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Prediction of Left Ventricular Function After Drug-Eluting Stent Implantation for Chronic Total Coronary Occlusions

Timo Baks, MD^_*,, Robert-Jan van Geuns, MD, PhD^_*,, Dirk J. Duncker, MD, PhD^_*, Filippo Cademartiri, MD^_*,, Nico R. Mollet, MD^_*,, Gabriel P. Krestin, MD, PhD, Patrick W. Serruys, MD, PhD, FACC^_* and Pim J. de Feyter, MD, PhD, FACC^_*,,_*

^_* Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
Department of Radiology, Erasmus Medical Center, Rotterdam, the Netherlands

View larger version (18K): [in a new window]   Figure 1 The change in left ventricular volume indexes between baseline and five months of follow-up measured with magnetic resonance imaging (MRI). The mean ejection fraction remained unchanged, but end-systolic and end-diastolic volume index decreased significantly.

View larger version (16K): [in a new window]   Figure 2 Improvement in end-systolic volume index (ESVI) and ejection fraction (EF) was related to the extent of dysfunctional but viable myocardium before revascularization. No relationship was found for end-diastolic volume index (EDVI).

View larger version (18K): [in a new window]   Figure 3 Improvement in segmental wall thickening (SWT) was related to the transmural extent of infarction assessed with magnetic resonance imaging (MRI) before revascularization. Solid bars = before revascularization; open bars = five months after revascularization.