Erschienen in:
01.07.2015 | Intravascular Imaging (I.-K. Jang, Section Editor)
Present Status and Future Direction of NIRS-IVUS Multimodality Direct Coronary Imaging
verfasst von:
Ivan D. Hanson, James A. Goldstein, Simon R. Dixon, Amr E. Abbas, Robert D. Safian, James E. Muller
Erschienen in:
Current Cardiovascular Imaging Reports
|
Ausgabe 7/2015
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Abstract
Intracoronary near-infrared spectroscopy (NIRS)-IVUS is a direct coronary imaging catheter for the identification and quantification of lipid core plaque (LCP). NIRS is combined with traditional grayscale IVUS in a hybrid catheter that provides co-registered architectural and compositional plaque characterization data. The novel capability of the NIRS catheter component is its ability to directly identify LCP, which underlies the majority of vulnerable and unstable plaques. NIRS-IVUS has potential to optimize percutaneous coronary intervention (PCI) by delineating precise lesion length, assuring adequate stent expansion and apposition, detection of stent edge dissection, and predicting periprocedural myocardial infarction (PMI). NIRS-IVUS may also be important in the identification of vulnerable plaques at risk to cause future events.