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Optical coherence tomography assessment of instent tissue in lower extremity arteries

Research Project

Project/Area Number 25893302
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Cardiovascular medicine
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

SAKAMOTO Shingo  独立行政法人国立循環器病研究センター, 病院, 医師 (30713846)

Project Period (FY) 2013-08-30 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords循環器 / 画像 / 末梢動脈疾患 / 光干渉断層法 / 下肢動脈硬化性疾患
Outline of Final Research Achievements

We here assessed the peripheral vascular response to stents in the superficial femoral artery on optical coherence tomography (OCT). The subjects consisted of 9 stents of 7 patients with peripheral artery disease who had previously received bare-metal stents in the superficial femoral artery. The time from stent implantation to OCT was relatively early (≤15 months) in 7 self-expandable stents and very late (>10 years) in 2 balloon-expandable stents. Low intensity area around stent struts was observed in all stents in the relatively early phase. Stimulus on the vessel wall from the self-expandable stent might cause prolonged vessel injury, resulting in the manifestation of low intensity area around stent struts.
Lipid-rich intima and calcification were observed within stents in the very late phase on OCT and pathological evaluation, suggesting that newly formed atherosclerotic lesions within neointimal tissues can occur during a prolonged period after stent implantation.

Report

(3 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Annual Research Report
  • Research Products

    (4 results)

All 2015 2014

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results)

  • [Journal Article] Vascular Response to Bare Metal Stents in the Superficial Femoral Artery as Assessed on Optical Coherence Tomography2015

    • Author(s)
      Shingo Sakamoto
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 2 Pages: 441-443

    • DOI

      10.1253/circj.CJ-14-1069

    • NAID

      130004704035

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 浅大腿動脈におけるベアメタルステント留置後の血管反応: 光干渉断層法による検討2014

    • Author(s)
      坂本伸吾
    • Organizer
      日本脈管学会
    • Place of Presentation
      倉敷
    • Year and Date
      2014-10-30
    • Related Report
      2014 Annual Research Report
  • [Presentation] 末梢動脈におけるステント内組織の 病理学的検討2014

    • Author(s)
      坂本伸吾
    • Organizer
      心臓病学会
    • Place of Presentation
      仙台
    • Year and Date
      2014-09-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] 末梢動脈におけるステント内組織の病理学的検討2014

    • Author(s)
      坂本伸吾
    • Organizer
      第62回日本心臓病学会学術集会 シンポジウム
    • Place of Presentation
      仙台
    • Related Report
      2013 Annual Research Report

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Published: 2013-09-12   Modified: 2019-07-29  

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