Echogenicity as a surrogate for bioresorbable everolimus-eluting scaffold degradation: analysis at 1-, 3-, 6-, 12- 18, 24-, 30-, 36- and 42-month follow-up in a porcine model
Author(s)
Type
Journal Article
Abstract
The objective of the study is to validate intravascular quantitative echogenicity as a surrogate for molecular weight assessment of poly-l-lactide-acid (PLLA) bioresorbable scaffold (Absorb BVS, Abbott Vascular, Santa Clara, California). We analyzed at 9 time points (from 1- to 42-month follow-up) a population of 40 pigs that received 97 Absorb scaffolds. The treated regions were analyzed by echogenicity using adventitia as reference, and were categorized as more (hyperechogenic or upperechogenic) or less bright (hypoechogenic) than the reference. The volumes of echogenicity categories were correlated with the measurements of molecular weight (Mw) by gel permeation chromatography. Scaffold struts appeared as high echogenic structures. The quantification of grey level intensity in the scaffold-vessel compartment had strong correlation with the scaffold Mw: hyperechogenicity (correlation coefficient = 0.75; P < 0.01), upperechogenicity (correlation coefficient = 0.63; P < 0.01) and hyper + upperechogenicity (correlation coefficient = 0.78; P < 0.01). In the linear regression, the R2 for high echogenicity and Mw was 0.57 for the combination of hyper and upper echogenicity. IVUS high intensity grey level quantification is correlated to Absorb BVS residual molecular weight and can be used as a surrogate for the monitoring of the degradation of semi-crystalline polymers scaffolds.
Date Issued
2015-01-28
Date Acceptance
2015-01-10
Citation
International Journal of Cardiovascular Imaging, 2015, 31 (3), pp.471-482
ISSN
1875-8312
Publisher
Springer Verlag
Start Page
471
End Page
482
Journal / Book Title
International Journal of Cardiovascular Imaging
Volume
31
Issue
3
Copyright Statement
This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
License URL
Subjects
Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Radiology, Nuclear Medicine & Medical Imaging
Cardiovascular System & Cardiology
Absorb
Bioresorbable vascular scaffold
Degradation
Echogenicity
IVUS
Porcine
RADIOFREQUENCY DATA-ANALYSIS
CORONARY-ARTERY-DISEASE
INTRAVASCULAR ULTRASOUND
VASCULAR SCAFFOLD
IN-VIVO
INTRACORONARY ULTRASOUND
ATHEROSCLEROTIC PLAQUE
IMAGING OUTCOMES
STATIN THERAPY
IMPLANTATION
Absorbable Implants
Angioplasty, Balloon, Coronary
Animals
Cardiovascular Agents
Coronary Vessels
Crystallization
Drug-Eluting Stents
Everolimus
Lactic Acid
Linear Models
Models, Animal
Observer Variation
Polymers
Predictive Value of Tests
Prosthesis Design
Reproducibility of Results
Swine
Time Factors
Ultrasonography, Interventional
Nuclear Medicine & Medical Imaging
1102 Cardiovascular Medicine And Haematology
Publication Status
Published