| HLINOMAZ, Ota, Ladislav GROCH, Jan SITAR, Michal REZEK, Jiří SEMÉNKA, Martin NOVÁK and Nikolay PENKOV. New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes. Journal of Cardiovascular Emergencies. Warsaw: De Gruyter Open, 2015, vol. 1, No 2, p. 56-64. ISSN 2457-5518. Available from: https://dx.doi.org/10.1515/jce-2015-0008. |
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@article{1334829,
author = {Hlinomaz, Ota and Groch, Ladislav and Sitar, Jan and Rezek, Michal and Seménka, Jiří and Novák, Martin and Penkov, Nikolay},
article_location = {Warsaw},
article_number = {2},
doi = {http://dx.doi.org/10.1515/jce-2015-0008},
keywords = {optical coherence tomography; near infrared spectroscopy; intravascular ultrasound; atherosclerotic plaque},
language = {eng},
issn = {2457-5518},
journal = {Journal of Cardiovascular Emergencies},
title = {New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes},
volume = {1},
year = {2015}
}
TY - JOUR
ID - 1334829
AU - Hlinomaz, Ota - Groch, Ladislav - Sitar, Jan - Rezek, Michal - Seménka, Jiří - Novák, Martin - Penkov, Nikolay
PY - 2015
TI - New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes
JF - Journal of Cardiovascular Emergencies
VL - 1
IS - 2
SP - 56-64
EP - 56-64
PB - De Gruyter Open
SN - 24575518
KW - optical coherence tomography
KW - near infrared spectroscopy
KW - intravascular ultrasound
KW - atherosclerotic plaque
N2 - 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.
ER -
HLINOMAZ, Ota, Ladislav GROCH, Jan SITAR, Michal REZEK, Jiří SEMÉNKA, Martin NOVÁK and Nikolay PENKOV. New Imaging Methods of Coronary Arteries in Acute Coronary Syndromes. \textit{Journal of Cardiovascular Emergencies}. Warsaw: De Gruyter Open, 2015, vol.~1, No~2, p.~56-64. ISSN~2457-5518. Available from: https://dx.doi.org/10.1515/jce-2015-0008.
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