Coronary angioscopy: current topics and future direction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-03-18

AUTHORS

Kyoichi Mizuno, Zuoyan Wang, Shigenobu Inami, Masamichi Takano, Masahiro Yasutake, Kuniya Asai, Hitoshi Takano

ABSTRACT

Disruption of vulnerable plaque and following thrombus formation are considered the main cause of acute coronary syndrome (ACS). Intracoronary angioscopy is an endoscopic technology that allows direct visualization of the coronary artery lumen and provides detailed information regarding plaque morphology in patients with coronary artery disease. The color and morphology of coronary plaque under angioscopy observation are proposed to be determinants for plaque stability. Angioscopically yellow plaque represents a thin-cap fibroatheroma, and is associated with a higher incidence of disruption and thrombus formation, and may be associated with future acute coronary syndromes. To circumvent the subjectivity of color interpretation, various quantitative methods have been proposed for identifying vulnerable plaques. Superior to other coronary imaging techniques such as VH IVUS and optical coherence tomography, angioscopy has impressively high sensitivity and specificity in detection of intraluminal thrombus. Angioscopy can also be used as an adjunctive technique during catheter intervention by directly visualizing the thrombus, stent struts and proliferating neointima. The time course and pattern of neointima coverage, as seen by angioscopy, various among different stent systems. Angioscopic assessment of serial changes after stent implantation may have potential benefits on patient’s management after coronary stenting. More... »

PAGES

89

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12928-011-0055-2

DOI

http://dx.doi.org/10.1007/s12928-011-0055-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037995621

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24122528


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