综合混合成像在鉴别斑块破裂和口腔支架置入术中的作用：病例报告

Journal of the Society for Cardiovascular Angiography & Interventions Pub Date : 2025-09-01 DOI:10.1016/j.jscai.2025.103814

Natali Sorajja MS , Khady N. Fall MD, MPH , Akiko Maehara MD, MBA , Megha Prasad MD, MS

{"title":"综合混合成像在鉴别斑块破裂和口腔支架置入术中的作用：病例报告","authors":"Natali Sorajja MS , Khady N. Fall MD, MPH , Akiko Maehara MD, MBA , Megha Prasad MD, MS","doi":"10.1016/j.jscai.2025.103814","DOIUrl":null,"url":null,"abstract":"<div><div>A 52-year-old male smoker with multiple risk factors (hypertension, hyperlipidemia, type 2 diabetes mellitus, and end-stage renal disease treated with dialysis), exertional angina, and inferior ischemia was referred for angiography. He was found to have an ostial right coronary artery (RCA) lesion that was thought to be calcified based on angiography. Hybrid imaging was performed with intravenous ultrasound (IVUS) and optical coherence tomography (OCT) using the Novasight Hybrid IVUS-OCT System catheter (Conavi Medical), which helped identify plaque rupture as opposed to calcification. OCT, with its superior resolution, demonstrated plaque rupture that was difficult to appreciate on IVUS. IVUS was used to mark the ostium of the RCA and precisely place a stent in the ostial RCA.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 9","pages":"Article 103814"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Role of Comprehensive Hybrid Imaging in Identification of Plaque Rupture and Ostial Stent Placement: Case Report\",\"authors\":\"Natali Sorajja MS , Khady N. Fall MD, MPH , Akiko Maehara MD, MBA , Megha Prasad MD, MS\",\"doi\":\"10.1016/j.jscai.2025.103814\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>A 52-year-old male smoker with multiple risk factors (hypertension, hyperlipidemia, type 2 diabetes mellitus, and end-stage renal disease treated with dialysis), exertional angina, and inferior ischemia was referred for angiography. He was found to have an ostial right coronary artery (RCA) lesion that was thought to be calcified based on angiography. Hybrid imaging was performed with intravenous ultrasound (IVUS) and optical coherence tomography (OCT) using the Novasight Hybrid IVUS-OCT System catheter (Conavi Medical), which helped identify plaque rupture as opposed to calcification. OCT, with its superior resolution, demonstrated plaque rupture that was difficult to appreciate on IVUS. IVUS was used to mark the ostium of the RCA and precisely place a stent in the ostial RCA.</div></div>\",\"PeriodicalId\":73990,\"journal\":{\"name\":\"Journal of the Society for Cardiovascular Angiography & Interventions\",\"volume\":\"4 9\",\"pages\":\"Article 103814\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Society for Cardiovascular Angiography & Interventions\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772930325012566\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Society for Cardiovascular Angiography & Interventions","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772930325012566","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

患者为52岁男性吸烟者，伴有多种危险因素（高血压、高脂血症、2型糖尿病、终末期肾病伴透析治疗）、劳损性心绞痛和下位性缺血。他被发现有一个口右冠状动脉（RCA）病变，根据血管造影认为是钙化的。使用Novasight Hybrid IVUS-OCT系统导管（Conavi Medical）进行静脉超声（IVUS）和光学相干断层扫描（OCT）的混合成像，这有助于识别斑块破裂而不是钙化。OCT以其优越的分辨率显示了IVUS上难以识别的斑块破裂。IVUS用于标记RCA的开口，并精确地在RCA的开口放置支架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The Role of Comprehensive Hybrid Imaging in Identification of Plaque Rupture and Ostial Stent Placement: Case Report

A 52-year-old male smoker with multiple risk factors (hypertension, hyperlipidemia, type 2 diabetes mellitus, and end-stage renal disease treated with dialysis), exertional angina, and inferior ischemia was referred for angiography. He was found to have an ostial right coronary artery (RCA) lesion that was thought to be calcified based on angiography. Hybrid imaging was performed with intravenous ultrasound (IVUS) and optical coherence tomography (OCT) using the Novasight Hybrid IVUS-OCT System catheter (Conavi Medical), which helped identify plaque rupture as opposed to calcification. OCT, with its superior resolution, demonstrated plaque rupture that was difficult to appreciate on IVUS. IVUS was used to mark the ostium of the RCA and precisely place a stent in the ostial RCA.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of the Society for Cardiovascular Angiography & Interventions Cardiology and Cardiovascular Medicine

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

48 days