Clinical applications of a new enhanced stent imaging technology
Corresponding Author
Tamim M. Nazif MD
Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York
Correspondence to: Tamim Nazif, 161 Fort Washington Ave, 6th Floor, New York, NY 10032. E-mail: [email protected]Search for more papers by this authorGiora Weisz MD
Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York
Search for more papers by this authorJeffrey W. Moses MD
Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York
Search for more papers by this authorCorresponding Author
Tamim M. Nazif MD
Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York
Correspondence to: Tamim Nazif, 161 Fort Washington Ave, 6th Floor, New York, NY 10032. E-mail: [email protected]Search for more papers by this authorGiora Weisz MD
Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York
Search for more papers by this authorJeffrey W. Moses MD
Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York
Search for more papers by this authorConflict of interest: Nothing to report.
Abstract
Enhanced Stent Imaging (ESI) refers to a rapidly evolving class of imaging tools that seek to provide enhanced visualization of coronary stent architecture with minimal disruption to the catheterization laboratory workflow. Various ESI stent platforms are available, all of which utilize a brief cine acquisition of a deflated balloon within a stent to generate a motion-corrected, enhanced image of the stent. The enhanced image permits detailed assessment of stent architecture, integrity, and positioning relative to other stents. We present two illustrative cases of percutaneous coronary intervention utilizing a new ESI platform. The relevant literature is briefly reviewed.© 2013 Wiley Periodicals, Inc.
REFERENCES
- 1Rogers RK, Michaels AD. Enhanced x-ray visualization of coronary stents: clinical aspects. Cardiol Clin 2009; 27: 467–475.
- 2Córdova J, Aleong G, Colmenarez H, Cruz A, Canales E, Jimenez-Quevedo P, Hernández R, Alfonso F, Macaya C, Bañuelos C, den Hartog W, Escaned J. Digital enhancement of stent images in primary and secondary percutaneous coronary revascularization. Eurointervention 2009; 5 (Suppl D): D101–D116.
- 3Bismuth V, Vaillant R, Funck F, Guillard N, Najman L. A comprehensive study of stent visualization enhancement in X-ray images by image processing means. Med Image Anal 2011; 15: 565–576.
- 4Sonoda S, Morino Y, Ako J, Terashima M, Hassan AH, Bonneau HN, Leon MB, Moses JW, Yock PG, Honda Y. Impact of final stent dimensions on long-term results following sirolimus—eluting stent implantation: Serial intravascular ultrasound analysis from the SIRIUS trial. J Am Coll Cardiol 2004; 43: 1959–1963.
- 5Doi H, Maehara A, Mintz GS, Yu A, Wang H, Mandinov L, Popma JJ, Ellis SG, Grube E, Dawkins KD, Weissman NJ, Turco MA, Ormiston JA, Stone GW. Impact of post-intervention minimal stent area on 9-month follow-up patency of paclitaxel-eluting stents: an integrated intravascular ultrasound analysis from the TAXUS IV, V, and VI and TAXUS ATLAS Workhorse, Long Lesion, and Direct Stent Trials. JACC Cardiovasc Interv 2009; 2: 1269–1275.
- 6Fujii K, Carlier SG, Mintz GS, Yang YM, Moussa I, Weisz G, Dangas G, Mehran R, Lansky AJ, Kreps EM, Collins M, Stone GW, Moses JW, Leon MB. Stent underexpansion and residual reference segment stenosis are related to stent thrombosis after sirolimus-eluting stent implantation: An intravascular ultrasound study. J Am Coll Cardiol 2005; 45: 995–998.
- 7Okabe T, Mintz GS, Buch AN, Roy P, Hong YJ, Smith KA, Torguson R, Gevorkian N, Xue Z, Satler LF. Intravascular ultrasound parameters associated with stent thrombosis after drug-eluting stent deployment. Am J Cardiol 2007; 100: 615–620.
- 8Fitzgerald PJ, Oshima A, Hayase M, Metz JA, Bailey SR, Baim DS, Cleman MW, Deutsch E, Diver DJ, Leon MB, Moses JW, Oesterle SN, Overlie PA, Pepine CJ, Safian RD, Shani J, Simonton CA, Smalling RW, Teirstein PS, Zidar JP, Yeung AC, Kuntz RE, Yock PG. Final Results of the Can Routine Ultrasound Influence Stent Expansion (CRUISE) Study. Circulation 2000; 102: 523–530.
- 9Stone G, Maehara A, Mintz GS, et al. The PROSPECT (Providing Regional Observations to Study Predictors of Events in the Coronary Tree) trial. N Engl J Med 2011; 364: 226–235.
- 10Shinke T, Shite, J. Evaluation of stent placement and outcomes with optical coherence tomography. Interv Cardiol 2010; 2: 535–543.
10.2217/ica.10.41 Google Scholar
- 11Sanidas EA, Maehara A, Barkama R, Mintz GS, Singh V, Hidalgo A, Hakim D, Leon MB, Moses JW, Weisz G. Enhanced stent imaging improves the diagnosis of stent underexpansion and optimizes stent deployment. Catheter Cardiovasc Interv, in press.
- 12Davies AG, Conway D, Reid S, Cowen AR, Sivananthan M. Assessment of coronary stent deployment using computer enhanced x-ray images—Validation against intravascular ultrasound and best practice recommendations. Catheter Cardiovasc Interv, in press.
- 13Yang F, Zhang L, Huang D, Shen D, Sun H, Zhang C, Wang Y, Zhang X, Bai J, Ma Y. A novel angiographic technique, StentBoost, in comparison with intravascular ultrasound to assess stent expansion. Chin Med J 2011; 124: 939–942.
- 14Mishell JM, Vakharia KT, Portset TA, Yeghiazarians Y, Michaels AD. Determination of adequate coronary stent expansion using stentboost, a novel fluoroscopic image processing technique. Catheter Cardiovasc Interv 2007; 69: 84–93.
- 15Tsigkas G, Moulias A, Alexopoulos D. The StentBoost imaging enhancement technique as guidance for optimal deployment of adjacent-sequential stents. J Invasive Cardiol 2011; 23: 427–429.
- 16Agostoni P, Verheye S. Step-by-step StentBoost-guided small vessel stenting using the self expandable Sparrow stent-in-wire. Catheter Cardiovasc Interv 2009; 73: 78–83.
- 17Agostoni P, Verheye S. Bifurcation stenting with a dedicated Biolimus-eluting stent: X-ray visual enhancement of the final angiographic result with ‘‘StentBoost Subtract.'' Catheter Cardiovasc Interv 2007; 70: 233–236.
- 18Kim MS, Eng MH, Hudson PA, Garcia JA, Wink O, Messenger JC, Carroll JD. Coronary stent fracture: Clinical use of image enhancement. JACC Cardiovasc Imaging 2010; 3: 446–447.
- 19Shinde RS, Hardas S, Grant PK, Makhale CN, Shinde SN, Durairaj M. Stent fracture detected with a novel fluoroscopic stent visualization technique—StentBoost. Can J Cardiol 2009; 25: 487.
- 20Vuurmans T, Patterson MS, Laarman GJ. StentBoost used to guide management of a critical ostial right coronary artery lesion. J Invasive Cardiol 2009; 21: E19–E21.
- 21Vydt T, Van Langenhove G. Facilitated recognition of an undeployed stent with StentBoost. Int J Cardiol 2006; 112: 397–398.
- 22Eng MH, Klein AP,Wink O, Hansgen A, Carroll JD, Garcia JA. Enhanced stent visualization: A case series demonstrating practical applications during PCI. Int J Cardiol 2010; 141: e8–e16.
- 23Triantafyllou K. Percutaneous Coronary Intervention for Intra-stent Chronic Total Occlusion Assisted by Stent Visualization Enhancement Technology. Hospital Chronicles 2012; 7: 113–117.
- 24Chakravarty T, White AJ, Buch M, Naik H, Doctor N, Schapira J, Kar S, Forrester JS, Weiss RE, Makkar R. Meta-analysis of incidence, clinical characteristics and implications of stent fracture. Am J Cardiol 2010; 106: 1075–1080.
- 25Lee MS, Jurewitz D, Aragon J, Forrester J, Makkar RR, Kar S. Stent fracture associated with drug-eluting stents: Clinical characteristics and implications. Catheter Cardiovasc Interv 2007; 69: 387–394.
- 26Nakazawa G, Finn AV, Vorpahl M, Ladich E, Kutys R, Balazs I, Kolodgie FD, Virmani R. Incidence and predictors of drug-eluting stent fracture in human coronary artery, a pathologic analysis. J Am Coll Cardiol 2009; 54: 1924–1931.
