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Utility of optical coherence tomography in acute coronary syndromes.

Keyvan Karimi GalougahiAli DakroubKaren ChauRony MathewAjit MullasariBalbir SinghGunasekaran SengottuveluAkiko MaeharaGary MintzAllen JeremiasEvan ShlofmitzNick E J WestRichard ShlofmitzZiad A Ali
Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2023)
Studies utilizing intravascular imaging have replicated the findings of histopathological studies, identifying the most common substrates for acute coronary syndromes (ACS) as plaque rupture, erosion, and calcified nodule, with spontaneous coronary artery dissection, coronary artery spasm, and coronary embolism constituting the less common etiologies. The purpose of this review is to summarize the data from clinical studies that have used high-resolution intravascular optical coherence tomography (OCT) to assess culprit plaque morphology in ACS. In addition, we discuss the utility of intravascular OCT for effective treatment of patients presenting with ACS, including the possibility of culprit lesion-based treatment by percutaneous coronary intervention.
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