{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:18:34Z","timestamp":1787822314616,"version":"build-2784847793"},"reference-count":27,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Elevated brachial\u2013ankle pulse wave velocity (baPWV) predicts adverse outcomes after percutaneous coronary intervention, but its relation to the quantitative angiographic outcomes of drug-eluting stent (DES) implantation is unknown. We examined baPWV against acute gain and late lumen loss. Methods: In a retrospective single-center cohort, 242 lesions in 141 patients with paired quantitative coronary angiography (QCA) were analyzed. baPWV was modeled per 1 SD with patient-level clustering (linear mixed model for acute gain; cluster-robust ordinary least squares for late lumen loss), with a Bonferroni-corrected \u03b1 = 0.025 for the co-primary outcomes. Generalizability was assessed against registry patients without QCA. Results: An unadjusted inverse association with acute gain (\u03b2 = \u22120.093 mm per 1 SD; p = 0.013) was fully attenuated after adjustment (\u03b2 = \u22120.019; 95% CI \u22120.106 to +0.068; p = 0.67). baPWV was not associated with late lumen loss (adjusted \u03b2 = \u22120.021; 95% CI \u22120.091 to +0.050; p = 0.57). Conclusions: Pre-procedural baPWV showed no independent association with acute gain or late lumen loss after DES implantation, consistent with a marker of systemic cardiovascular risk rather than independent local angiographic information. These data do not support using baPWV to guide procedural decisions.<\/jats:p>","DOI":"10.3390\/jcm15176613","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T08:02:27Z","timestamp":1787817747000},"page":"6613","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Arterial Stiffness (Brachial\u2013Ankle Pulse Wave Velocity) with Angiographic Outcomes After Drug-Eluting Stent Implantation: A Retrospective Lesion-Level Cohort Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3977-1330","authenticated-orcid":false,"given":"Hangyeol","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2020-7028","authenticated-orcid":false,"given":"Hyun Sung","family":"Joh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9298-8500","authenticated-orcid":false,"given":"Woo-Hyun","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6703-1472","authenticated-orcid":false,"given":"Hack-Lyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang-Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Bin","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.jacc.2009.10.061","article-title":"Prediction of cardiovascular events and all-cause mortality with arterial stiffness: A systematic review and meta-analysis","volume":"55","author":"Vlachopoulos","year":"2010","journal-title":"J. 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