Nature reviews. Cardiology · 2022

Optical coherence tomography in coronary atherosclerosis assessment and intervention.

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Araki Makoto, Park Seung-Jung, Dauerman Harold L, Uemura Shiro, Kim Jung-Sun, Di Mario Carlo, Johnson Thomas W, Guagliumi Giulio, Kastrati Adnan, Joner Michael, Holm Niels Ramsing, Alfonso Fernando, Wijns William, Adriaenssens Tom, Nef Holger, Rioufol Gilles, Amabile Nicolas, Souteyrand Geraud, Meneveau Nicolas, Gerbaud Edouard, Opolski Maksymilian P, Gonzalo Nieves, Tearney Guillermo J, Bouma Brett, Aguirre Aaron D, Mintz Gary S, Stone Gregg W, Bourantas Christos V, Räber Lorenz, Gili Sebastiano, Mizuno Kyoichi, Kimura Shigeki, Shinke Toshiro, Hong Myeong-Ki, Jang Yangsoo, Cho Jin Man, Yan Bryan P, Porto Italo, Niccoli Giampaolo, Montone Rocco A, Thondapu Vikas, Papafaklis Michail I, Michalis Lampros K, Reynolds Harmony, Saw Jacqueline, Libby Peter, Weisz Giora, Iannaccone Mario, Gori Tommaso, Toutouzas Konstantinos, Yonetsu Taishi, Minami Yoshiyasu, Takano Masamichi, Raffel O Christopher, Kurihara Osamu, Soeda Tsunenari, Sugiyama Tomoyo, Kim Hyung Oh, Lee Tetsumin, Higuma Takumi, Nakajima Akihiro, Yamamoto Erika, Bryniarski Krzysztof L, Di Vito Luca, Vergallo Rocco, Fracassi Francesco, Russo Michele, Seegers Lena M, McNulty Iris, Park Sangjoon, Feldman Marc, Escaned Javier, Prati Francesco, Arbustini Eloisa, Pinto Fausto J, Waksman Ron, Garcia-Garcia Hector M, Maehara Akiko, Ali Ziad, Finn Aloke V, Virmani Renu, Kini Annapoorna S, Daemen Joost, Kume Teruyoshi, Hibi Kiyoshi, Tanaka Atsushi, Akasaka Takashi, Kubo Takashi, Yasuda Satoshi, Croce Kevin, Granada Juan F, Lerman Amir, Prasad Abhiram, Regar Evelyn, Saito Yoshihiko, Sankardas Mullasari Ajit, Subban Vijayakumar, Weissman Neil J, Chen Yundai, Yu Bo, Nicholls Stephen J, Barlis Peter, West Nick E J, Arbab-Zadeh Armin, Ye Jong Chul, Dijkstra Jouke, Lee Hang, Narula Jagat, Crea Filippo, Nakamura Sunao, Kakuta Tsunekazu, Fujimoto James, Fuster Valentin, Jang Ik-Kyung

Аннотация

Since optical coherence tomography (OCT) was first performed in humans two decades ago, this imaging modality has been widely adopted in research on coronary atherosclerosis and adopted clinically for the optimization of percutaneous coronary intervention. In the past 10 years, substantial advances have been made in the understanding of in vivo vascular biology using OCT. Identification by OCT of culprit plaque pathology could potentially lead to a major shift in the management of patients with acute coronary syndromes. Detection by OCT of healed coronary plaque has been important in our understanding of the mechanisms involved in plaque destabilization and healing with the rapid progression of atherosclerosis. Accurate detection by OCT of sequelae from percutaneous coronary interventions that might be missed by angiography could improve clinical outcomes. In addition, OCT has become an essential diagnostic modality for myocardial infarction with non-obstructive coronary arteries. Insight into neoatherosclerosis from OCT could improve our understanding of the mechanisms of very late stent thrombosis. The appropriate use of OCT depends on accurate interpretation and understanding of the clinical significance of OCT findings. In this Review, we summarize the state of the art in cardiac OCT and facilitate the uniform use of this modality in coronary atherosclerosis. Contributions have been made by clinicians and investigators worldwide with extensive experience in OCT, with the aim that this document will serve as a standard reference for future research and clinical application.

Предметные рубрики MeSH

Atherosclerosis Coronary Angiography Coronary Artery Disease Coronary Vessels Humans Myocardial Infarction Percutaneous Coronary Intervention Plaque, Atherosclerotic Stents Tomography, Optical Coherence

Optical coherence tomography in coronary atherosclerosis assessment and intervention.

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Аннотация

Предметные рубрики MeSH