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Titel:

Plaque Character and Progression According to the Location of Coronary Atherosclerotic Plaque.

Dokumenttyp:
Article; Journal Article; Observational Study
Autor(en):
Bax, A Maxim; Yoon, Yeonyee E; Gianni, Umberto; Ma, Xiaoyue; Lu, Yao; Lee, Benjamin C; Goebel, Benjamin; Han, Donghee; Lee, Sang-Eun; Sung, Ji Min; Andreini, Daniele; Al-Mallah, Mouaz H; Budoff, Matthew J; Cademartiri, Filippo; Chinnaiyan, Kavitha; Choi, Jung Hyun; Chun, Eun Ju; Conte, Edoardo; Gottlieb, Ilan; Hadamitzky, Martin; Kim, Yong Jin; Lee, Byoung Kwon; Leipsic, Jonathon A; Maffei, Erica; Marques, Hugo; Gonçalves, Pedro de Araújo; Pontone, Gianluca; Shin, Sanghoon; Narula, Jagat; Lin, F...     »
Abstract:
Although acute coronary syndrome culprit lesions occur more frequently in the proximal coronary artery, whether the proximal clustering of high-risk plaque is reflected in earlier-stage atherosclerosis remains unclarified. We evaluated the longitudinal distribution of stable atherosclerotic lesions on coronary computed tomography angiography (CCTA) in 1,478 patients (mean age, 61 years; men, 58%) enrolled from a prospective multinational registry of consecutive patients undergoing serial CCTA. Of 3,202 coronary artery lesions identified, 2,140 left lesions were classified (based on the minimal lumen diameter location) into left main (LM, n = 128), proximal (n = 739), and other (n = 1,273), and 1,062 right lesions were classified into proximal (n = 355) and other (n = 707). Plaque volume (PV) was the highest in proximal lesions (median, 26.1 mm3), followed by LM (20.6 mm3) and other lesions (15.0 mm3, p <0.001), for left lesions, and was lager in proximal (25.8 mm3) than in other lesions (15.2 mm3, p <0.001) for right lesions. On both sides, proximally located lesions tended to have greater necrotic core and fibrofatty components than other lesions (left: LM, 10.6%; proximal, 5.8%; other, 3.4% of the total PV, p <0.001; right: proximal, 8.4%; other 3.1%, p <0.001), with less calcified plaque component (left: LM, 18.3%; proximal, 30.3%; other, 37.7%, p <0.001; right: proximal, 23.3%, other, 36.6%, p <0.001), and tended to progress rapidly (adjusted odds ratios: left: LM, reference; proximal, 0.95, p = 0.803; other, 0.64, p = 0.017; right: proximal, reference; other, 0.52, p <0.001). Proximally located plaques were larger, with more risky composition, and progressed more rapidly.
Zeitschriftentitel:
Am J Cardiol
Jahr:
2021
Band / Volume:
158
Seitenangaben Beitrag:
15-22
Volltext / DOI:
doi:10.1016/j.amjcard.2021.07.040
PubMed:
http://view.ncbi.nlm.nih.gov/pubmed/34465463
Print-ISSN:
0002-9149
TUM Einrichtung:
Institut für Radiologie und Nuklearmedizin
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