Potential of optical coherence tomography and intravascular ultrasound in the detection of vulnerable plaques in coronary arteries

N A Kochergin,A M Kochergina

doi:10.15829/1728-8800-2022-2909

Abstract

Intravascular imaging of vulnerable plaques in vivo has great potential for predicting coronary events. Currently, there are several methods of intravascular imaging, which make it possible to verify the components of the plaque and, accordingly, its vulnerability. The most common are virtual-histology intravascular ultrasound and optical coherence tomography. Several studies have shown that these imaging techniques can stratify the risk of adverse cardiovascular events, as well as assess the effectiveness of drug therapy. This article will describe the advantages and disadvantages of intravascular ultrasound and optical coherence tomography in identifying vulnerable coronary lesions.

Highlights

Внутрисосудистая визуализация нестабильных бляшек in vivo имеет большой потенциал для прогнозирования коронарных событий
There are several methods of intravascular imaging, which make it possible to verify the components of the plaque and, its vulnerability
Several studies have shown that these imaging techniques can stratify the risk of adverse cardiovascular events, as well as assess the effectiveness of drug therapy

Summary

Introduction

Внутрисосудистая визуализация нестабильных бляшек in vivo имеет большой потенциал для прогнозирования коронарных событий. ВГ — виртуальная гистология, ВСУЗИ — внутрисосудистое ультразвуковое исследование, ДИ — доверительный интервал, ИБС — ишемическая болезнь сердца, ОКС — острый коронарный синдром, ОКТ — оптическая когерентная томография, ОШ — отношение шансов, ССС — сердечно-сосудистые события, ФАТК — фиброатерома с тонкой капсулой, PROSPECT — The Providing Regional Observations to Study Predictors of Events in the Coronary Tree, VIVA — VH-IVUS in Vulnerable Atherosclerosis. А.* — к.м.н., н.с., ORCID: 0000-0002-1534-264X, Кочергина А.

Results

Conclusion