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Compliance charts to guide non-complex small artery stenting: validation by quantitative coronary angiography
  1. Yohan Chacko1,2,
  2. J Kimberly Haladyn1,
  3. Debbie M Smith2,
  4. Richard Lim1,2
  1. 1Department of Medicine, The University of Queensland, Brisbane, Queensland, Australia
  2. 2Department of Cardiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Dr Richard Lim, Department of Medicine, The University of Queensland, Brisbane, QLD 4102, Australia; r.lim{at}uq.edu.au

Abstract

Objective To determine whether stent sizing derived from manufacturers’ compliance charts provides a reasonable in vivo estimate of final minimum lumen diameter (MLD) when compared with quantitative coronary angiography (QCA).

Design Single-centre measurement comparison study.

Setting Tertiary referral university hospital.

Patients Fifty cases receiving a single stent for non-complex de novo stenosis were randomly selected from the percutaneous coronary intervention database of our high-volume centre. Restenosis, stent thrombosis, bifurcational disease, rotablation, left main or graft stenting, intravascular ultrasound or kissing balloon inflations were exclusion criteria.

Main outcome measures Equality and limits of agreement (LOA) between compliance chart and QCA measurements of final MLD, especially focusing on patients with small stents<3 mm. The paired t test and Bland-Altman plots were used to compare measurements.

Results There was no significant difference between compliance chart-derived and QCA final MLD (n=50; mean −0.034 mm, SD 0.35, 95% CI −0.132 to +0.064; p=0.49), with reasonable Bland-Altman LOA between the two methods of assessing final MLD in the overall group (LOA −0.72 to +0.66 mm), as well as in the group of particular interest with Derived final MLD <3 mm (n=30; mean 0.019 mm, SD 0.27, 95% CI −0.082 to +0.119; p=0.71; LOA −0.52 to +0.56 mm).

Conclusions Compliance charts provide an acceptable estimate of final MLD and are a reasonable guide to sizing during non-complex stenting, especially in small vessels <3 mm.

  • Imaging and diagnostics
  • Interventional cardiology

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