J 2015

New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes

HLINOMAZ, Ota; Ladislav GROCH; Jan SITAR; Michal REZEK; Jiří SEMÉNKA et al.

Základní údaje

Originální název

New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes

Autoři

HLINOMAZ, Ota; Ladislav GROCH; Jan SITAR; Michal REZEK; Jiří SEMÉNKA; Martin NOVÁK a Nikolay PENKOV

Vydání

Journal of Cardiovascular Emergencies, Warsaw, De Gruyter Open, 2015, 2457-5518

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Polsko

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00086496

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

optical coherence tomography; near infrared spectroscopy; intravascular ultrasound; atherosclerotic plaque

Štítky

Změněno: 9. 2. 2016 15:07, Soňa Böhmová

Anotace

V originále

Coronary angiography is still the most widely used method for the assessment of lumen of coronary arteries and for diagnosis and treatment of coronary artery disease. New imaging modalities of coronary arteries play an increasing role in interventional cardiology. Intravascular ultrasound (IVUS) is the oldest technology, however due to its high tissue penetration remains very important for imaging of left main coronary artery and saphenous vein grafts. IVUS was used in many clinical trials and clinical experience with it is huge. Optical coherence tomography (OCT) is a new, very fast developing method. It has ten times higher axial resolution than IVUS. It gives us the opportunity to assess the inner structures of coronary artery wall, to evaluate the characteristics of atherosclerotic plaques, quality of stent implantation and its healing. It helps us to find the culprit lesion of acute coronary syndrome in some cases, to diagnose the cause of stent thrombosis, and to evaluate stent apposition which has a direct relation to prognosis. We use it to perform complex percutaneous coronary interventions and after heart transplantation to diagnose the vascular graft disease. We strongly believe that OCT is important for the assessment of plaque instability and patient´s prognosis. Near infrared spectroscopy combined with IVUS can distinguish fibrous from lipid core plaques. Lipid core burden index is in relation to a risk of periprocedural myocardial infarction and to prognosis. It is the only method which can sufficiently detect the amount of lipids in coronary wall.