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Proceedings Paper

Percutaneous coronary angioscopy and stents
Author(s): Richard R. Heuser
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Paper Abstract

With the expanding array of therapies available for coronary intervention, the invasive cardiologist has many choices for treating a specific lesion in an individual patient. Certain types of lesions might respond more effectively with stents, particularly the rigid Palmax- Schatz device. Thrombus and dissection immediately following stent placement are associated with early occlusion, and the interventionist must be able to assess their presence pre- and post-stenting. Angiography is deficient in quantifying minimal disease and in defining lesion architecture and composition, as well as the plaque rupture and thrombosis associated with unstable angina. It is also imprecise in detecting dissection and thrombus. Intravascular ultrasound (IVUS) provides high-resolution images that delineate irregularities and other structures inside the lumen and within the vessel wall and surrounding tissues. Like angiography, IVUS has limited specificity for thrombus differentiation. Angioscopy is superior to angiography and IVUS in detecting thrombus and dissection. Angioscopy allows the clinician to assess the appearance of stent struts after deployment and at follow-up. This may aid in reducing acute complications as well as restenosis. Follow-up angioscopy of stents to detect thrombus or exposed struts may guide therapy in a patient who has clinical symptoms of restenosis.

Paper Details

Date Published: 26 May 1994
PDF: 6 pages
Proc. SPIE 2132, Clinical Applications of Modern Imaging Technology II, (26 May 1994); doi: 10.1117/12.176558
Show Author Affiliations
Richard R. Heuser, Arizona Heart Institute and Foundation (United States)

Published in SPIE Proceedings Vol. 2132:
Clinical Applications of Modern Imaging Technology II
Leonard J. Cerullo; Kenneth S. Heiferman; Hong Liu; Halina Podbielska; Abund Ottokar Wist; Lucia J. Zamorano, Editor(s)

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