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Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention

The detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous cor...

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Detalles Bibliográficos
Autores principales: De Maria, Giovanni Luigi, Patel, Niket, Kassimis, George, Banning, Adrian P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881665/
https://www.ncbi.nlm.nih.gov/pubmed/24455430
http://dx.doi.org/10.1155/2013/364247
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author De Maria, Giovanni Luigi
Patel, Niket
Kassimis, George
Banning, Adrian P.
author_facet De Maria, Giovanni Luigi
Patel, Niket
Kassimis, George
Banning, Adrian P.
author_sort De Maria, Giovanni Luigi
collection PubMed
description The detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous coronary intervention (PCI) distal embolisation (DE) is considered to be inevitable and it is associated with potential clinical and prognostic implications. This review aims to assess the main aspects of both spontaneous and procedural DE, analyze their different pathophysiology, provide specific insights on the main diagnostic tools for their identification, and finally focus on the main strategies for their treatment and prevention.
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spelling pubmed-38816652014-01-20 Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention De Maria, Giovanni Luigi Patel, Niket Kassimis, George Banning, Adrian P. Scientifica (Cairo) Review Article The detachment of atherothrombotic material from the atherosclerotic coronary plaque and downstream embolisation is an underrecognized phenomenon and it causes different degrees of impairment of the coronary microcirculation. During treatment of obstructive atherosclerotic plaque by percutaneous coronary intervention (PCI) distal embolisation (DE) is considered to be inevitable and it is associated with potential clinical and prognostic implications. This review aims to assess the main aspects of both spontaneous and procedural DE, analyze their different pathophysiology, provide specific insights on the main diagnostic tools for their identification, and finally focus on the main strategies for their treatment and prevention. Hindawi Publishing Corporation 2013 2013-12-19 /pmc/articles/PMC3881665/ /pubmed/24455430 http://dx.doi.org/10.1155/2013/364247 Text en Copyright © 2013 Giovanni Luigi De Maria et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
De Maria, Giovanni Luigi
Patel, Niket
Kassimis, George
Banning, Adrian P.
Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
title Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
title_full Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
title_fullStr Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
title_full_unstemmed Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
title_short Spontaneous and Procedural Plaque Embolisation in Native Coronary Arteries: Pathophysiology, Diagnosis, and Prevention
title_sort spontaneous and procedural plaque embolisation in native coronary arteries: pathophysiology, diagnosis, and prevention
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881665/
https://www.ncbi.nlm.nih.gov/pubmed/24455430
http://dx.doi.org/10.1155/2013/364247
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