Are angiographic culprit lesions true?Disagreement between angiographic and optical coherence tomographic detection
Osamu Kurihara1
Masamichi Takano1
Yusaku Shibata2
Nobuaki Kobayashi1
Yasushi Miyauchi1
Kuniya Asai2
1.Cardiovascular Center,Nippon Medical School Chiba Hokusoh Hospital,Inzai,Chiba,Japan2.Division of Intensive Care Unit,Nippon Medical School Chiba Hokusoh Hospital,Inzai,Chiba,Japan
摘要：Coronary angiography provides a two-dimensional silhouette of the vascular lu-men.It is the gold standard for the dia-gnosis of coronary artery disease and is essential during percutaneous coronary intervention(PCI).Intravascular optical coherence tomography(OCT)with high-resolution images enables direct visualiz-ation of the microscopic features of a plaque,in-cluding its fibrous cap,micro-vessels,thrombus,in-flammatory cells,and cholesterol crystals[1,2]and has recently been used during PCI procedures;there is growing evidence that OCT-guided PCI has poten-tial benefits regarding optimal stenting.[3,4]Based on coronary angiography findings,OCT observation is performed to calculate and/or evaluate the diameter and/or characteristics of angiographic culprit le-sions,following which PCI procedures are per-formed.Conversely,our series of acute myocardial infarction(AMI)showed that angiographic culprit lesions were quite far from the culprit plaques iden-tified using OCT.
机标关键词：
论文发表日期：2021-10-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 844-846 )