Utility of optical coherence tomography in acute coronary syndromes

被引：5

作者：

Galougahi, Keyvan Karimi ^{[1
]}

Dakroub, Ali ^{[1
]}

Chau, Karen ^{[1
]}

Mathew, Rony ^{[2
]}

Mullasari, Ajit ^{[3
]}

Singh, Balbir ^{[4
]}

Sengottuvelu, Gunasekaran ^{[5
]}

Maehara, Akiko ^{[1
,6
]}

Mintz, Gary ^{[6
]}

Jeremias, Allen ^{[1
]}

Shlofmitz, Evan ^{[1
]}

West, Nick E. J. ^{[7
]}

Shlofmitz, Richard ^{[1
,6
]}

Ali, Ziad A. ^{[1
,6
,8
]}

机构：

[1] St Francis Hosp, Roslyn, NY USA

[2] Lisie Hosp, Ernakulam, Kerala, India

[3] Madras Med Mission, Inst Cardiovasc Dis, Chennai, India

[4] Max Healthcare, Dept Cardiol, New Delhi, India

[5] Apollo Hosp, Chennai, India

[6] Cardiovasc Res Fdn, New York, NY USA

[7] Abbott Vasc, Santa Clara, CA USA

[8] St Francis Hosp, DeMatteis Cardiovasc Inst, Heart Ctr, 100 Port Washington Blvd, Roslyn, NY 11576 USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2023年 / 102卷 / 01期

关键词：

acute coronary syndromes; calcified nodule; optical coherence tomography; percutaneous coronary intervention; plaque erosion; plaque rupture; ELEVATION MYOCARDIAL-INFARCTION; CULPRIT LESION MORPHOLOGY; ARTERY DISSECTION; INTRAVASCULAR ULTRASOUND; PLAQUE MORPHOLOGY; CALCIFIED NODULE; OUTCOMES; RUPTURE; PREVALENCE; EROSION;

D O I：

10.1002/ccd.30656

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Studies utilizing intravascular imaging have replicated the findings of histopathological studies, identifying the most common substrates for acute coronary syndromes (ACS) as plaque rupture, erosion, and calcified nodule, with spontaneous coronary artery dissection, coronary artery spasm, and coronary embolism constituting the less common etiologies. The purpose of this review is to summarize the data from clinical studies that have used high-resolution intravascular optical coherence tomography (OCT) to assess culprit plaque morphology in ACS. In addition, we discuss the utility of intravascular OCT for effective treatment of patients presenting with ACS, including the possibility of culprit lesion-based treatment by percutaneous coronary intervention.

引用

页码：46 / 55

页数：10

共 78 条

[1] Diagnosis of Spontaneous Coronary Artery Dissection by Optical Coherence Tomography [J].