39778546
PMCPMC12500257

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