A Comparison of Carotid Ultrasound and Coronary Optical Coherence Tomography in Assessing Plaque Morphology in Patients with Chronic Coronary Syndrome.

IF 2.2 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Mehmet Ali Cetiner, Marc Vorpahl, Melchior Seyfarth, Ulrich Wiederhold, Juliane Sophie Yu, Rojvan Bilgin, Ramazan Gökmen Turan
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Abstract

Atherosclerosis is a predominant cause of cardiovascular events and the accurate assessment of plaque morphology is crucial for risk stratification and treatment planning. Carotid ultrasound (CUS) and coronary artery optical coherence tomography (OCT) are valuable imaging modalities for evaluating atherosclerotic plaques. This study aimed to compare the reliability of CUS and OCT in assessing plaque morphology and atherosclerosis in patients with chronic coronary syndrome. Forty-six patients with chronic coronary syndrome underwent OCT to evaluate coronary plaques and CUS to assess carotid plaques. The findings showed that both imaging techniques detected the presence of plaques, with OCT providing more detailed information on coronary plaque morphology compared with CUS. OCT and CUS measurements demonstrated significant correlations in lumen stenosis, plaque sizes, and representations of calcified plaques. Furthermore, distinct differences were observed in plaque distribution and characteristics between the coronary and carotid arteries. Certain cardiovascular risk factors such as diabetes, arterial hypertension, and obesity were associated with specific plaque properties identified by OCT. This study underscores the complementary roles of OCT and CUS in assessing atherosclerosis and plaque vulnerability in patients with chronic coronary syndrome, providing valuable insights for clinical management and treatment strategies.

颈动脉超声与冠状动脉光学相干断层扫描评估慢性冠脉综合征患者斑块形态的比较。
动脉粥样硬化是心血管事件的主要原因,准确评估斑块形态对风险分层和治疗计划至关重要。颈动脉超声(CUS)和冠状动脉光学相干断层扫描(OCT)是评估动脉粥样硬化斑块的有价值的成像方式。本研究旨在比较CUS和OCT在评估慢性冠脉综合征患者斑块形态和动脉粥样硬化方面的可靠性。46例慢性冠状动脉综合征患者行OCT评估冠状动脉斑块和CUS评估颈动脉斑块。结果显示,两种成像技术都能检测到斑块的存在,与冠状动脉造影相比,OCT能提供更详细的冠状动脉斑块形态学信息。OCT和CUS测量结果显示,在管腔狭窄、斑块大小和钙化斑块表现方面存在显著相关性。此外,冠状动脉和颈动脉斑块的分布和特征也有明显差异。某些心血管危险因素,如糖尿病、动脉高血压和肥胖与OCT发现的特定斑块特性相关。这项研究强调了OCT和CUS在评估慢性冠状动脉综合征患者动脉粥样硬化和斑块易感性方面的互补作用,为临床管理和治疗策略提供了有价值的见解。
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来源期刊
Angiology
Angiology 医学-外周血管病
CiteScore
5.50
自引率
14.30%
发文量
180
审稿时长
6-12 weeks
期刊介绍: A presentation of original, peer-reviewed original articles, review and case reports relative to all phases of all vascular diseases, Angiology (ANG) offers more than a typical cardiology journal. With approximately 1000 pages per year covering diagnostic methods, therapeutic approaches, and clinical and laboratory research, ANG is among the most informative publications in the field of peripheral vascular and cardiovascular diseases. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 13 days
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