Journal of Interventional Cardiology / 2021 / Article / Tab 2 / Research Article
Impact of Arterial Remodeling of Intermediate Coronary Lesions on Long-Term Clinical Outcomes in Patients with Stable Coronary Artery Disease: An Intravascular Ultrasound Study Remodeling of intermediate lesions valueIR (n = 72) NR (n = 77) PR (n = 63) NR vs. IR NR vs. PR IR vs. PR Vessel LAD, n (%) 51 (70.8) 55 (71.4) 43 (68.3) 0.94 0.68 0.75 LCX, n (%) 7 (9.7) 9 (11.7) 5 (7.9) 0.7 0.46 0.72 RCA, n (%) 14 (19.4) 13 (16.9) 15 (23.8) 0.69 0.31 0.54 Morphological analysis Soft, n (%) 12 (16.7) 13 (16.9) 22 (34.9) 0.97 0.01 0.01 Fibrous, n (%) 30 (41.67) 24 (31.2) 13 (20.63) 0.18 0.16 0.01 Calcified, n (%) 2 (2.78) 5 (6.49) 4 (6.35) 0.28 0.97 0.32 Mixed, n (%) 28 (38.9) 35 (45.45) 24 (38.1) 0.42 0.38 0.92 Attenuated plaque, n (%) 7 (9.72) 11 (14.29) 20 (31.75) 0.39 0.01 <0.01 Plaque rupture, n (%) 1 (1.39) 0 (0) 1 (1.59) 0.3 0.27 0.92 Lesion length 16.73 ± 6.79 17.00 ± 6.33 19.23 ± 7.56 0.8 0.05 0.04 Remodeling index 0.94 ± 0.04 0.76 ± 0.09 1.15 ± 0.12 <0.01 <0.01 <0.01 Minimal lumen site EEM CSA (mm2 ) 15.27 ± 4.46 11.54 ± 2.92 17.35 ± 6.20 <0.01 <0.01 0.025 Lumen CSA (mm2 ) 5.05 ± 1.39 4.16 ± 1.03 4.85 ± 1.76 <0.01 <0.01 0.48 Area stenosis (%) 54.61 ± 9.09 59.32 ± 10.15 51.67 ± 12.96 <0.01 <0.01 0.13 Plaque burden (%) 66.12 ± 6.82 63.45 ± 6.13 71.17 ± 6.45 0.01 <0.01 <0.01 Eccentricity 0.84 ± 0.13 0.79 ± 0.17 0.82 ± 0.16 0.04 0.18 0.53 Reference site EEM CSA at proximal reference (mm2 ) 17.84 ± 5.43 17.03 ± 5.04 16.81 ± 5.93 0.34 0.82 0.3 EEM CSA at distal reference (mm2 ) 14.83 ± 4.97 13.36 ± 3.90 13.19 ± 5.17 0.046 0.84 0.07 Lumen CSA at proximal reference (mm2 ) 12.22 ± 3.68 11.69 ± 3.91 11.32 ± 4.36 0.4 0.6 0.2 Lumen CSA at distal reference (mm2 ) 10.39 ± 3.35 9.60 ± 2.87 9.59 ± 3.22 0.13 0.97 0.16
CSA, cross-sectional area; EEM, external elastic membrane; IR, intermediate remodeling; NR, negative remodeling; PR, positive remodeling.