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Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice

The introduction into clinical practice of intravascular imaging, including intravascular ultrasound (IVUS), optical coherence tomography (OCT) and their derivatives, allowed for the in vivo assessment of coronary atherosclerosis in humans, including insights into plaque evolution and progression pr...

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Autores principales: Legutko, Jacek, Bryniarski, Krzysztof L., Kaluza, Grzegorz L., Roleder, Tomasz, Pociask, Elzbieta, Kedhi, Elvin, Wojakowski, Wojciech, Jang, Ik-Kyung, Kleczynski, Pawel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699515/
https://www.ncbi.nlm.nih.gov/pubmed/36431116
http://dx.doi.org/10.3390/jcm11226639
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author Legutko, Jacek
Bryniarski, Krzysztof L.
Kaluza, Grzegorz L.
Roleder, Tomasz
Pociask, Elzbieta
Kedhi, Elvin
Wojakowski, Wojciech
Jang, Ik-Kyung
Kleczynski, Pawel
author_facet Legutko, Jacek
Bryniarski, Krzysztof L.
Kaluza, Grzegorz L.
Roleder, Tomasz
Pociask, Elzbieta
Kedhi, Elvin
Wojakowski, Wojciech
Jang, Ik-Kyung
Kleczynski, Pawel
author_sort Legutko, Jacek
collection PubMed
description The introduction into clinical practice of intravascular imaging, including intravascular ultrasound (IVUS), optical coherence tomography (OCT) and their derivatives, allowed for the in vivo assessment of coronary atherosclerosis in humans, including insights into plaque evolution and progression process. Intravascular ultrasound, the most commonly used intravascular modality in many countries, due to its low resolution cannot assess many features of vulnerable plaque such as lipid plaque or thin-cap fibroatheroma. Thus, novel methods were introduced to facilitate this problem including virtual histology intravascular ultrasound and later on near-infrared spectroscopy and OCT. Howbeit, none of the currently used modalities can assess all known characteristics of plaque vulnerability; hence, the idea of combining different intravascular imaging methods has emerged including NIRS-IVUS or OCT-IVUS imaging. All of those described methods may allow us to identify the most vulnerable plaques, which are prone to cause acute coronary syndrome, and thus they may allow us to introduce proper treatment before plaque destabilization.
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spelling pubmed-96995152022-11-26 Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice Legutko, Jacek Bryniarski, Krzysztof L. Kaluza, Grzegorz L. Roleder, Tomasz Pociask, Elzbieta Kedhi, Elvin Wojakowski, Wojciech Jang, Ik-Kyung Kleczynski, Pawel J Clin Med Review The introduction into clinical practice of intravascular imaging, including intravascular ultrasound (IVUS), optical coherence tomography (OCT) and their derivatives, allowed for the in vivo assessment of coronary atherosclerosis in humans, including insights into plaque evolution and progression process. Intravascular ultrasound, the most commonly used intravascular modality in many countries, due to its low resolution cannot assess many features of vulnerable plaque such as lipid plaque or thin-cap fibroatheroma. Thus, novel methods were introduced to facilitate this problem including virtual histology intravascular ultrasound and later on near-infrared spectroscopy and OCT. Howbeit, none of the currently used modalities can assess all known characteristics of plaque vulnerability; hence, the idea of combining different intravascular imaging methods has emerged including NIRS-IVUS or OCT-IVUS imaging. All of those described methods may allow us to identify the most vulnerable plaques, which are prone to cause acute coronary syndrome, and thus they may allow us to introduce proper treatment before plaque destabilization. MDPI 2022-11-09 /pmc/articles/PMC9699515/ /pubmed/36431116 http://dx.doi.org/10.3390/jcm11226639 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Legutko, Jacek
Bryniarski, Krzysztof L.
Kaluza, Grzegorz L.
Roleder, Tomasz
Pociask, Elzbieta
Kedhi, Elvin
Wojakowski, Wojciech
Jang, Ik-Kyung
Kleczynski, Pawel
Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice
title Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice
title_full Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice
title_fullStr Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice
title_full_unstemmed Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice
title_short Intracoronary Imaging of Vulnerable Plaque—From Clinical Research to Everyday Practice
title_sort intracoronary imaging of vulnerable plaque—from clinical research to everyday practice
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699515/
https://www.ncbi.nlm.nih.gov/pubmed/36431116
http://dx.doi.org/10.3390/jcm11226639
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