Degree of luminal narrowing and composition of thrombus in plaque erosion View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-05-29

AUTHORS

Osamu Kurihara, Masamichi Takano, Tsunenari Soeda, Francesco Fracassi, Makoto Araki, Akihiro Nakajima, Iris McNulty, Hang Lee, Kyoichi Mizuno, Ik-Kyung Jang

ABSTRACT

As the degree of luminal narrowing increases, shear stress increases, and high shear stress is known to activate platelets. However, the relationship between the degree of luminal narrowing and the composition of thrombus in patients with plaque erosion has not been studied. A total of 148 patients with plaque erosion and thrombus detected by optical coherence tomography were divided into tertiles based on the minimum lumen area (MLA) at the culprit lesion. Thrombus was categorized as platelet-rich or fibrin-rich. Among 148 patients, 50 (34%) were in the mild stenosis group, 49 (33%) were in the moderate stenosis group, and 49 (33%) were in the severe stenosis group. The composition of thrombus was significantly different among the 3 groups (prevalence of platelet-rich thrombus was 60% in the mild stenosis group; 78% in the moderate stenosis group; and 84% in the severe stenosis group; P = 0.021). The pattern of fibrin-rich thrombus showed the opposite: 40%, 22%, and 16%, respectively. In the multivariate analysis, current smoking was independently associated with fibrin-rich thrombus (odds ratio [OR] 2.364 [95% CI 1.004–5.567], P = 0.049). This study demonstrated that platelet-rich thrombus was the predominant type of thrombus in plaque erosion. The prevalence of fibrin-rich thrombus was highest in the mild stenosis group. More... »

PAGES

143-150

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11239-020-02159-8

DOI

http://dx.doi.org/10.1007/s11239-020-02159-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1128011757

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32472306


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