Article Navigation
- < Previous
Journal Article
Get access
, Kensaku Nishihira Department of Cardiology, Miyazaki Medical Association Hospital , 1173 Arita, Miyazaki 880-2102 , Japan Corresponding author. Tel: +81 985 77 9101, Fax: +81 985 77 9121, Email: nishihira@med.miyazaki-u.ac.jp Search for other works by this author on: Oxford Academic Yuya Asano Department of Cardiology, Miyazaki Medical Association Hospital , 1173 Arita, Miyazaki 880-2102 , Japan Search for other works by this author on: Oxford Academic Yoshisato Shibata Department of Cardiology, Miyazaki Medical Association Hospital , 1173 Arita, Miyazaki 880-2102 , Japan Search for other works by this author on: Oxford Academic
https://orcid.org/0000-0002-1718-3830 European Heart Journal, Volume 45, Issue 17, 1 May 2024, Page 1576, https://doi.org/10.1093/eurheartj/ehae073
- Views
- Article contents
- Figures & tables
- Video
- Audio
- Supplementary Data
-
Cite
Cite
Kensaku Nishihira, Yuya Asano, Yoshisato Shibata, Efficacy of pacl*taxel-coated balloon angioplasty combined with intensive lipid-lowering therapy for ST-segment elevation myocardial infarction: insights from near-infrared spectroscopy, European Heart Journal, Volume 45, Issue 17, 1 May 2024, Page 1576, https://doi.org/10.1093/eurheartj/ehae073
Close
Search
Close
Search
Advanced Search
Search Menu
Extract
A 43-year-old premenopausal woman with dyslipidaemia was hospitalized due to ST-segment elevation myocardial infarction (STEMI). Coronary angiography identified total occlusion of the right coronary artery (Panel A1; Supplementary data online, Video S1). Near-infrared spectroscopy (NIRS) and intravascular ultrasound demonstrated ultrasound attenuation and extensive yellow signals with maximum lipid core burden index (max-LCBI) of 874 in a 4 mm segment (Panels A2 and A3), indicating the presence of a large amount of lipid-rich material. Given her young age and premenopausal status, we opted for a stentless strategy with pacl*taxel-coated balloon (PCB; 3.0 mm × 20 mm) angioplasty. The lesion was successfully dilated, and sufficient coronary blood flow was achieved, but significant yellow signals remained on NIRS (max-LCBI, 606; Panels B1–B3). After PCB angioplasty, she received intensive lipid-lowering therapy with rosuvastatin (10 mg/day) and ezetimibe (10 mg/day) plus dual antiplatelet therapy with aspirin (100 mg/day) and clopidogrel (75 mg/day). Only aspirin was discontinued after 3 months. After 1 year of intensive lipid-lowering therapy, low-density lipoprotein cholesterol levels decreased from 137 to 52 mg/dL. Follow-up coronary angiography showed no restenosis (Panel C1; Supplementary data online, Video S2). Near-infrared spectroscopy demonstrated a marked reduction in yellow signals (max-LCBI, 244; Panels C2 and C3), suggesting that the residual lipid-rich plaque had stabilized.
Topic:
- pacl*taxel
- st segment elevation myocardial infarction
- balloon angioplasty
- spectroscopy, near-infrared
- lipid-lowering therapy
Issue Section:
CARDIOVASCULAR FLASHLIGHT
You do not currently have access to this article.
Download all slides
Sign in
Get help with access
European Society of Cardiology members
Sign in through society site
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
Sign in Register
Institutional access
- Sign in through your institution
- Sign in with a library card Sign in with username/password Recommend to your librarian
Institutional account management
Sign in as administrator
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
- Click Sign in through your institution.
- Select your institution from the list provided, which will take you to your institution's website to sign in.
- When on the institution site, please use the credentials provided by your institution. Do not use an Oxford Academic personal account.
- Following successful sign in, you will be returned to Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
- Click Sign in through society site.
- When on the society site, please use the credentials provided by that society. Do not use an Oxford Academic personal account.
- Following successful sign in, you will be returned to Oxford Academic.
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
- View your signed in personal account and access account management features.
- View the institutional accounts that are providing access.
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.
Purchase
Subscription prices and ordering for this journal
Purchasing options for books and journals across Oxford Academic
Short-term Access
To purchase short-term access, please sign in to your personal account above.
Don't already have a personal account? Register
Efficacy of pacl*taxel-coated balloon angioplasty combined with intensive lipid-lowering therapy for ST-segment elevation myocardial infarction: insights from near-infrared spectroscopy - 24 Hours access
EUR €38.00
GBP £33.00
USD $41.00
Rental
This article is also available for rental through DeepDyve.
Advertisem*nt intended for healthcare professionals
Citations
Views
76
Altmetric
More metrics information
Metrics
Total Views 76
49 Pageviews
27 PDF Downloads
Since 2/1/2024
| Month: | Total Views: |
|---|---|
| February 2024 | 42 |
| March 2024 | 12 |
| April 2024 | 21 |
| May 2024 | 1 |
Citations
Powered by Dimensions
Altmetrics
Email alerts
Article activity alert
Advance article alerts
New issue alert
Receive exclusive offers and updates from Oxford Academic
Remnant cholesterol in the era of intensive lipid-lowering therapies
Dynamical improvement after rescue balloon angioplasty for pulmonary vein occlusion complicated with radiofrequency catheter ablation
Direct high-frequency intravascular ultrasound visualization of drug delivery after pacl*taxel urea eluting balloon angioplasty
Great debate: lipid-lowering therapies should be guided by vascular imaging rather than by circulating biomarkers
Related articles in PubMed
Citing articles via
Google Scholar
-
Latest
-
Most Read
-
Most Cited
More from Oxford Academic
Cardiovascular Medicine
Clinical Medicine
Medicine and Health
Books
Journals
Lakeland, Florida
Burlington, Vermont
New Haven, Connecticut
New Haven, Connecticut
Advertisem*nt intended for healthcare professionals
