Increased pulse wave transit time after percutaneous coronary intervention procedure in CAD patients

Abstract:

Pulse wave transit time (PWTT) has been widely used as an index in assessing arterial stiffness. Percutaneous coronary intervention (PCI) is usually applied to the treatment of coronary artery disease (CAD). Research on the changes in PWTT caused by PCI is helpful for understanding the impact of the PCI procedure. In addition, effects of stent sites and access sites on the changes in PWTT have not been explored. Consequently, this study aimed to provide this information. The results showed that PWTT significantly increased after PCI (p \textless 0.01) while the standard deviation (SD) of PWTT time series had no statistically significant changes (p = 0.60) between before and after PCI. Significantly increased PWTT was found in the radial access group (p \textless 0.01), while there were no significant changes in the femoral access group (p \textgreater 0.4). Additionally, PWTT in the left anterior descending (LAD) group significantly increased after PCI (p \textless 0.01), but the increase that was found in the right coronary artery (RCA) group was not significant (p \textgreater 0.1). Our study indicates that arterial elasticity and left ventricular functions can benefit from a successful PCI procedure, and the increase of peripheral PWTT after PCI can help to better understand the effectiveness of the procedure.