Clinical imaging of the vulnerable plaque in the coronary arteries: new intracoronary diagnostic methods

被引:11
作者
Saia, Francesco [1 ,2 ]
Schaar, Johannes [2 ]
Regar, Evelyn [2 ]
Rodriguez, Gaston [2 ]
De Feyter, Pim J. [2 ]
Mastik, Frits [2 ]
Marzocchi, Antonio
Marrozzini, Cinzia
Ortolani, Paolo
Palmerini, Tullio
Branzi, Angelo
van der Steen, Antonius F. W. [2 ]
Serruys, Patrick W. [2 ]
机构
[1] Univ Bologna, Catheterizat Lab, Inst Cardiol, Policlin S Orsola Malpighi Pad 21, I-40138 Bologna, Italy
[2] Erasmus MC, Thoraxctr, Dept Intervent Cardiol, Rotterdam, Netherlands
关键词
atherosclerosis; catheter; elasticity; plaque; ultrasonics;
D O I
10.2459/01.JCM.0000199783.56642.39
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rupture of a vulnerable plaque is the main cause of acute coronary syndromes and myocardial infarction. The features of rupture-prone atherosclerotic plaques have been previously described by pathologists. However, identification of vulnerable plaques in vivo is essential to study their natural history and to evaluate potential treatment modalities. Coronary angiography is the gold standard for the diagnosis of coronary artery disease, but it is unable to distinguish between stable and unstable plaques and to accurately predict future cardiac events. This current perspective describes the recently developed invasive imaging techniques to detect atherosclerotic vulnerable plaques in the coronary tree. J Cardiovasc Med 7:21-28 (C) 2006 Italian Federation of Cardiology.
引用
收藏
页码:21 / 28
页数:8
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