APRIL 23e26, 2013
determined by the direction perpendicular to the bifurcation of the main
plane in the coronary short axis CT images at the carina point.
Results: The distributions of ABOVA of 3 bifurcation sites assessed
by CCTA are given by Fig.1.
ABOVA for LAD/LCX and PD/PL were distributed mainly at the
RAO (27  22) Caudal (51  15) view and LAO (41  21) Cranial
(47  18) view. However, ABOVA of LAD/D1 was distributed sparsely
with large ranges of variation. When the limitation angles by the C-arm are
40 degree and 60 degree, ABOVA could not be reached in 85.6% and
50.0% of the cases.
Conclusion: The distributions of ABOVA of 3 bifurcation sites were
assessed by CCTA. But ABOVA could not be reached of the many
cases due to the limitation by the C-arm. Therefore, ABOVA should be
identified using CCTA.
- AS-091
Clinical Usefulness of Coronary Computed Tomographic
Angiography in Asymptomatic Patients with Type 2 Diabetic
Mellitus. Gyung-Min Park, Seung-Whan Lee, Young-Rak Cho,
Jung-Min Ahn, Jong-Young Lee, Won-Jang Kim, Duk-Woo Park,
Soo-Jin Kang, Young-Hak Kim, Cheol Whan Lee, Seong-Wook Park,
Seung-Jung Park. Asan Medical Center, Seoul, Korea (Republic of).
Background: OBJECTIVES The purpose of this study was to inves-
tigate the clinical usefulness of coronary computed tomographic angi-
ography (CCTA) in asymptomatic type 2 diabetes.
BACKGROUND Little is known regarding the role of CCTA in
asymptomatic type 2 diabetes.
Methods: We prospectively enrolled 557 asymptomatic type 2 dia-
betes who underwent CCTA. Cardiac event was defined as a composite
of cardiac death, nonfatal myocardial infarction, unstable angina
requiring hospitalization, or revascularization.
Results: Of the 557 asymptomatic type 2 diabetes, 395 (70.9%) had
atherosclerotic plaques and 170 (30.5%) showed significant coronary
artery disease (CAD) on CCTA. During the follow-up period (30.712.0
months), a total of 70 cardiac events occurred in 61 patients: 5 cardiac
deaths, 1 nonfatal myocardial infarction, 6 unstable anginas, and 58
revascularizations. There were more cardiac events in patients with
significant CAD compared to those without (34.7% [59/170] versus 0.5%
[2/387], p<0.001). Furthermore, in patients with significant CAD at left
main and/or proximal left anterior descending artery, there were more
cardiac events compared with those without (47.1% [41/87] versus 21.7%
[18/83], p<0.001). On multivariate analysis, longer diabetic durations,
family history of premature CAD, previous history of stroke, higher
The American Journal of Cardiologyâ APRIL 23e26, 2013 ANGIOPLASTY SUMMIT ABSTRACTS/Oral
Framingham or UKPDS risk scores, neuropathy, and retinopathy were the
independent clinical predictors of having significant CAD on CCTA. O
Conclusion: About one third of asymptomatic type 2 diabetes was
associated with significant CAD on CCTA with subsequent high risk for R
cardiac events. These findings suggest that CCTA may become a useful
screening tool in high risk group of asymptomatic type 2 diabetes.
A
L
A
B
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R
A
C
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S
- AS-092
The Prevalence of Stent Fracture in Chronic Phases After
Sirolimus-eluting Stent Implantation in Asymptomatic Patients
Investigated by the Multidetector Computed Tomography.
Tomoyuki Fukuzawa, Yuichi Hanaki, Tatsuhiko Murase,
Yasutoshi Shinoda, Houjyou Sasaki, Daiki Nishiyama, Shinya Kowase,
Gen Aoki, Kenji Kurosaki, Kazuhiko Yumoto, Akihiko Nogami,
Kenichi Kato. Yokohama Rousai Hospital, Yokohama, Japan.
Background: Stent fracture has been suggested as one of stent
thrombosis and in-stent restenosis (ISR) in patients who have sirolimus-
eluting stent (SES) implantation. However, the prevalence and clinical
events of stent fracture are unknown. Multidetector computed tomog-
raphy (MDCT) is useful for identifying stent fracture at the follow up.
The main purpose of this study is to investigate the rate of stent fracture
in chronic phase after SES implantation by the MDCT.
Methods: We performed 64-slice MDCT on asymptomatic and evet-
free 109 patients (155 lesions) who received SES implantation. The
average of follow-up period was 49.1 months (24-96 months). MDCT
definition of stent fracture is complete separation, misalignment, or
partial separation of stent struts.
Results: Stent fracture was identified in 25 patients (22.9%), 31 lesions
(20.0%) and ISR was 16 lesions (10.3%). Dual antiplatelet therapy
(DAPT) was 22 patients (88%). ISR induced by stent fracture was only
1 lesion. Peri-stent aneurysms were 2 lesions (1.29%). Fracture rate of
each coronary was following; Left main coronary artery was 3 lesions of
18 lesions (16.6%), Left anterior descending artery was 12 lesions of 77
lesions (15.5%), Left circumflex artery was 3 lesions of 23 lesions
(13.0%), Right coronary artery (RCA) was 13 lesions of 33 lesions
(39.3%). The average stent length was 34.2 mm and 10 lesions were two
over-lapped stents.
43B
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