Table 3.
IVUS Findings in Successfully Recanalized CTO Lesions
Intraplaque Tracking (n = 73) | Subintimal Tracking (n = 84) | p Value | |
---|---|---|---|
Total Stent Length, mm | 46.1 [31.9, 58.7] | 74.1 [55.7, 86.8] | <0.0001 |
Subintimal Length, mm | — | 17.4 [8.2, 34.6] | — |
>10 mm | — | 39 (46.4) | — |
MSA in entire stent length, mm2 | 5.5 [4.1, 7.3] | 4.8 [3.8, 6.01] | 0.03 |
MSA < 5 mm2 entire stent length | 31/70 (44.3) | 33/62 (53.2) | 0.30 |
MSA in CTO segment, mm2 | 6.1 [4.9–8.3] | 6.2 [5.1–6.9] | 0.31 |
MSA <5 mm2 in CTO segment | 22 (30.1) | 37 (44.1) | 0.07 |
IVUS-VI * | 35 (48.9) | 77 (91.7) | <0.0001 |
Intramural Hematoma | 13 (17.8) | 48 (57.1) | <0.0001 |
Perivascular Hematoma | 5 (6.9) | 30 (35.7) | <0.0001 |
Total Length Of Hematoma | 9.0 [5.2,12.3] | 14.0 [6.8, 22.3] | 0.07 |
Perivascular Blood Speckle | 29 (39.7) | 66 (78.7) | <0.0001 |
Malapposition | 12 (17.1) | 10 (16.1) | 0.88 |
Significant† | 8 (11.4) | 4 (6.5) | 0.38 |
Tissue Protrusion | 5 (7.1) | 10 (16.1) | 0.17 |
Significant‡ | 3 (4.3) | 5 (8.1) | 0.47 |
Stent Edge Dissection | 6 (8.2) | 11 (13.1) | 0.33 |
Significant§ | 3 (4.3) | 5 (8.1) | 0.47 |
Continuous values are reported as mean ± (standard deviation) or median [interquartile range]
IVUS-VI includes any of the following: intramedial hematoma, perivascular hematoma, perivascular blood speckle.
Malapposition area >10% lumen area.
Protruded tissue area >10% stent area.
Dissection >3 mm in length and >60° in angle.
MSA - minimum stent area, CTO- chronic total occlusion, IVUS-VI – intravascular ultrasound vascular injury