Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
The detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous co...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Scientifica |
| Online Access: | http://dx.doi.org/10.1155/2013/364247 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563822957690880 |
|---|---|
| author | Giovanni Luigi De Maria Niket Patel George Kassimis Adrian P. Banning |
| author_facet | Giovanni Luigi De Maria Niket Patel George Kassimis Adrian P. Banning |
| author_sort | Giovanni Luigi De Maria |
| collection | DOAJ |
| description | The detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous coronary intervention (PCI) distal embolisation (DE) is considered to be inevitable and it is associated with potential clinical and prognostic implications. This review aims to assess the main aspects of both spontaneous and procedural DE, analyze their different pathophysiology, provide specific insights on the main diagnostic tools for their identification, and finally focus on the main strategies for their treatment and prevention. |
| format | Article |
| id | doaj-art-0b6a0918b748489f8d97260cd1ec2080 |
| institution | Kabale University |
| issn | 2090-908X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Scientifica |
| spelling | doaj-art-0b6a0918b748489f8d97260cd1ec20802025-02-03T01:12:23ZengWileyScientifica2090-908X2013-01-01201310.1155/2013/364247364247Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and PreventionGiovanni Luigi De Maria0Niket Patel1George Kassimis2Adrian P. Banning3Oxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, Headley Way, Oxford OX39DU, UKOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, Headley Way, Oxford OX39DU, UKOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, Headley Way, Oxford OX39DU, UKOxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals, Headley Way, Oxford OX39DU, UKThe detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous coronary intervention (PCI) distal embolisation (DE) is considered to be inevitable and it is associated with potential clinical and prognostic implications. This review aims to assess the main aspects of both spontaneous and procedural DE, analyze their different pathophysiology, provide specific insights on the main diagnostic tools for their identification, and finally focus on the main strategies for their treatment and prevention.http://dx.doi.org/10.1155/2013/364247 |
| spellingShingle | Giovanni Luigi De Maria Niket Patel George Kassimis Adrian P. Banning Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention Scientifica |
| title | Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention |
| title_full | Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention |
| title_fullStr | Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention |
| title_full_unstemmed | Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention |
| title_short | Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention |
| title_sort | spontaneous and procedural plaque embolisation in native coronary arteries pathophysiology diagnosis and prevention |
| url | http://dx.doi.org/10.1155/2013/364247 |
| work_keys_str_mv | AT giovanniluigidemaria spontaneousandproceduralplaqueembolisationinnativecoronaryarteriespathophysiologydiagnosisandprevention AT niketpatel spontaneousandproceduralplaqueembolisationinnativecoronaryarteriespathophysiologydiagnosisandprevention AT georgekassimis spontaneousandproceduralplaqueembolisationinnativecoronaryarteriespathophysiologydiagnosisandprevention AT adrianpbanning spontaneousandproceduralplaqueembolisationinnativecoronaryarteriespathophysiologydiagnosisandprevention |