TY - JOUR JO - EuroIntervention TI - Clinical use of intracoronary imaging. Part 2: acute coronary syndromes, ambiguous coronary angiography findings, and guiding interventional decision-making: an expert consensus document of the European Association of Percutaneous Cardiovascular Interventions AB - <p class="text-1er-paragraph">This consensus document is the second of two reports summarizing the views of an expert panel organized by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) on the clinical use of intracoronary imaging including intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near infrared spectroscopy (NIRS)-IVUS. Beyond guidance of stent selection and optimization of deployment, invasive imaging facilitates angiographic interpretation and may guide treatment in acute coronary syndrome. Intravascular imaging can provide additional important diagnostic information when confronted with angiographically ambiguous lesions and allows assessment of plaque morphology enabling identification of vulnerability characteristics. This second document focuses on useful imaging features to identify culprit and vulnerable coronary plaque, which offers the interventional cardiologist guidance on when to adopt an intracoronary imaging-guided approach to the treatment of coronary artery disease and provides an appraisal of intravascular imaging-derived metrics to define the haemodynamic significance of coronary lesions.</p> AU - Johnson W. Thomas AU - Räber Lorenz AU - Di Mario Carlo AU - Bourantas V. Christos AU - Jia Haibo AU - Mattesini Alessio AU - Gonzalo Nieves AU - de la Torre Hernandez Maria Jose AU - Prati Francesco AU - Koskinas C. Konstantinos AU - Joner Michael AU - Radu D. Maria AU - Erlinge David AU - Regar S. Evelyn AU - Kunadian Vijay AU - Maehara Akiko AU - Byrne Robert A. AU - Capodanno Davide AU - Akasaka Takashi AU - Wijns William AU - Mintz Gary S. AU - Guagliumi Giulio VL - IS - Y1 - 24/06/2019 Y1 - 2019 DOI - 10.4244/EIJY19M06_02 SP - KW - optical coherence tomography KW - intravascular ultrasound KW - acute coronary syndrome KW - intravascular imaging KW - percutaneous coronary intervention PB - Europa Digital & Publishing UR - https://eurointervention.pcronline.com/article/clinical-use-of-intracoronary-imaging-part2-acute-coronary-syndromes-ambiguous-coronary-angiography-findings-and-guiding-interventional-decision-making-an-expert-consensus-document-of-the-european-association-of-percutaneous-cardiovascular-interventions SN - 1774-024X ER -