Evaluation Of Stent Expansion During Coronary Artery Intervention By Stent Enhancement Compared With Quantitative Coronary Angiography And Intravascular Ultrasound In Diabetic Patients

Naguib, Tarek Ahmed; Mousa, Mostafa Khalifa; Hafez, Mamdouh Hafez Abdelaziz; Nashy, Baher Nabil

doi:10.21608/zumj.2025.345730.3745

	Evaluation Of Stent Expansion During Coronary Artery Intervention By Stent Enhancement Compared With Quantitative Coronary Angiography And Intravascular Ultrasound In Diabetic Patients
Zagazig University Medical Journal
Article 13, Volume 31, Issue 3, March 2025, Page 1124-1131 PDF (1.11 MB)
Document Type: Original Article
DOI: 10.21608/zumj.2025.345730.3745
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Authors
Tarek Ahmed Naguib¹; Mostafa Khalifa Mousa²; Mamdouh Hafez Abdelaziz Hafez ³; Baher Nabil Nashy⁴
¹Professor of Cardiology and head of Cardiology Department, Faculty of Medicine, Zagazig University
²Consultant of Cardiology and Head of Cardiology Department, Police Medical Complex in New Cairo
³MBBCH, Faculty of Medicine, Zagazig University
⁴Assistant Professor of Cardiology, Faculty of Medicine, Zagazig University
Abstract
Background: Coronary stent under expansion has a crucial impact in the incidence of in-stent thrombosis and re-stenosis in cases subjected to percutaneous coronary interventions (PCI), even in the drug-eluting stent era. The current study aim to assess the accuracy of employing stent enhancement in order to identify stent expansion during coronary artery intervention compared with intravascular ultrasound (IVUS) and quantitative coronary angiography (QCA) in diabetic patients. Methods: This cross-sectional study was performed on cases scheduled for elective coronary intervention at Police Medical Complex Hospital in New Cairo. All patients of the groups were subjected to complete history taking, clinical assessment, laboratory tests, and echocardiography. Results: stent boost (or clear stent) measurements generally showed higher reliability and agreement with IVUS than QCA. stent boost measurements generally showed higher agreement with IVUS compared to QCA for both diabetic and non-diabetic cases, with the diabetic group demonstrating particularly robust agreement. Conclusion: Stent boost (or clear stent) measurements generally showed higher agreement with IVUS compared to QCA for both diabetic and non-diabetic cases, with the diabetic group demonstrating particularly robust agreement.
Keywords
Stent; Coronary angiography; Intravascular ultrasound; Diabetes


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