Role of Intracoronary Imaging in Acute Coronary Syndromes
Intravascular imaging with optical coherence tomography (OCT) and intravascular ultrasound provides superior visualization of the culprit plaques for acute coronary syndromes (ACS) compared with coronary angiography. Combined with angiography, intravascular imaging can be used to instigate ‘precisio...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-06-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2022.03 |
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| author | Gregory Petrossian Denizhan Ozdemir Keyvan Karimi Galougahi Jonathan Scheiner Susan V Thomas Richard Shlofmitz Evan Shlofmitz Allen Jeremias Ziad A Ali |
| author_facet | Gregory Petrossian Denizhan Ozdemir Keyvan Karimi Galougahi Jonathan Scheiner Susan V Thomas Richard Shlofmitz Evan Shlofmitz Allen Jeremias Ziad A Ali |
| author_sort | Gregory Petrossian |
| collection | DOAJ |
| description | Intravascular imaging with optical coherence tomography (OCT) and intravascular ultrasound provides superior visualization of the culprit plaques for acute coronary syndromes (ACS) compared with coronary angiography. Combined with angiography, intravascular imaging can be used to instigate ‘precision therapy’ for ACS. Post-mortem histopathology identified atherothrombosis at the exposed surface of a ruptured fibrous cap as the main cause of ACS. Further histopathological studies identified intact fibrous caps and calcified nodules as other culprit lesions for ACS. These plaque types were subsequently also identified on intravascular imaging, particularly with the high-resolution OCT. The less-common non-atherothrombotic causes of ACS are coronary artery spasm, coronary artery dissection, and coronary embolism. In this review, the authors provide an overview of clinical studies using intravascular imaging with OCT in the diagnosis and management of ACS. |
| format | Article |
| id | doaj-art-65e46c7f8f5e4d15801b881738c01ff8 |
| institution | OA Journals |
| issn | 1758-3896 1758-390X |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj-art-65e46c7f8f5e4d15801b881738c01ff82025-08-20T01:56:39ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2022-06-011610.15420/usc.2022.03Role of Intracoronary Imaging in Acute Coronary SyndromesGregory Petrossian0Denizhan Ozdemir1Keyvan Karimi Galougahi2Jonathan Scheiner3Susan V Thomas4Richard Shlofmitz5Evan Shlofmitz6Allen Jeremias7Ziad A Ali8Albany Medical College, Albany Medical Center, Albany, NYDivision of Cardiology, Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, NYDepartment of Cardiology, Royal Prince Alfred Hospital, Sydney, Australia; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia; Heart Research Institute, Sydney, Australia; DeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NYDeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NYDeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NYDeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NYDeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NYDeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NY; Clinical Trials Center, Cardiovascular Research Foundation, New York, NYDeMatteis Cardiovascular Institute, St Francis Hospital – The Heart Center, Roslyn, NY; Clinical Trials Center, Cardiovascular Research Foundation, New York, NYIntravascular imaging with optical coherence tomography (OCT) and intravascular ultrasound provides superior visualization of the culprit plaques for acute coronary syndromes (ACS) compared with coronary angiography. Combined with angiography, intravascular imaging can be used to instigate ‘precision therapy’ for ACS. Post-mortem histopathology identified atherothrombosis at the exposed surface of a ruptured fibrous cap as the main cause of ACS. Further histopathological studies identified intact fibrous caps and calcified nodules as other culprit lesions for ACS. These plaque types were subsequently also identified on intravascular imaging, particularly with the high-resolution OCT. The less-common non-atherothrombotic causes of ACS are coronary artery spasm, coronary artery dissection, and coronary embolism. In this review, the authors provide an overview of clinical studies using intravascular imaging with OCT in the diagnosis and management of ACS.https://www.uscjournal.com/articleindex/usc.2022.03 |
| spellingShingle | Gregory Petrossian Denizhan Ozdemir Keyvan Karimi Galougahi Jonathan Scheiner Susan V Thomas Richard Shlofmitz Evan Shlofmitz Allen Jeremias Ziad A Ali Role of Intracoronary Imaging in Acute Coronary Syndromes US Cardiology Review |
| title | Role of Intracoronary Imaging in Acute Coronary Syndromes |
| title_full | Role of Intracoronary Imaging in Acute Coronary Syndromes |
| title_fullStr | Role of Intracoronary Imaging in Acute Coronary Syndromes |
| title_full_unstemmed | Role of Intracoronary Imaging in Acute Coronary Syndromes |
| title_short | Role of Intracoronary Imaging in Acute Coronary Syndromes |
| title_sort | role of intracoronary imaging in acute coronary syndromes |
| url | https://www.uscjournal.com/articleindex/usc.2022.03 |
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