{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T22:52:15Z","timestamp":1771455135313,"version":"3.50.1"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2014,3,24]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Stent fracture (\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              ) after drug\u2010eluting stent implantation has become an important concern. The aim of this study was to assess the incidence, predictors, and clinical impact of\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              after biolimus\u2010eluting stent.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              A total of 1026 patients with 1407 lesions undergoing the Nobori biolimus\u2010eluting stent implantation and follow\u2010up angiography within 9\u00a0months after index procedure were analyzed.\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              was defined as complete or partial separation of the stent, as assessed by using plain fluoroscopy, intravascular ultrasound, or optical coherence tomography during the follow\u2010up. We assessed the rate of\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              and the cumulative incidence of clinically driven target lesion revascularization and definite stent thrombosis within 9\u00a0months.\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              was observed in 58 (4.1%) of 1407 lesions and 57 (5.5%) of 1026 patients. Lesions with hinge motion (\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              8.90, 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              3.84 to 20.6,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001), tortuosity (\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              4.16, 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              1.75 to 9.88,\n              <jats:italic>P<\/jats:italic>\n              =0.001), and overlapping stents (\n              <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n              2.41, 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              0.95 to 6.10,\n              <jats:italic>P<\/jats:italic>\n              =0.06) were predictors of\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              . Cumulative incidence of clinically driven target lesion revascularization within 9\u00a0months was numerically higher in the\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              group than that in the non\u2010\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              group (12.0% versus 1.0%). Cumulative incidence of definite stent thrombosis within 9 months tended to be higher in the\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              group than that in the non\u2010\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              group (1.7% versus 0.5%).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n              after biolimus\u2010eluting stent occurs in 4.1% of lesions and appears to be associated with clinically driven target lesion revascularization.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.113.000703","type":"journal-article","created":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T00:48:01Z","timestamp":1395362881000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Incidence and Clinical Impact of Stent Fracture After the Nobori Biolimus\u2010Eluting Stent Implantation"],"prefix":"10.1161","volume":"3","author":[{"given":"Shoichi","family":"Kuramitsu","sequence":"first","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Iwabuchi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyoshi","family":"Yokoi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takenori","family":"Domei","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinjo","family":"Sonoda","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Occupational and Environmental Health Japan School of Medicine, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hiromasa","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Morinaga","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohei","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kensuke","family":"Ohe","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoru","family":"Goya","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyohei","family":"Yamaji","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Hyodo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshimitsu","family":"Soga","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuhiro","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Shirai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Ando","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, 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