Geographical predisposition influences on the distribution and tissue characterisation of eccentric coronary plaques in non-branching coronary arteries: cross-sectional study of ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-11-22

AUTHORS

Hidenori Komiyama, Hitoshi Takano, Shunichi Nakamura, Masamichi Takano, Noritake Hata, Miyauchi Yasushi, Yoshihiko Seino, Kyoichi Mizuno, Wataru Shimizu

ABSTRACT

BackgroundWe investigated the influence of geographical predisposition on the spatial distribution and composition of coronary plaques.MethodsThirty coronary arteries were evaluated. A total of 1441 cross-sections were collected from intravascular ultrasound (IVUS) and radio-frequency signal-based virtual histology (VH-IVUS) imaging. To exclude complex geographical effects of side branches and to localise the plaque distribution, we analysed only eccentric plaques in non-branching regions. The spatial distribution of eccentric plaques in the coronary artery was classified into myocardial, lateral, and epicardial regions. The composition of eccentric plaques was analysed using VH-IVUS.ResultsThe plaque was concentric in 723 sections (50.2%) and eccentric in 718 (49.9%). Eccentric plaques were more frequently distributed towards the myocardial side than towards the epicardial side (46.7 ± 7.5% vs. 12.5 ± 4.2%, p = 0.003). No significant difference was observed between the myocardial and lateral sides (46.7 ± 7.5% vs. 20.8 ± 5.0%) or between the lateral and epicardial sides. Eccentric thin-capped fibroatheromas were more frequently distributed towards the myocardial side than towards the lateral side (p = 0.024) or epicardial side (p = 0.005).ConclusionGeographical predisposition is associated with distribution, tissue characterisation, and vulnerability of plaques in non-branching coronary arteries. More... »

PAGES

47

References to SciGraph publications

  • 2016-01-29. Role of biomechanical forces in the natural history of coronary atherosclerosis in NATURE REVIEWS CARDIOLOGY
  • 2005-08. The role of shear stress in the generation of rupture-prone vulnerable plaques in NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE
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    http://scigraph.springernature.com/pub.10.1186/s12947-016-0090-3

    DOI

    http://dx.doi.org/10.1186/s12947-016-0090-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1025239771

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27876049


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