The value of intravascular ultrasound in patients with acute myocardial infarction

Defining the best percutaneous coronary intervention (PCI) in acute myocardial infarction is sometimes difficult, bearing in mind that time is of the essence in preventing myocardial tissue damage. There are invasive modalities to determine the best strategy. These include intravascular ultrasound (...

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Bibliographic Details
Published inRomanian Journal of Cardiology Vol. 32; no. 2; pp. 103 - 107
Main Authors Cîrjan, Alexandru Petrinel, Kulcsar, Iulia Daniela, Stavaru, Radu, Catana, Nicu, Deleanu, Dan, Predescu, Lucian Marius
Format Journal Article
LanguageEnglish
Published Sciendo 01.09.2022
Subjects
asngioplastie coronariană
aspiration thrombectomy
ecografie intravasculară
intravascular ultrasound
percutaneous coronary intervention
trombo-aspirație
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Summary:Defining the best percutaneous coronary intervention (PCI) in acute myocardial infarction is sometimes difficult, bearing in mind that time is of the essence in preventing myocardial tissue damage. There are invasive modalities to determine the best strategy. These include intravascular ultrasound (IVUS) and optical coherence tomography (OCT), methods that could underline plaque rupture, thrombus, positive remodeling, greater plaque burden, and tissue prolapse. Virtual histology IVUS is capable of detecting lesions containing large necrotic cores and thin cap fibroatheroma (independent predictors of no-reflow in acute myocardial patients). Using these imagistic modalities can lead the PCI strategy in order to obtain the best possible outcome of the procedure for the patient.
ISSN:2734-6382
2734-6382
DOI:10.2478/rjc-2022-0013