PMID- 25980925 OWN - NLM STAT- MEDLINE DCOM- 20160408 LR - 20161125 IS - 1878-0938 (Electronic) IS - 1878-0938 (Linking) VI - 16 IP - 4 DP - 2015 Jun TI - In-vivo iMap IVUS comparison of in-stent neointima and native coronary atherosclerosis. PG - 233-6 LID - S1553-8389(15)00099-8 [pii] LID - 10.1016/j.carrev.2015.04.002 [doi] AB - PURPOSE: The purpose of this study was to compare plaque characteristics of native coronary atherosclerosis and in-stent neointima ten months after ST elevation myocardial infarction (STEMI) using iMap intravascular ultrasound (IVUS). METHODS: In 49 patients in-stent neointima and the coronary segment proximal to the stent were analyzed with iMap intravascular ultrasound (IVUS) ten months after primary PCI for STEMI. RESULTS: A higher percentage of necrotic tissue was observed in the proximal coronary segment compared to the in-stent neointima by iMap IVUS (25.5% +/- 12.8% vs 12.3% +/- 3.3%, p < 0.0001) ten months after STEMI. The proportion of fibrotic tissue in the proximal segment was lower (63.6% +/- 14.8% vs 72.0% +/- 5.7%, p = 0.002) and the proportion of the lipidic tissue was higher (8.8% +/- 3.0% vs 5.9% +/- 2.0%, p < 0.0001) than in-stent neointima. CONCLUSIONS: In patients ten months after STEMI, in-stent neointima contained a higher proportion of fibrotic tissue and lower proportion of necrotic and lipidic tissue compared the native atherosclerotic lesion. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Trusinskis, Karlis AU - Trusinskis K AD - Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, Riga, Latvia; Faculty of Medicine, Riga Stradins University, Riga, Latvia. Electronic address: cardio@inbox.lv. FAU - Strenge, Karlis AU - Strenge K AD - Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, Riga, Latvia. Electronic address: karlis.strenge@gmail.com. FAU - Juhnevica, Dace AU - Juhnevica D AD - Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, Riga, Latvia. FAU - Erglis, Andrejs AU - Erglis A AD - Latvian Centre of Cardiology, Pauls Stradins Clinical University Hospital, Riga, Latvia. LA - eng PT - Comparative Study PT - Journal Article DEP - 20150416 PL - United States TA - Cardiovasc Revasc Med JT - Cardiovascular revascularization medicine : including molecular interventions JID - 101238551 SB - IM MH - Adult MH - Aged MH - Coronary Angiography/methods MH - Coronary Artery Disease/*diagnostic imaging MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/diagnostic imaging MH - Neointima/*diagnostic imaging MH - Percutaneous Coronary Intervention MH - Plaque, Atherosclerotic/*diagnostic imaging/pathology MH - *Stents MH - Ultrasonography, Interventional/methods OTO - NOTNLM OT - iMap IVUS OT - neointima OT - tissue characterization EDAT- 2015/05/20 06:00 MHDA- 2016/04/09 06:00 CRDT- 2015/05/19 06:00 PHST- 2015/01/25 00:00 [received] PHST- 2015/03/27 00:00 [revised] PHST- 2015/04/03 00:00 [accepted] PHST- 2015/05/19 06:00 [entrez] PHST- 2015/05/20 06:00 [pubmed] PHST- 2016/04/09 06:00 [medline] AID - S1553-8389(15)00099-8 [pii] AID - 10.1016/j.carrev.2015.04.002 [doi] PST - ppublish SO - Cardiovasc Revasc Med. 2015 Jun;16(4):233-6. doi: 10.1016/j.carrev.2015.04.002. Epub 2015 Apr 16.