Plaque Characterization to Inform the Prediction and Prevention of Periprocedural Myocardial Infarction During Percutaneous Coronary Intervention

• Published in: JACC. Cardiovascular interventions Vol. 8; no. 7; pp. 927 - 936
• Main Authors: Stone, Gregg W., MD, Maehara, Akiko, MD, Muller, James E., MD, Rizik, David G., MD, Shunk, Kendrick A., MD, Ben-Yehuda, Ori, MD, Genereux, Philippe, MD, Dressler, Ovidiu, MD, Parvataneni, Rupa, MS, Madden, Sean, PhD, Shah, Priti, MS, Brilakis, Emmanouil S., MD, PhD, Kini, Annapoorna S., MD
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.06.2015
• Subjects: atherosclerosis; Cardiovascular; distal protection; embolization; myocardial infarction; near-infrared spectroscopy; atherosclerosis; maxLCBI 4mm; near-infrared spectroscopy; intravascular ultrasound; MLA; embolization; external elastic membrane; myocardial infarction; IVUS; LRP; lipid-rich plaque; EEM; minimal lumen area; percutaneous coronary intervention; maximal lipid core burden index over any 4-mm length; distal protection; PCI; NIRS; lipid core burden index; MI; LCBI; maxLCBI4mm

Abstract Objectives This study sought to determine whether pre–percutaneous coronary intervention (PCI) plaque characterization using near-infrared spectroscopy identifies lipid-rich plaques at risk of periprocedural myonecrosis and whether these events may be prevented by the use of a distal protec...