Multiple plaque morphologies in a single coronary artery: insights from volumetric intravascular ultrasound
Neeta Panse MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorSasseen Brett MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorPrasad Panse MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorKiran Kareti MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorDeAnna Rewis
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorPaul Gilmore MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorMartin M. Zenni MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorNorbert Wilke MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorTheodore Bass MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorCorresponding Author
Marco A. Costa MD, PhD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Division of Cardiology, University of Florida, Shands Jacksonville, FL 32209Search for more papers by this authorNeeta Panse MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorSasseen Brett MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorPrasad Panse MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorKiran Kareti MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorDeAnna Rewis
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorPaul Gilmore MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorMartin M. Zenni MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorNorbert Wilke MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorTheodore Bass MD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Search for more papers by this authorCorresponding Author
Marco A. Costa MD, PhD
Cardiovascular Imaging Core Laboratories, Division of Cardiology, University of Florida, Shands Jacksonville, Florida
Division of Cardiology, University of Florida, Shands Jacksonville, FL 32209Search for more papers by this authorAbstract
Intravascular ultrasound provides detailed information on vessel wall and plaque morphology. This report illustrates the use of three-dimensional volumetric IVUS reconstruction images to characterize different patterns of plaque morphology, including vulnerable and ruptured plaques, within a single coronary artery in a patient with unstable angina. Catheter Cardiovasc Interv 2004;61:376–380. © 2004 Wiley-Liss, Inc.
REFERENCES
- 1 Falk E. Plaque rupture with severe pre-existing stenosis precipitating coronary thrombosis: characteristics of coronary atherosclerotic plaques underlying fatal occlusive thrombi. Br Heart J 1983; 50: 127–134.
- 2 Davies MJ, Thomas A. Thrombosis and acute coronary-artery lesions in sudden cardiac ischemic death. N Engl J Med 1984; 310: 1137–1140.
- 3 Falk E, Shah PK, Fuster V. Coronary plaque disruption. Circulation 1995; 92: 657–671.
- 4 Libby P. Molecular bases of the acute coronary syndromes. Circulation 1995; 91: 2844–2850.
- 5 Davies MJ. A macro and micro view of coronary vascular insult in ischemic heart disease. Circulation 1990; 82(Suppl 2): II38.
- 6 Farb A, Burke AP, Tang AL, et al. Coronary plaque erosion without rupture into a lipid core: a frequent cause of coronary thrombosis in sudden coronary death. Circulation 1996; 93: 1354–1363.
- 7 Shah PK. Mechanisms of plaque vulnerability and rupture. J Am Coll Cardiol 2003; 41(4 Suppl S ): S15–S22.
- 8 Fayad ZA, Fuster V. Clinical imaging of the high-risk or vulnerable atherosclerotic plaque. Circ Res 2001; 89: 305.
- 9 Nissen SE, Yock P. Intravascular ultrasound: novel pathophysiological insights and current clinical applications. Circulation 2001; 103: 604–616.
- 10 Schoenhagen P, Ziada KM, Kapadia SR, Crowe TD, Nissen SE, Tuzcu EM. Extent and direction of arterial remodeling in stable versus unstable coronary syndromes: an intravascular ultrasound study. Circulation 2000; 101: 598–603.
- 11 von Birgelen C, Klinkhart W, Mintz GS, et al. Plaque distribution and vascular remodeling of ruptured and nonruptured coronary plaques in the same vessel: an intravascular ultrasound study in vivo. J Am Coll Cardiol 2001; 37: 1864–1870.
- 12 Takano M, Mizuno K, Okamatsu K, Yokoyama S, Ohba T, Sakai S. Mechanical and structural characteristics of vulnerable plaques: analysis by coronary angioscopy and intravascular ultrasound. J Am Coll Cardiol 2001; 38: 99–104.
- 13 Rioufol G, Finet G, Ginon I, Andre-Fouet X, Rossi R, Vialle E, Desjoyaux E, Convert G, Huret JF, Tabib A. Multiple atherosclerotic plaque rupture in acute coronary syndrome: a three-vessel intravascular ultrasound study. Circulation 2002; 106: 804–808.
- 14 Costa MA, Kozuma K, Gaster AL, van Der Giessen WJ, Sabate M, Foley DP, Kay IP, Ligthart JM, Thayssen P, van Den Brand MJ, de Feyter PJ, Serruys PW. Three dimensional intravascular ultrasonic assessment of the local mechanism of restenosis after balloon angioplasty. Heart 2001; 85: 73–79.
- 15 Subramanian KR, Thubrikar MJ, Fowler B, Mostafavi MT, Funk MW. Accurate 3D reconstruction of complex blood vessel geometries from intravascular ultrasound images: in vitro study. J Med Eng Technol 2000; 24: 131–140.
- 16 Pijls NH, De Bruyne B, Peels K, Van Der Voort PH, Bonnier HJ, Bartunek J Koolen JJ, Koolen JJ. Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenoses. N Engl J Med 1996; 334: 1703–1708.
- 17 Moreno PR, Falk E, Palacios IF, Newell JB, Fuster V, Fallon JT. Macrophage infiltration in acute coronary syndromes: implications for plaque rupture. Circulation 1994; 90: 775–778.
- 18 Van der Wal AC, Becker AE, van der Loos CM, Das PK. Site of intimal rupture or erosion of thrombosed coronary atherosclerotic plaques is characterized by an inflammatory process irrespective of the dominant plaque morphology. Circulation 1994; 89: 36–44.
- 19 Kovanen PT, Kaartinen M, Paavonen T. Infiltrates of activated mast cells at the site of coronary atheromatous erosion or rupture in myocardial infarction. Circulation 1995; 92: 1084–1088.
- 20 Spagnoli LG, Bonanno E, Mauriello A, Palmieri G, Partenzi A, Sangiorgi G, Crea F. Multicentric inflammation in epicardial coronary arteries of patients dying of acute myocardial infarction. J Am Coll Cardiol 2002; 40: 1579–1588.
- 21 Auer J, Punzengruber C, Berent R, Weber T, Eber B. Multiple complex coronary plaques in a patient with acute myocardial infarction. Heart Vessels 2002; 16: 211–213.
- 22 Buffon A, Biasucci LM, Liuzzo G, D'Onofrio G, Crea F, Maseri A. Widespread coronary inflammation in unstable angina. N Engl J Med 2002; 347: 5–12.
- 23 Tsimikas S, Shaw PX. Non-invasive imaging of vulnerable plaques by molecular targeting of oxidized LDL with tagged oxidation-specific antibodies. J Cell Biochem 2002; 39(Suppl): 138–146.
- 24 Stahr PM, Hofflinghaus T, Voigtlander T, Courtney BK, Victor A, Otto M, Yock PG, Brennecke R, Fitzgerald PJ. Discrimination of early/intermediate and advanced/complicated coronary plaque types by radiofrequency intravascular ultrasound analysis. Am J Cardiol 2002; 90: 19–23.
- 25 Goldstein JA. Multifocal coronary plaque instability Prog Cardiovasc Dis 2002; 44: 449–454.