Optical Coherence Tomography based treatment approach for patients with Acute Coronary Syndrome. (1st February 2021)

• Record Type: Journal Article
• Authors: Chezar-Azerrad, Chava; Garcia-Garcia, Hector M.; Dan, Kazuhiro; Barriola, Rodrigo; Kuku, Kayode O.; Beyene, Solomon S.; Melaku, Gebremedhin D.; Shlofmitz, Evan; Yerasi, Charan; Case, Brian C.; Forrestal, Brian J.; Ben-Dor, Itsik; Medranda, Giorgio A.; Hashim, Hayder; De Maria, Giovanni Luigi; Campos, Carlos M.; Bourantas, Christos; Waksman, Ron
• Is Part Of: Expert review of cardiovascular therapy. Volume 19:Number 2(2021)
• Page Start: 141
• Page End: 149
• Publication Date: 2021-02-01
• Subjects: Optical coherence tomography -- acute coronary syndrome -- percutaneous coronary intervention; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1080/14779072.2021.1857732
• Languages: English
• ISSNs: 1477-9072

Abstract

ABSTRACT: Introduction: Areas covered: In this review, we outline the underlying causes of acute coronary syndrome (ACS) as evaluated by optical coherence tomography (OCT). We report both the definitions of each mechanism and its frequency as reported in the literature to date. Finally, we present an algorithm based on the findings in the review that gives an outlined approach to perform intervention on ACS patients. Expert opinion: Although the most common and most accepted intervention in ACS cases is stent implantation, data suggest a stentless approach in cases of plaque erosion, which generally occurs in younger patients presenting with an acute coronary syndrome that have TIMI flow of 2/3 and either a small or large burden of thrombus and underlying stenosis of less than 50%.