Clinical use of intracoronary imaging. Part 1: guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions

2018 ◽  
Vol 14 (6) ◽  
pp. 656-677 ◽  
Author(s):  
Lorenz Räber ◽  
Gary S. Mintz ◽  
Konstantinos C. Koskinas ◽  
Thomas W. Johnson ◽  
Niels Ramsing Holm ◽  
...  
Keyword(s):  
European Association ◽  
Expert Consensus ◽  
Clinical Use ◽  
Intracoronary Imaging ◽  
Coronary Interventions ◽  
Consensus Document ◽  
Expert Consensus Document ◽  
Cardiovascular Interventions

scholarly journals Clinical use of intracoronary imaging. Part 2: acute coronary syndromes, ambiguous coronary angiography findings, and guiding interventional decision-making: an expert consensus document of the European Association of Percutaneous Cardiovascular Interventions

2019 ◽  
Vol 40 (31) ◽  
pp. 2566-2584 ◽  
Author(s):  
Thomas W Johnson ◽  
Lorenz Räber ◽  
Carlo di Mario ◽  
Christos Bourantas ◽  
Haibo Jia ◽  
...  
Keyword(s):  
European Association ◽  
Near Infrared ◽  
Plaque Morphology ◽  
Intravascular Imaging ◽  
Imaging Features ◽  
Clinical Use ◽  
Intracoronary Imaging ◽  
Coronary Syndrome ◽  
Consensus Document ◽  
Cardiovascular Interventions

Abstract This consensus document is the second of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near infrared spectroscopy (NIRS)-IVUS. Beyond guidance of stent selection and optimization of deployment, invasive imaging facilitates angiographic interpretation and may guide treatment in acute coronary syndrome. Intravascular imaging can provide additional important diagnostic information when confronted with angiographically ambiguous lesions and allows assessment of plaque morphology enabling identification of vulnerability characteristics. This second document focuses on useful imaging features to identify culprit and vulnerable coronary plaque, which offers the interventional cardiologist guidance on when to adopt an intracoronary imaging-guided approach to the treatment of coronary artery disease and provides an appraisal of intravascular imaging-derived metrics to define the haemodynamic significance of coronary lesions.

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