Future stroke risk in the chronic phase of post-percutaneous coronary intervention.

A percutaneous coronary intervention (PCI) is widely performed for acute coronary syndromes or chronic coronary syndromes. Periprocedural stroke is a clinically significant complication during PCI. The incidence of cerebrovascular events (CVEs) after PCI in the chronic phase is obscure. This study a...

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Autores principales:	Shinsuke Muraoka, Daiki Somiya, Aoi Ebata, Yuki Kumagai, Naoki Koketsu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/428c3d5a4ac64b77b3f07cf4ba1b29ff
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spelling	oai:doaj.org-article:428c3d5a4ac64b77b3f07cf4ba1b29ff2021-11-25T06:19:17ZFuture stroke risk in the chronic phase of post-percutaneous coronary intervention.1932-620310.1371/journal.pone.0251253https://doaj.org/article/428c3d5a4ac64b77b3f07cf4ba1b29ff2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251253https://doaj.org/toc/1932-6203A percutaneous coronary intervention (PCI) is widely performed for acute coronary syndromes or chronic coronary syndromes. Periprocedural stroke is a clinically significant complication during PCI. The incidence of cerebrovascular events (CVEs) after PCI in the chronic phase is obscure. This study aimed to investigate the prevalence of CVEs after PCI in the chronic phase and evaluate the usefulness of a simple coronary artery calcification (CAC) evaluation method. This prospective observational study included 179 patients who underwent PCI between January 2016 and December 2018. The incidence of cerebral infarction was examined from one month after PCI to December 2019. In total, 171 individuals (134 men; mean age, 69.8 ± 9.8 years) were recruited. During a median follow-up period of 33 months, the onset of cerebral infarction was observed in 20 individuals (11.7%). More CAC sites (p = 0.009) and post-PCI for the chronic coronary syndrome (p = 0.049) showed a significant association with future CVEs. There was no significant cervical internal carotid artery stenosis for patients who occurred CVEs. The cutoff value for the number of CAC sites for predicting future CVEs was 4.5. The new and easy method accurately reflected future CVEs risk and may be clinically applicable.Shinsuke MuraokaDaiki SomiyaAoi EbataYuki KumagaiNaoki KoketsuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251253 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shinsuke Muraoka Daiki Somiya Aoi Ebata Yuki Kumagai Naoki Koketsu Future stroke risk in the chronic phase of post-percutaneous coronary intervention.
description	A percutaneous coronary intervention (PCI) is widely performed for acute coronary syndromes or chronic coronary syndromes. Periprocedural stroke is a clinically significant complication during PCI. The incidence of cerebrovascular events (CVEs) after PCI in the chronic phase is obscure. This study aimed to investigate the prevalence of CVEs after PCI in the chronic phase and evaluate the usefulness of a simple coronary artery calcification (CAC) evaluation method. This prospective observational study included 179 patients who underwent PCI between January 2016 and December 2018. The incidence of cerebral infarction was examined from one month after PCI to December 2019. In total, 171 individuals (134 men; mean age, 69.8 ± 9.8 years) were recruited. During a median follow-up period of 33 months, the onset of cerebral infarction was observed in 20 individuals (11.7%). More CAC sites (p = 0.009) and post-PCI for the chronic coronary syndrome (p = 0.049) showed a significant association with future CVEs. There was no significant cervical internal carotid artery stenosis for patients who occurred CVEs. The cutoff value for the number of CAC sites for predicting future CVEs was 4.5. The new and easy method accurately reflected future CVEs risk and may be clinically applicable.
format	article
author	Shinsuke Muraoka Daiki Somiya Aoi Ebata Yuki Kumagai Naoki Koketsu
author_facet	Shinsuke Muraoka Daiki Somiya Aoi Ebata Yuki Kumagai Naoki Koketsu
author_sort	Shinsuke Muraoka
title	Future stroke risk in the chronic phase of post-percutaneous coronary intervention.
title_short	Future stroke risk in the chronic phase of post-percutaneous coronary intervention.
title_full	Future stroke risk in the chronic phase of post-percutaneous coronary intervention.
title_fullStr	Future stroke risk in the chronic phase of post-percutaneous coronary intervention.
title_full_unstemmed	Future stroke risk in the chronic phase of post-percutaneous coronary intervention.
title_sort	future stroke risk in the chronic phase of post-percutaneous coronary intervention.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/428c3d5a4ac64b77b3f07cf4ba1b29ff
work_keys_str_mv	AT shinsukemuraoka futurestrokeriskinthechronicphaseofpostpercutaneouscoronaryintervention AT daikisomiya futurestrokeriskinthechronicphaseofpostpercutaneouscoronaryintervention AT aoiebata futurestrokeriskinthechronicphaseofpostpercutaneouscoronaryintervention AT yukikumagai futurestrokeriskinthechronicphaseofpostpercutaneouscoronaryintervention AT naokikoketsu futurestrokeriskinthechronicphaseofpostpercutaneouscoronaryintervention
_version_	1718413920697319424

Future stroke risk in the chronic phase of post-percutaneous coronary intervention.

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