Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography

The degree of stent/scaffold embedment could be a surrogate parameter of the vessel wall-stent/scaffold interaction and could have biological implications in the vascular response. We have developed a new specific software for the quantitative evaluation of embedment of struts by optical coherence t...

Full description

Bibliographic Details
Main Authors: Sotomi, Yohei, Tateishi, Hiroki, Suwannasom, Pannipa, Dijkstra, Jouke, Eggermont, Jeroen, Liu, Shengnan, Tenekecioglu, Erhan, Zheng, Yaping, Abdelghani, Mohammad, Cavalcante, Rafael, de Winter, Robbert J., Wykrzykowska, Joanna J., Onuma, Yoshinobu, Serruys, Patrick W., Kimura, Takeshi
Format: Online
Language:English
Published: Springer Netherlands 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879175/
id pubmed-4879175
recordtype oai_dc
spelling pubmed-48791752016-06-21 Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography Sotomi, Yohei Tateishi, Hiroki Suwannasom, Pannipa Dijkstra, Jouke Eggermont, Jeroen Liu, Shengnan Tenekecioglu, Erhan Zheng, Yaping Abdelghani, Mohammad Cavalcante, Rafael de Winter, Robbert J. Wykrzykowska, Joanna J. Onuma, Yoshinobu Serruys, Patrick W. Kimura, Takeshi Original Paper The degree of stent/scaffold embedment could be a surrogate parameter of the vessel wall-stent/scaffold interaction and could have biological implications in the vascular response. We have developed a new specific software for the quantitative evaluation of embedment of struts by optical coherence tomography (OCT). In the present study, we described the algorithm of the embedment analysis and its reproducibility. The degree of embedment was evaluated as the ratio of the embedded part versus the whole strut height and subdivided into quartiles. The agreement and the inter- and intra-observer reproducibility were evaluated using the kappa and the interclass correlation coefficient (ICC). A total of 4 pullbacks of OCT images in 4 randomly selected coronary lesions with 3.0 × 18 mm devices [2 lesions with Absorb BVS and 2 lesions with XIENCE (both from Abbott Vascular, Santa Clara, CA, USA)] from Absorb Japan trial were evaluated by two investigators with QCU-CMS software version 4.69 (Leiden University Medical Center, Leiden, The Netherlands). Finally, 1481 polymeric struts in 174 cross-sections and 1415 metallic struts in 161 cross-sections were analyzed. Inter- and intra-observer reproducibility of quantitative measurements of embedment ratio and categorical assessment of embedment in Absorb BVS and XIENCE had excellent agreement with ICC ranging from 0.958 to 0.999 and kappa ranging from 0.850 to 0.980. The newly developed embedment software showed excellent reproducibility. Computer-assisted embedment analysis could be a feasible tool to assess the strut penetration into the vessel wall that could be a surrogate of acute injury caused by implantation of devices. Springer Netherlands 2016-02-22 2016 /pmc/articles/PMC4879175/ /pubmed/26898315 http://dx.doi.org/10.1007/s10554-016-0856-6 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Sotomi, Yohei
Tateishi, Hiroki
Suwannasom, Pannipa
Dijkstra, Jouke
Eggermont, Jeroen
Liu, Shengnan
Tenekecioglu, Erhan
Zheng, Yaping
Abdelghani, Mohammad
Cavalcante, Rafael
de Winter, Robbert J.
Wykrzykowska, Joanna J.
Onuma, Yoshinobu
Serruys, Patrick W.
Kimura, Takeshi
spellingShingle Sotomi, Yohei
Tateishi, Hiroki
Suwannasom, Pannipa
Dijkstra, Jouke
Eggermont, Jeroen
Liu, Shengnan
Tenekecioglu, Erhan
Zheng, Yaping
Abdelghani, Mohammad
Cavalcante, Rafael
de Winter, Robbert J.
Wykrzykowska, Joanna J.
Onuma, Yoshinobu
Serruys, Patrick W.
Kimura, Takeshi
Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
author_facet Sotomi, Yohei
Tateishi, Hiroki
Suwannasom, Pannipa
Dijkstra, Jouke
Eggermont, Jeroen
Liu, Shengnan
Tenekecioglu, Erhan
Zheng, Yaping
Abdelghani, Mohammad
Cavalcante, Rafael
de Winter, Robbert J.
Wykrzykowska, Joanna J.
Onuma, Yoshinobu
Serruys, Patrick W.
Kimura, Takeshi
author_sort Sotomi, Yohei
title Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
title_short Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
title_full Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
title_fullStr Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
title_full_unstemmed Quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
title_sort quantitative assessment of the stent/scaffold strut embedment analysis by optical coherence tomography
description The degree of stent/scaffold embedment could be a surrogate parameter of the vessel wall-stent/scaffold interaction and could have biological implications in the vascular response. We have developed a new specific software for the quantitative evaluation of embedment of struts by optical coherence tomography (OCT). In the present study, we described the algorithm of the embedment analysis and its reproducibility. The degree of embedment was evaluated as the ratio of the embedded part versus the whole strut height and subdivided into quartiles. The agreement and the inter- and intra-observer reproducibility were evaluated using the kappa and the interclass correlation coefficient (ICC). A total of 4 pullbacks of OCT images in 4 randomly selected coronary lesions with 3.0 × 18 mm devices [2 lesions with Absorb BVS and 2 lesions with XIENCE (both from Abbott Vascular, Santa Clara, CA, USA)] from Absorb Japan trial were evaluated by two investigators with QCU-CMS software version 4.69 (Leiden University Medical Center, Leiden, The Netherlands). Finally, 1481 polymeric struts in 174 cross-sections and 1415 metallic struts in 161 cross-sections were analyzed. Inter- and intra-observer reproducibility of quantitative measurements of embedment ratio and categorical assessment of embedment in Absorb BVS and XIENCE had excellent agreement with ICC ranging from 0.958 to 0.999 and kappa ranging from 0.850 to 0.980. The newly developed embedment software showed excellent reproducibility. Computer-assisted embedment analysis could be a feasible tool to assess the strut penetration into the vessel wall that could be a surrogate of acute injury caused by implantation of devices.
publisher Springer Netherlands
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879175/
_version_ 1613583775565873152