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RESEARCH ARTICLE

Anatomical and Physiological Changes after Paclitaxel-Coated Balloon for Atherosclerotic De Novo Coronary Lesions: Serial IVUS-VH and FFR Study Soe Hee Ann1, Gillian Balbir Singh1, Kyung Hun Lim1, Bon-Kwon Koo2, Eun-Seok Shin1* 1 Department of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea, 2 Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, South Korea * [email protected]

Abstract OPEN ACCESS Citation: Ann SH, Balbir Singh G, Lim KH, Koo B-K, Shin E-S (2016) Anatomical and Physiological Changes after Paclitaxel-Coated Balloon for Atherosclerotic De Novo Coronary Lesions: Serial IVUS-VH and FFR Study. PLoS ONE 11(1): e0147057. doi:10.1371/journal.pone.0147057

Aims To assess the serial changes of de novo coronary lesions treated with paclitaxel-coated balloon (PCB) using intravascular ultrasound virtual histology (IVUS-VH) and fractional flow reserve (FFR).

Editor: Bernardo Cortese, Cliniche Humanitas Gavazzeni, ITALY Received: April 21, 2015 Accepted: December 28, 2015 Published: January 29, 2016 Copyright: © 2016 Ann et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: Data have been deposited to Figshare: https://figshare.com/s/ ea82a726fb714d99bd40. Funding: The authors have no support or funding to report. Competing Interests: The authors have declared that no competing interests exist. Abbreviations: DES, Drug eluting stent; EEM, External elastic membrane; FFR, Fractional flow reserve; HDL, High-density lipoprotein; hsCRP, high sensitivity C-reactive protein; IVUS, Intravascular

Method and Results This prospective observational study enrolled 27 patients with coronary artery disease treated with PCB who underwent coronary angiography, IVUS-VH and FFR before, immediately after intervention and at 9 months. 28 de novo lesions were successfully treated with PCB. Angiographic late luminal loss was 0.02 ± 0.27mm. Mean vessel and lumen areas showed increase at 9 months (12.0 ± 3.5mm2 to 13.2 ± 3.9mm2, p