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Clinical use of intracoronary imaging. Part 2 : acute coronary syndromes, ambiguous coronary angiography findings, and guiding interventional decision-making: an expert consensus document of the European Association of Percutaneous Cardiovascular Interventions

Johnson, Thomas W. ; Räber, Lorenz ; Di Mario, Carlo ; Bourantas, Christos ; Jia, Haibo ; Mattesini, Alessio ; Gonzalo, Nieves ; De La Torre Hernandez, Jose M. ; Prati, Francesco and Koskinas, Konstantinos , et al. (2019) In European Heart Journal 40(31). p.2566-2584
Abstract

This consensus document is the second of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near infrared spectroscopy (NIRS)-IVUS. Beyond guidance of stent selection and optimization of deployment, invasive imaging facilitates angiographic interpretation and may guide treatment in acute coronary syndrome. Intravascular imaging can provide additional important diagnostic information when confronted with angiographically ambiguous lesions and allows assessment of plaque morphology enabling identification of vulnerability... (More)

This consensus document is the second of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near infrared spectroscopy (NIRS)-IVUS. Beyond guidance of stent selection and optimization of deployment, invasive imaging facilitates angiographic interpretation and may guide treatment in acute coronary syndrome. Intravascular imaging can provide additional important diagnostic information when confronted with angiographically ambiguous lesions and allows assessment of plaque morphology enabling identification of vulnerability characteristics. This second document focuses on useful imaging features to identify culprit and vulnerable coronary plaque, which offers the interventional cardiologist guidance on when to adopt an intracoronary imaging-guided approach to the treatment of coronary artery disease and provides an appraisal of intravascular imaging-derived metrics to define the haemodynamic significance of coronary lesions.

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publication status
published
subject
keywords
Acute coronary syndrome, Intravascular imaging, Intravascular ultrasound, Optical coherence tomography, Percutaneous coronary intervention
in
European Heart Journal
volume
40
issue
31
pages
19 pages
publisher
Oxford University Press
external identifiers
  • scopus:85071352161
  • pmid:31112213
ISSN
0195-668X
DOI
10.1093/eurheartj/ehz332
language
English
LU publication?
yes
id
61fa4745-1718-4059-9ce7-bc6c05c2f3f7
date added to LUP
2019-10-01 16:20:33
date last changed
2020-01-16 04:05:57
@article{61fa4745-1718-4059-9ce7-bc6c05c2f3f7,
  abstract     = {<p>This consensus document is the second of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near infrared spectroscopy (NIRS)-IVUS. Beyond guidance of stent selection and optimization of deployment, invasive imaging facilitates angiographic interpretation and may guide treatment in acute coronary syndrome. Intravascular imaging can provide additional important diagnostic information when confronted with angiographically ambiguous lesions and allows assessment of plaque morphology enabling identification of vulnerability characteristics. This second document focuses on useful imaging features to identify culprit and vulnerable coronary plaque, which offers the interventional cardiologist guidance on when to adopt an intracoronary imaging-guided approach to the treatment of coronary artery disease and provides an appraisal of intravascular imaging-derived metrics to define the haemodynamic significance of coronary lesions.</p>},
  author       = {Johnson, Thomas W. and Räber, Lorenz and Di Mario, Carlo and Bourantas, Christos and Jia, Haibo and Mattesini, Alessio and Gonzalo, Nieves and De La Torre Hernandez, Jose M. and Prati, Francesco and Koskinas, Konstantinos and Joner, Michael and Radu, Maria D. and Erlinge, David and Regar, Evelyn and Kunadian, Vijay and Maehara, Akiko and Byrne, Robert A. and Capodanno, Davide and Akasaka, Takashi and Wijns, William and Mintz, Gary S. and Guagliumi, Giulio},
  issn         = {0195-668X},
  language     = {eng},
  month        = {08},
  number       = {31},
  pages        = {2566--2584},
  publisher    = {Oxford University Press},
  series       = {European Heart Journal},
  title        = {Clinical use of intracoronary imaging. Part 2 : acute coronary syndromes, ambiguous coronary angiography findings, and guiding interventional decision-making: an expert consensus document of the European Association of Percutaneous Cardiovascular Interventions},
  url          = {http://dx.doi.org/10.1093/eurheartj/ehz332},
  doi          = {10.1093/eurheartj/ehz332},
  volume       = {40},
  year         = {2019},
}