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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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Please use this url to cite or link to this publication:
@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}},
  keywords     = {{Acute coronary syndrome; Intravascular imaging; Intravascular ultrasound; Optical coherence tomography; Percutaneous coronary intervention}},
  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}},
}