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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 TW Department of Cardiology, Bristol Heart Institute, University Hospitals Bristol NHSFT & University of Bristol, Bristol, UK.
  • Räber L Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.
  • di Mario C Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy.
  • Bourantas C Department of Cardiology, Barts Heart Centre, Barts Health NHS & Queen Mary University, London, UK.
  • Jia H Department of Cardiology, 2nd Affiliated Hospital of Harbin Medical University, The Key Laboratory of Myocardial Ischemia, Chinese Ministry of Education, Harbin, China.
  • Mattesini A Department of Cardiology, Barts Heart Centre, Barts Health NHS & Queen Mary University, London, UK.
  • Gonzalo N Department of Cardiology, Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain.
  • de la Torre Hernandez JM Department of Cardiology, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
  • Prati F Department of Cardiology, San Giovanni Hospital, Rome, Italy & CLI Foundation Rome, Italy.
  • Koskinas K Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Joner M Deutsches Herzzentrum München, DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Technische Universität München, Munich, Germany.
  • Radu MD Department of Cardiology, The Heart Center, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
  • Erlinge D Department of Cardiology, Lund University, Skane University Hospital, Lund, Sweden.
  • Regar E Department of Cardiovascular Surgery, Zürich University Hospital, Zürich, Switzerland.
  • Kunadian V Institute of Cellular Medicine, Newcastle University and Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.
  • Maehara A Cardiovascular Research Foundation, Columbia University, New York, NY, USA.
  • Byrne RA Deutsches Herzzentrum München, DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Technische Universität München, Munich, Germany.
  • Capodanno D Division of Cardiology, Cardio-Thoraco-Vascular and Transplant Department, CAST, Rodolico Hospital, AOU "Policlinico-Vittorio Emanuele", University of Catania, Catania, Italy.
  • Akasaka T Wakayama Medical University, Wakayama, Japan.
  • Wijns W The Lambe Institute for Translational Medicine and Curam, National University of Ireland Galway, Saolta University Healthcare Group, Galway, Ireland.
  • Mintz GS Cardiovascular Research Foundation, Columbia University, New York, NY, USA.
  • Guagliumi G Cardiovascular Department, Ospedale Papa Giovanni XXIII, Bergamo, Italy.
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  • 2019-05-22
Published in:
  • European heart journal. - 2019
Acute coronary syndrome
Intravascular imaging
Intravascular ultrasound
Optical coherence tomography
Percutaneous coronary intervention
Acute Coronary Syndrome
Adult
Aged
Case-Control Studies
Clinical Trials as Topic
Consensus
Coronary Angiography
Coronary Artery Disease
Decision Making
European Union
Female
Hemodynamics
Humans
Male
Middle Aged
Percutaneous Coronary Intervention
Plaque, Atherosclerotic
Predictive Value of Tests
Rupture
Spectroscopy, Near-Infrared
Stents
Tomography, Optical Coherence
Ultrasonography, Interventional
English 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.
Language
  • English
Open access status
bronze
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Persistent URL
https://sonar.ch/global/documents/59781
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