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
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
UT WoS
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.