Browsing by Author "Karagoz, Ali"

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    Enhanced Stent Imaging System Guided Percutaneous Coronary Intervention Is Linked to Optimize Stent Placement
    (2022) Avci, Ilhan Ilker; Zeren, Gonul; Sungur, Mustafa Azmi; Akdeniz, Evliya; Simsek, Baris; Yilmaz, Mehmet Fatih; Can, Fatma; Gurkan, Ufuk; Karagoz, Ali; Tanboga, Ibrahim Halil; Karabay, Can Yucel; 36178093
    Stent under-expansion is a predictor of restenosis and stent thrombosis. It remains uncertain whether enhanced stent imaging (ESI) (CLEARstent) guidance can improve stent under-expansion. Our aim was to assess the effect of using ESI on stent under-expansion, after percutaneous coronary intervention (PCI) in a single center, cross-sectional observational study. Participants attending our cardiology clinic with stable angina or acute coronary syndrome, from March to September 2020 were recruited. A total of 164 patients who underwent post-PCI ESI (CLEARstent) were compared with 77 age- and sex-matched control patients. Post-procedural minimal lumen diameter (MLD) was calculated. The patients in the ESI-guided PCI group, had a median age of 61 (54-69 IQR 25-75) years and 76.8% (n = 126) were males. The patients in ESI-guided PCI group had a greater minimal lumen diameter compared with the X-ray guided PCI group (beta eta coefficient:2.88 (95% CI:2.58-2.99) vs beta eta coefficient 2.55 (95% CI 2.34-2.63), P < .001). Our finding supports the use of the ESI system to optimize stent placement as expressed by the MLD.