A Review of the Clinical Utility of Intravascular Ultrasound and Optical Coherence Tomography in the Assessment and Treatment of Coronary Artery Disease

被引:27
|
作者
Matthews, Stephen Daniel [1 ]
Frishman, William H. [2 ]
机构
[1] Columbia Univ Med Ctr, Dept Med, New York Presbyterian Hosp, New York, NY 10001 USA
[2] New York Med Coll, Dept Med, Westchester Med Ctr, Valhalla, NY 10595 USA
关键词
coronary artery disease; acute coronary syndrome; intravascular ultrasound; optical coherence tomography; percutaneous coronary intervention; LATE STENT MALAPPOSITION; GUIDE DECISION-MAKING; ELUTING STENT; ATHEROSCLEROTIC PLAQUES; TISSUE CHARACTERIZATION; INTRACORONARY ULTRASOUND; ANGIOGRAPHIC GUIDANCE; MYOCARDIAL-INFARCTION; FREQUENCY; THROMBOSIS;
D O I
10.1097/CRD.0000000000000128
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery disease remains one of the leading causes of morbidity and mortality in the United States. As a medical society, we continue to search for ways to better treat coronary artery disease and prevent acute coronary syndrome (ACS). As it stands, only statins and antiplatelet agents have been proven to significantly reduce the occurrence of ACS. A histopathological understanding of the pathogenesis of ACS has provided insight into the importance of plaque morphology. Therefore, it has been proposed that increasing the ability to detect true vulnerable, "at-risk" lesions, would foster the use of percutaneous coronary intervention as a means for the prevention of ACS. There are now several different imaging modalities to help cardiologists stratify plaque stability. These include, but are not limited to, angioscopy, magnetic resonance angiography, intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near-infrared fluorescence. To date, the most studied and frequently used in clinical trials are IVUS and OCT. Following a brief background discussion of IVUS and OCT, we will objectively evaluate each modality's ability to detect specific morphological characteristics. This article will also discuss IVUS and OCT's clinical utility with regard to proper stent placement and follow-up after percutaneous coronary interventions.
引用
收藏
页码:68 / 76
页数:9
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