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The Use of Angioscopy in Percutaneous Coronary Interventions

The Use of Angioscopy in Percutaneous Coronary Interventions Introduction Although coronary angiography is still the gold standard coronary imaging modality for the interventional cardiologist, more information is emerging on the specific limitations that percutaneous recanalization poses to the interpretation of angiographic images. Coronary angioscopy, which can be used during percutaneous coronary interventions and provides a more accurate picture of the luminal aspect of the vessel, has been shown to be complementary to angiography.' We review some of the contributions that coronary angioscopy has made to interventional cardiology during its short existence, as well as the current trends for its application in a wider spectrum of clinical situations. Contributions of Angioscopy to the Study of Acute Coronary Syndromes One of the strengths of coronary angioscopy over other imaging techniques such as angiography and intravascular ultrasound is its high sensitivity for the detection of coronary thrombosis,'.' which stems from the marked differences in color Dr. Baptista ic supported by a grant from the Portuguese Cardiac Society. Address for reprints: Prof. P.W. Serruys. M.D.. Ph.D.. Catheterization and lntracoronary Imaging Laboratories. ThoraxcenteriErasrnus University Rotterdam, Posthus 1738. 3000 DR Rotterdam, The Netherlands. Fax: 31 436 5192. between thrombus and the normal arterial wall or atheroma. Using intraoperative angioscopy during bypass grafting, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiology Wiley

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References (53)

Publisher
Wiley
Copyright
Copyright © 1994 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0896-4327
eISSN
1540-8183
DOI
10.1111/j.1540-8183.1994.tb00891.x
Publisher site
See Article on Publisher Site

Abstract

Introduction Although coronary angiography is still the gold standard coronary imaging modality for the interventional cardiologist, more information is emerging on the specific limitations that percutaneous recanalization poses to the interpretation of angiographic images. Coronary angioscopy, which can be used during percutaneous coronary interventions and provides a more accurate picture of the luminal aspect of the vessel, has been shown to be complementary to angiography.' We review some of the contributions that coronary angioscopy has made to interventional cardiology during its short existence, as well as the current trends for its application in a wider spectrum of clinical situations. Contributions of Angioscopy to the Study of Acute Coronary Syndromes One of the strengths of coronary angioscopy over other imaging techniques such as angiography and intravascular ultrasound is its high sensitivity for the detection of coronary thrombosis,'.' which stems from the marked differences in color Dr. Baptista ic supported by a grant from the Portuguese Cardiac Society. Address for reprints: Prof. P.W. Serruys. M.D.. Ph.D.. Catheterization and lntracoronary Imaging Laboratories. ThoraxcenteriErasrnus University Rotterdam, Posthus 1738. 3000 DR Rotterdam, The Netherlands. Fax: 31 436 5192. between thrombus and the normal arterial wall or atheroma. Using intraoperative angioscopy during bypass grafting,

Journal

Journal of Interventional CardiologyWiley

Published: Feb 1, 1994

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